Association between use of hand hygiene products and rates of health care–associated infections in a large university hospital in Norway

Herud, T.; Nilsen, Roy Miodini; Svendheim, Kjersti; Harthug, Stig

doi:10.1016/j.ajic.2008.06.006

Cited by 19 publications

(10 citation statements)

References 40 publications

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“…The results also gave baseline data for a national hand hygiene campaign in hospitals and LTCFs in 2005 [13]. An ecologic study has shown that prevalence rates of HAI in a hospital may associate with the amount of hand hygiene products used [14]. …”

Section: Resultsmentioning

confidence: 99%

Evaluation of the national surveillance system for point-prevalence of healthcare-associated infections in hospitals and in long-term care facilities for elderly in Norway, 2002-2008

et al. 2011

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BackgroundSince 2002, the Norwegian Institute of Public Health has invited all hospitals and long-term care facilities for elderly (LTCFs) to participate in two annual point-prevalence surveys covering the most frequent types of healthcare-associated infections (HAIs). In a comprehensive evaluation we assessed how well the system operates to meet its objectives.MethodsSurveillance protocols and the national database were reviewed. Data managers at national level, infection control practitioners and ward personnel in hospitals as well as contact persons in LTCFs involved in prevalence data collection were surveyed.ResultsThe evaluation showed that the system was structurally simple, flexible and accepted by the key partners. On average 87% of hospitals and 32% of LTCFs participated in 2004-2008; high level of data completeness was achieved. The data collected described trends in the prevalence of reportable HAIs in Norway and informed policy makers. Local results were used in hospitals to implement targeted infection control measures and to argue for more resources to a greater extent than in LTCFs. Both the use of simplified Centers for Disease Control and Prevention (CDC) definitions and validity of data seemed problematic as compliance with the standard methodology were reportedly low.ConclusionsThe surveillance system provides important information on selected HAIs in Norway. The system is overall functional and well-established in hospitals, however, requires active promotion in LTCFs. Validity of data needs to be controlled in the participating institutions before reporting to the national level.

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Section: Resultsmentioning

confidence: 99%

Evaluation of the national surveillance system for point-prevalence of healthcare-associated infections in hospitals and in long-term care facilities for elderly in Norway, 2002-2008

et al. 2011

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“…Effectiveness of HH as well as HCW compliance in the prevention of HAI have been extensively evaluated in intensive care units (ICUs) where HAI rates are high, with discordant results [5]. Also, many studies have evaluated the impact of HH on HAI rates in hospital-wide settings, as summarized in Table 1 [4,[6][7][8][9][10][11][12][13][14][15][16].…”

Section: Introductionmentioning

confidence: 99%

Impact of a hand hygiene educational programme on hospital-acquired infections in medical wards

Monistrol¹,

Calbo

Riera³

et al. 2012

Clinical Microbiology and Infection

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Improvement in hand hygiene (HH) compliance has been associated with a decrease in the incidence of hospital-acquired infection (HAI) and hospital-acquired methicillin-resistant Staphylococcus aureus (HA-MRSA) infection/colonization. We aimed to evaluate the impact of a multimodal intervention in medical wards on HH compliance, alcohol-based hand rub (AHR) consumption and incidence of HAI and HA-MRSA. A before-after intervention study and an assessment 1 year later were conducted in three internal medicine wards. HH compliance during routine patient care was monitored using the WHO HH observation method. AHR consumption was registered. HAI incidence was actively sought during the PRE and POST periods. HAI risk factors were prospectively recorded and incidence density was calculated. A total of 825 patients were prospectively followed in the PRE period and 868 patients in the POST period. We observed 1531 opportunities for HH in PRE and POST periods and 450 1 year later. HH compliance improved from 54.3% to 75.8% (p 0.005) and remained 75.8% at follow-up. AHR consumption increased from 10.5 to 27.2 L/1000 hospital-days and 31.5 L/1000 hospital-days at follow-up. Incidence density of HAI was 6.93 and 6.96/1000 hospital-days in the PRE and POST intervention periods, respectively. HA-MRSA incidence density was 0.92 in the PRE period vs. 0.25/1000 hospital-days in the POST period (p 0.2) and 0.15/1000 hospital-days (p 0.1) 1 year later. A sustained increase in AHR consumption was followed by an improvement in HH compliance after a multimodal campaign. A trend for lower incidence density of new hospital-acquired MRSA was detected in the POST intervention and follow-up periods.

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“…The improved compliance was associated with a 60% reduction in HAI rates among very low birthweight babies, and a decreased incidence of genetically related clones, confirming a reduction in cross‐infection. Herud et al. (2009) examined the link between use of HH solutions and HAI rates in a large Norwegian hospital.…”

Section: Introductionmentioning

confidence: 99%

A comparison of the hand hygiene knowledge, beliefs and practices of Italian nursing and medical students

Mortel

Kermode

Progano

et al. 2011

Journal of Advanced Nursing

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Statistically significant disciplinary differences in hand hygiene knowledge and self-reported practices were apparent among undergraduate Italian healthcare students. Further research is needed to determine the causative factors. The overall low scores on the knowledge items indicate that these students require further education on hand hygiene, particularly in relation to the use of alcohol-based hand rubs.

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Association between use of hand hygiene products and rates of health care–associated infections in a large university hospital in Norway

Cited by 19 publications

References 40 publications

Evaluation of the national surveillance system for point-prevalence of healthcare-associated infections in hospitals and in long-term care facilities for elderly in Norway, 2002-2008

Evaluation of the national surveillance system for point-prevalence of healthcare-associated infections in hospitals and in long-term care facilities for elderly in Norway, 2002-2008

Impact of a hand hygiene educational programme on hospital-acquired infections in medical wards

A comparison of the hand hygiene knowledge, beliefs and practices of Italian nursing and medical students

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