Baseline evaluation of hand hygiene compliance in three major hospitals, Isfahan, Iran

Ataei, Behrouz; Zahraei, Seyed Mohsen; Pezeshki, Zahra; Babak, Anahita; Nokhodian, Zary; Mobasherizadeh, Sina; Hoseini, Shervin Ghaffari

doi:10.1016/j.jhin.2013.07.001

Cited by 21 publications

(30 citation statements)

References 5 publications

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“…The role of the ICU staff and environment in HAIs should be considered when devising strategies to prevent or reduce the occurrence of these infections among the highly sensitive patients. There are some reports that showed poor hand hygiene compliance among different hospital staff in Iran [7][8][9]. However, few data exist on the microbial contamination of HCWs' hands and the hospital environment in the studied hospitals.…”

Section: Introductionmentioning

confidence: 93%

“…Bacterial strains from patients, the hands of HCWs, and the ICU environment have been demonstrated to be associated with hospital-acquired outbreaks by several studies [4][5][6][7]. Although most enteric Gram-negative bacilli cannot remain viable on the dry surfaces of medical equipment or in the ICU environment and are sensitive to common disinfectants, biofilm-forming bacteria, such as Pseudomonas aeruginosa and Acinetobacter baumannii, are highly resistant to such harsh conditions and are strongly associated with HAIs through contaminated medical devices and other environmental equipment in hospitals [4].…”

Section: Introductionmentioning

confidence: 99%

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The role of the intensive care unit environment and health-care workers in the transmission of bacteria associated with hospital acquired infections

Tajeddin

Rashidan

Razaghi

et al. 2016

Journal of Infection and Public Health

120

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The goal of this study was to attempt to determine the rate of contamination of health-care workers' (HCWs) hands and environmental surfaces in intensive care units (ICU) by the main bacteria associated with hospital acquired infections (HAIs) in Tehran, Iran. A total of 605 and 762 swab samples were obtained from six ICU environments and HCWs' hands. Identification of the bacterial isolates was performed according to standard biochemical methods, and their antimicrobial susceptibility was determined based on the guidelines recommended by clinical and laboratory standards institute (CLSI). The homology of the resistance patterns was assessed by the NTSYSsp software. The most frequent bacteria on the HCWs' hands and in the environmental samples were Acinetobacter baumannii (1.4% and 16.5%, respectively), Staphylococcus aureus (5.9% and 8.1%, respectively), S. epidermidis (20.9% and 18.7%, respectively), and Enterococcus spp. (1% and 1.3%, respectively). Patients' oxygen masks, ventilators, and bed linens were the most contaminated sites. Nurses' aides and housekeepers were the most contaminated staff. Imipenem resistant A. baumannii (94% and 54.5%), methicillin-resistant S. aureus (MRSAs, 59.6% and 67.3%), and vancomycin resistant Enterococci (VREs, 0% and 25%) were detected on the hands of ICU staff and the environmental samples, respectively. Different isolates of S. aureus and Enterococcus spp. showed significant homology in these samples. These results showed contamination of the ICU environments and HCWs with important bacterial pathogens that are the main risk factors for HAIs in the studied hospitals.

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Section: Introductionmentioning

confidence: 93%

Section: Introductionmentioning

confidence: 99%

The role of the intensive care unit environment and health-care workers in the transmission of bacteria associated with hospital acquired infections

Tajeddin

Rashidan

Razaghi

et al. 2016

Journal of Infection and Public Health

120

View full text Add to dashboard Cite

show abstract

“…A estrutura da unidade encontrava-se em conformidade com as recomendações da OMS (4)(5) , considerado um aspecto positivo, visto que a ausência de insumos e estrutura adequada interferem na adesão à HM (7) ; por outro lado, é o fator mais facilmente modificável.…”

Section: Condições Estruturais E Importância Atribuída à Higienizaçãounclassified

“…É inegável a importância dessa prática frente ao risco de contaminação do profissional ao ter contato com sangue, secreções e outros fluídos corporais potencialmente contaminados. Estudo realizado em 2012 (17) demonstrou alteração de 61.4% para 82.9% após a quarta sequência de intervenções; outros pesquisadores (7) evidenciam que nestes momentos há maior adesão à HM, quando comparada às demais indicações, refletindo maior preocupação com a autoproteção entre os trabalhadores.…”

Section: Adesão à Higienização Das Mãosunclassified

“…Estudos que relatam investigação da adesão dos profissionais à HM, sem realização de estratégias para promoção desta prática, demonstraram que a utilização de água e sabão superou as soluções alcoólicas (7) ; e estudo realizado em Hong Kong evidenciou o aumento do uso de soluções alcoólicas após a realização de uma campanha (18) corroborando os resultados desta pesquisa. Deste modo, a estratégia multimodal também contribuiu para incentivar os profissionais ao uso de soluções alcoólicas, contribuindo para a eficácia da HM.…”

Section: Adesão à Higienização Das Mãosunclassified

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<b> A promoção da higienização das mãos como estratégia para o cuidado seguro / The promotion of hygiene of the hands as a strategy for safe care <b>

2017

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RESUMOPesquisa de intervenção que aplicou o Guia para a Implementação da Estratégia Multimodal da OMS para melhoria da Higiene de Mãos em Unidade de Terapia Intensiva Pediátrica, operacionalizado nas fases diagnóstico, intervenção, avaliação e manutenção, de 2011 a 2013. O número de participantes variou em cada fase e avaliou-se a estrutura física, percepção e adesão à higienização das mãos por meio de questionários e observação direta; foram instituídas e avaliadas estratégias de intervenção e elaborado plano de manutenção para as ações implementadas. Os dados foram analisados por estatística descritiva. Os resultados evidenciaram melhoria na adesão à higienização das mãos (de 46,5% para 64%) e no uso de solução alcoólica (de 27,56% para 57,81%); melhor percepção do impacto negativo das infecções e eficácia das estratégias de prevenção. Compuseram as medidas de manutenção: observações quadrimestrais da adesão, divulgação dos resultados, instituição de semana comemorativa, disponibilização de material educativo e treinamentos anuais. Conclui-se que o Guia contribuiu para valorar e promover a higienização das mãos no contexto assistencial ao paciente crítico e agrega segurança ao cuidado.Palavras-chave: Higiene das mãos. Desinfecção das mãos. Segurança do paciente. INTRODUÇÃOAs Infecções Relacionadas à Assistência em Saúde (IRAS), também conhecidas como Infecções Hospitalares, são um dos principais problemas do setor médico-hospitalar uma vez que constituem indicador da qualidade do cuidado ofertado; sua redução é dependente da melhoria dos processos assistencias e do engajamento de gestores e trabalhadores de saúde. Essas infecções impactam na evolução clínica do paciente, nos custos à instituição, propiciam o aumento da morbimortalidade e tem estreita relação com a segurança do paciente, pois são classificadas como eventos adversos (1)

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Does hospital ownership influence hand hygiene compliance?

Zhang

Lai

2017

CURR MED SCI

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The issue as to whether hospital ownership has an impact on the quality of care has long been a serious concern. Hand hygiene (HH) compliance is regarded as an important indicator of the quality of care in the control of hospital-acquired infections. However, little information is available on whether hospital ownership influences HH compliance. In this study, of 229 hospitals selected from Hubei province in China, 152 were public and 77 were private hospitals. A total of 23 652 healthcare workers (HCWs) were surveyed, using a convenience sampling. HH compliance, the WHO's "My Five Moments for hand hygiene" (5MHH), among HCWs, together with the factors of hospital ownership, training frequency, bed occupancy rates, etc. were collected. Univariate analysis and ordinal logistic regression analysis were used to analyze factors affecting HH compliance. Overall, HH compliance rates were 67% and 79% for public and private hospitals, respectively. The HH compliance rates of HCWs and 5MHH were between 55% and 95%, and influenced by hospital ownership (P<0.05), excluding compliance rate at the moment after body fluid exposure, and other influence factors included training frequency and bed occupancy rate (P<0.05). HH compliance is better in private than in public hospitals. Hospital ownership is a significant factor affecting HH compliance, in addition to training frequency and bed occupancy rate.

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Baseline evaluation of hand hygiene compliance in three major hospitals, Isfahan, Iran

Cited by 21 publications

References 5 publications

The role of the intensive care unit environment and health-care workers in the transmission of bacteria associated with hospital acquired infections

The role of the intensive care unit environment and health-care workers in the transmission of bacteria associated with hospital acquired infections

<b> A promoção da higienização das mãos como estratégia para o cuidado seguro / The promotion of hygiene of the hands as a strategy for safe care <b>

Does hospital ownership influence hand hygiene compliance?

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