Four multifaceted countrywide campaigns to promote hand hygiene in Belgian hospitals between 2005 and 2011: impact on compliance to hand hygiene

Costers, Michiel; Viseur, Natacha; Catry, Boudewijn; Simon, Anne

doi:10.2807/ese.17.18.20161-en

Cited by 26 publications

(24 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Compliance with hygiene guidelines in recent studies, mainly reflecting the use of alcohol-based hand rub has generally been found to be below 50 % (Costers et al 2012;Tromp et al 2012;Biswal et al 2014). Compliance with hygiene guidelines is generally thought to be low when the activity index (number of opportunities for hand hygiene per hour of care) is high, which was confirmed by Pittet et al (2000).…”

Section: Hand Hygienementioning

confidence: 48%

“…The apprehension that compliance is lower during night shifts than during day shifts has, however, not been confirmed (Pittet et al 1999). Some studies have shown a significantly lower compliance with hygiene guidelines among physicians compared to other professions (Randle et al 2010;Scheithauer et al 2011;Costers et al 2012). A more recent study did not show any general differences in compliance rates between physicians, midwives and registered nurse assistants (Mernelius et al 2013c).…”

Section: Hand Hygienementioning

confidence: 86%

See 1 more Smart Citation

Infection control of Staphylococcus aureus : spa typing to elucidate transmission

Mernelius¹

2015

View full text Add to dashboard Cite

Staphylococcus aureus is a commensal of the human flora, primarily colonizing the anterior nares and throat, but it may also cause infections ranging from mild skin and soft tissue infections to severe diseases such as endocarditis and septicemia. S. aureus is also a major nosocomial problem increasing with the worldwide dissemination of methicillin-resistant S. aureus (MRSA).The main vector for bacterial cross-transmission in healthcare settings is the hands of healthcare workers (HCWs). No S. aureus was detected in the air in this thesis demonstrating that transmission through air is not important. Despite the fact that good compliance with hand hygiene is essential to prevent cross-transmission the compliance is generally less than 50 %.Gold standard to track bacterial transmission in healthcare settings has for long been pulsedfield gel electrophoresis (PFGE), a method that is labor-intensive, lacks consensus protocol and relies on semi-subjective analysis. Molecular typing by sequencing of the hypervariable part of the S. aureus protein A gene (spa typing) has overcome these problems and has shown promising results in epidemiological investigations.The aims of this thesis were to study bacterial transmission with S. aureus colonization of newborn infants as a model and to evaluate spa typing as a molecular tool. Additionally, the influence of compliance with hygiene guidelines on S. aureus transmission was assessed.Analysis of 280 MRSA isolates by spa typing revealed excellent typeability and epidemiological concordance and satisfactory discriminatory power. Additionally, spa typing was considered superior to PFGE thanks to its accessibility, ease of use and rapidity. Also, spa typing results are registered in a global database, facilitating inter-laboratory comparison.The prevalence of S. aureus ranged from 41 % to 66 % in the populations studied and males had the highest colonization rate. Throat was the premier colonization site for adults and transmission from individuals colonized in the throat only was documented, suggesting that throat cultures should be included in S. aureus screening programs. The umbilicus was the premier colonization site for newborn infants. Incubating the swabs in enrichment broth prior to plating increased the prevalence of S. aureus positive samples by 46 %, resulting in prevalence viii ranging from 51 % to 70 % in the populations studied. Thus enrichment prior to plating is necessary to determine more truthful S. aureus colonization rates. There were no indications of an institutional flora, as the colonization rates, spa type distribution and antibiotic resistance prevalence were similar among parents and HCWs.Direct observations and self-reporting by HCWs were both validated as tools for monitoring compliance with hygiene guidelines. The compliance with hygiene guidelines was significantly higher following a 10-point hygiene intervention as compared to baseline. The compliance was also higher three years after the intervention in three of four participating departm...

show abstract

Section: Hand Hygienementioning

confidence: 48%

Section: Hand Hygienementioning

confidence: 86%

Infection control of Staphylococcus aureus : spa typing to elucidate transmission

Mernelius¹

2015

View full text Add to dashboard Cite

show abstract

“…[2][3][4][5][6][7][8] Improvement projects that rely on promotional campaigns can increase compliance, 9 but they frequently fail to show not only long-term sustainability 9 but also high 10 or improved 11 levels of compliance, and they may lead to uneven improvement among professions. [2][3][4]12 The World Health Organization (WHO) has recommended a multimodal strategy to improve and sustain hand hygiene compliance, 13 and its effectiveness has been demonstrated. [14][15][16][17][18] The Institute for Healthcare Improvement (IHI) has supported health systems in their own initiatives.…”

mentioning

confidence: 99%

Hand Hygiene Improvement and Sustainability: Assessing a Breakthrough Collaborative in Western Switzerland

Staines

Amherdt

Lécureux³

et al. 2017

Infect. Control Hosp. Epidemiol.

View full text Add to dashboard Cite

objective. To assess hand hygiene improvement and sustainability associated with a Breakthrough Collaborative.design. Multicenter analysis of hand hygiene compliance through direct observation by trained observers.setting. A total of 5 publicly funded hospitals in 14 locations, with a total of 1,152 beds, in the County of Vaud, Switzerland.participants. Clinical staff.interventions. In total, 59,272 opportunities for hand hygiene were monitored for the duration of the study, for an average of 5,921 per audit (range, 5,449-6,852). An 18-month Hand Hygiene Breakthrough Collaborative was conducted to implement the WHO multimodal promotional strategy including improved access to alcohol-based hand rub, education, performance measurement and feedback, reminders and communication, leadership engagement, and safety culture.results. Overall hand hygiene compliance improved from 61.9% to 88.3% (P < .001) over 18 months and was sustained at 88.9% (P = .248) 12 months after the intervention. Hand hygiene compliance among physicians increased from 62% to 85% (P < .001) and finally 86% at followup (P = .492); for nursing staff, compliance improved from 64% to 90% (P < .001) and finally 90% at follow-up (P = .464); for physiotherapists compliance improved from 50% to 90% (P < .001) and finally 91% at follow-up (P = .619); for X-ray technicians compliance improved from 45% to 80% (P < .001) and finally 81% at follow-up (P = .686). Hand hygiene compliance also significantly increased with sustained improvement across all hand hygiene indications and all hospitals.conclusions. A rigorously conducted multicenter project combining the Breakthrough Collaborative method for its structure and the WHO multimodal strategy for content and measurement was associated with significant and substantial improvement in compliance across all professions, all hand hygiene indications, and all participating hospitals.

show abstract

“…Curitiba, PR, Brasil, 2011 As estratégias para promoção da HM foram reavaliadas, e a eficácia atribuída sofreu mudanças no período; os profissionais passaram a julgar o apoio dos chefes, disponibilização de soluções alcoólicas para HM na unidade, treinamento em HM e exposição de instruções claras e visíveis no local de trabalho como as estratégias mais eficazes para promover a HM. Estudos realizados na Espanha e na Bélgica utilizaram-se da exposição de cartazes, distribuição de materiais educativos e treinamentos para promover a HM, obtendo aumento significativo na adesão e evidenciando a eficácia destas estratégias (11)(12). A eficácia das intervenções para a promoção da HM, segundo a percepção da equipe, está apresentada na Tabela 2.…”

Section: Condições Estruturais E Importância Atribuída à Higienizaçãounclassified

<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

View full text Add to dashboard Cite

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)

show abstract

Four multifaceted countrywide campaigns to promote hand hygiene in Belgian hospitals between 2005 and 2011: impact on compliance to hand hygiene

Cited by 26 publications

References 26 publications

Infection control of Staphylococcus aureus : spa typing to elucidate transmission

Infection control of Staphylococcus aureus : spa typing to elucidate transmission

Hand Hygiene Improvement and Sustainability: Assessing a Breakthrough Collaborative in Western Switzerland

<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>

Contact Info

Product

Resources

About