Continued direct observation and feedback of hand hygiene adherence can result in long-term improvement

Arise, Kazumi; Nishizaki, Sayaka; Morita, Tatsuhito; Yagi, Yusuke; Takeuchi, Seisho

doi:10.1016/j.ajic.2016.07.011

Cited by 13 publications

(13 citation statements)

References 18 publications

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“…5 These results suggest that this investigation encouraged the HCWs to fully practice good hand hygiene compliance for protecting patients from HAIs. …”

Section: Discussionmentioning

confidence: 80%

“…Five observers were present on the ward between 10 AM and 10:30 AM once a week, where they monitored the hand hygiene practice of the healthcare workers (HCWs) using the direct observation technique as described previously. 5 The observers consisted of an infection control practitioner, a pharmacist, a medical doctor, a medical student, and a laboratory technician. The performance results including hand hygiene compliance rates, MRSA infection or colonization incidence as well as the prevalence rates, and the alcohol-based hand rub consumption were assessed and reported to the ward staff as feedback every month through the infection-control team members.…”

Section: Methodsmentioning

confidence: 99%

“…This study confirmed that direct observation comprising only monitoring and feedback is an effective strategy that results in a long-lasting improvement in hand hygiene compliance. 5 However, proper hand hygiene is not the ultimate goal itself but the means to an end. The ultimate goal is to stop the transfer of organisms and diseases and finally to decrease the occurrence of HAIs.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Continued direct observation and feedback of hand hygiene adherence can decrease incidence of meticillin-resistant Staphylococcus aureus infection/colonization

Arise¹,

Nishizaki²,

Morita³

et al. 2017

Int. j. infect. control

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“…5 These results suggest that this investigation encouraged the HCWs to fully practice good hand hygiene compliance for protecting patients from HAIs. …”

Section: Discussionmentioning

confidence: 80%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Continued direct observation and feedback of hand hygiene adherence can decrease incidence of meticillin-resistant Staphylococcus aureus infection/colonization

Arise¹,

Nishizaki²,

Morita³

et al. 2017

Int. j. infect. control

Self Cite

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“…The hand hygiene compliance rate, which was evaluated using direct observation, was not high during this period. 12 The present study has several limitations. First, only nasal swabs were used.…”

Section: Discussionmentioning

confidence: 83%

“…The mean number of times hand hygiene was practiced was 4.0 times per patient‐day. The hand hygiene compliance rate, which was evaluated using direct observation, was not high during this period . MRSA infections could have occurred due to insufficient infection control practices.…”

Section: Discussionmentioning

confidence: 87%

Transmission of methicillin‐resistant Staphylococcus aureus in an acute care hospital in Japan

Matsumoto

Takeuchi

Uehara

et al. 2018

J of Gen and Family Med

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BackgroundAsymptomatic carriers of methicillin‐resistant Staphylococcus aureus (MRSA) are important sources of nosocomial transmission. However, the route of transmission of MRSA is not completely understood. The purpose of this study was to calculate MRSA transmission rates in a hospital with a high MRSA infection/colonization density and inadequate hand hygiene compliance.MethodsThe prevalence of MRSA colonization among 157 patients at the time of admission to and discharge from a medical school hospital in Japan was determined by performing surveillance cultures. All MRSA isolates were evaluated using multilocus sequence typing (MLST) to identify the transmission routes.ResultsMethicillin‐resistant S. aureus was prevalent in 1.9% of our study population. MRSA was acquired during hospitalization at a rate of 4.0/1000 patient‐days. At discharge, 5.1% of the patients exhibited MRSA colonization; this was significantly higher than the prevalence noted upon admission (P < 0.001). MLST documented three possible nosocomial transmission events. MRSA colonization was detected using surveillance cultures prior to being identified by conventional, clinically oriented examinations.ConclusionsMultilocus sequence typing results suggested that patients who were colonized with MRSA acquired it during hospitalization. These results reinforce the importance of infection control for preventing nosocomial MRSA transmission in hospitalized patients.

show abstract

Compliance to empirical contact precautions for multidrug-resistant microorganisms

Arriero

Taminato

Kusahara

et al. 2020

American Journal of Infection Control

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Continued direct observation and feedback of hand hygiene adherence can result in long-term improvement

Cited by 13 publications

References 18 publications

Continued direct observation and feedback of hand hygiene adherence can decrease incidence of meticillin-resistant Staphylococcus aureus infection/colonization

Continued direct observation and feedback of hand hygiene adherence can decrease incidence of meticillin-resistant Staphylococcus aureus infection/colonization

Transmission of methicillin‐resistant Staphylococcus aureus in an acute care hospital in Japan

Compliance to empirical contact precautions for multidrug-resistant microorganisms

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