Effectiveness of a hospital-wide programme to improve compliance with hand hygiene

Improving healthcare worker hand hygiene adherence before patient contact: A multimodal intervention of hand hygiene practice in Three Japanese tertiary care centers

“…16 Implementations of these multimodal strategies, following WHO-based guidelines, have been shown to increase the level of hand hygiene adherence among healthcare workers and reduce infections at these locations. 14,17,18 This study expands upon that work by extending the same implementation strategy to assess the effectiveness of the introduction of alcohol-based hand rub on hand hygiene practice at multiple hospitals in Japan.…”

“…6,10 Specifically, the use of alcohol-based hand rub is strongly recommended in acute care hospitals by both the World Health Organization (WHO) and the US Centers for Disease Control and Prevention. 11,12 Improving hand hygiene adherence may reduce healthcareassociated infection by 9% to 50%, 13,14 and multiple studies have reported that greater use of alcohol-based hand rubs results in significant reductions in healthcare-associated infections. 14,15 Due to the difficulty in improving hand hygiene in various settings across the world, the WHO strategy for improving hand hygiene has been adopted and implemented by several studies in varying locations, such as Costa Rica, Italy, Mali, Pakistan, and Saudi Arabia.…”

“…11,12 Improving hand hygiene adherence may reduce healthcareassociated infection by 9% to 50%, 13,14 and multiple studies have reported that greater use of alcohol-based hand rubs results in significant reductions in healthcare-associated infections. 14,15 Due to the difficulty in improving hand hygiene in various settings across the world, the WHO strategy for improving hand hygiene has been adopted and implemented by several studies in varying locations, such as Costa Rica, Italy, Mali, Pakistan, and Saudi Arabia. 16 Implementations of these multimodal strategies, following WHO-based guidelines, have been shown to increase the level of hand hygiene adherence among healthcare workers and reduce infections at these locations.…”

Modeling Nosocomial Transmission of Rotavirus in Pediatric Wards

“…Since [29] did not differentiate discharge rates, we used its estimate for 1/γ as a lower bound for 1/γ i (the result is close to the mean of the estimates given in [32] and [37]); the average of the rotavirus figures of [11] and [25] for γ c , and the sole γ d estimate given by [32]. For δ we used the mean given in [5], which fits well within the ranges given by [28] and [35].…”

“…But few studies have focused specifically on other simple preventive measures which could be applied to control nosocomial epidemic risk for pediatric rotavirus outbreaks, like hand washing or disinfection, although their effectiveness has been proven [18]. Studies have shown that it is nearly impossible to maintain compliance levels for such measures above about 50% among health care workers (HCWs) without an ongoing, continually renewed education/reminder campaigns in which the HCWs have direct ownership [28], as the effects of limited-term campaigns tend to be transient [5]. Rotavirus is not transmitted exclusively via contaminated individuals serving as vectors: one study of 31 pediatric wards in French hospitals identified having fewer than 20 beds per ward, keeping patients in their rooms, and keeping patients' doors closed as other measures that had strong correlations with lower incidences of diarrheal infections [22] (other measures may not have shown significant as predictors because all the wards in the study followed them).…”