2021
DOI: 10.1186/s13756-021-00949-0
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Handrub dispensers per acute care hospital bed: a study to develop a new minimum standard

Abstract: Background Accessibility to alcohol-based handrub (ABHR) dispenser is crucial to improve compliance to hand hygiene (HH), being offered as wall-mounted dispensers (ABHR-Ds), and/or pocket bottles. Nevertheless, information on the distribution and density of ABHR-Ds and their impact on HH have hardly been studied. Institutions such as the World Health Organisation or the Centers for Disease Control and Prevention do not provide guidance. The Robert-Koch-Institute (RKI) from Germany recommends an… Show more

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Cited by 4 publications
(8 citation statements)
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“…Overall, HHC has been reported to range from 9.1% to 85.2%, depending on factors like geographic region and ward type [ 21 ]. Trying to improve HHC can be difficult, as it is influenced by both person-specific aspects (e.g., education, social norms, perceived infection risk, HH habits) and structural aspects (e.g., hospital type, numbers and locations of hand rub dispensers (HRDs)) [ 22 , 23 ]. Several interventions such as performance feedback or education have been shown to increase HHC rates, particularly when multimodal approaches were used, but HHC improvements are mostly not sustained due to effects like habituation [ 24 , 25 ].…”
Section: Introductionmentioning
confidence: 99%
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“…Overall, HHC has been reported to range from 9.1% to 85.2%, depending on factors like geographic region and ward type [ 21 ]. Trying to improve HHC can be difficult, as it is influenced by both person-specific aspects (e.g., education, social norms, perceived infection risk, HH habits) and structural aspects (e.g., hospital type, numbers and locations of hand rub dispensers (HRDs)) [ 22 , 23 ]. Several interventions such as performance feedback or education have been shown to increase HHC rates, particularly when multimodal approaches were used, but HHC improvements are mostly not sustained due to effects like habituation [ 24 , 25 ].…”
Section: Introductionmentioning
confidence: 99%
“…Data gathered with such systems can be used to optimise workflows and reduce inconveniences like suboptimal HRD localisation, a major factor limiting HHC [ [33] , [34] , [35] ]. Generally, a sufficient number of well-accessible HRDs is desirable [ 23 ]. While no international recommendations regarding the minimal number of HRDs exist [ 23 ], the Commission for Hospital Hygiene and Infection Prevention (KRINKO) at the Robert Koch Institute (RKI) in Germany recommends one HRD per bed in intensive care units (ICUs) and 0.5 per bed in general wards close to patient beds [ 36 ].…”
Section: Introductionmentioning
confidence: 99%
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