Healthcare-associated infections and antimicrobial use in long term care facilities (HALT-2)

Ruscher, Claudia; Kraus-Haas, Martina; Nassauer, Alfred; Mielke, Martin

doi:10.1007/s00103-015-2126-5

Cited by 22 publications

(11 citation statements)

References 28 publications

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“…The residents trust the GPs to do their job well. In the case of infections, it is important to monitor this process from GPs and nursing staff as early as possible [ 35 ]. This overall situation makes it difficult for the nursing home managers to establish consistent infection prevention and control measures in the work processes during visits to nursing homes [ 8 , 24 ].…”

Section: Discussionmentioning

confidence: 99%

Enablement of nursing home residents in infection prevention during general practitioner visits: A qualitative study

2022

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Introduction Hand hygiene measures are essential to protect nursing home residents against nosocomial infections. Evidence on the prevention of nosocomial infections for nursing home residents by general practitioners during their medical visits in nursing homes or how they enable nursing home residents to perform hand hygiene measures is lacking. This study aimed to explore hand hygiene behaviors of general practitioners in nursing homes, their attitudes toward infection prevention measures, and the enablement of nursing home residents in performing hand hygiene measures. Materials and methods Semi-structured interviews were conducted with general practitioners and nursing home residents in Germany. Interviews were audio-recorded and transcribed. Data were analyzed using thematic content analysis. Results Overall, 12 general practitioners and 12 nursing home residents participated in the study. The general practitioners expressed the fact that the possibilities for practicing hand hygiene differ in individual nursing homes. For nursing home residents, the availability of hand rub solutions was limited. Instructions for residents on hand disinfection from general practitioners was not described. Due to the lack of enablement, the residents’ knowledge on how to correctly perform hand hygiene was low, although some of the nursing home residents have experience with multidrug-resistant organisms. The nursing home residents varied in their needs for active participation and enablement during the general practitioners visit. Conclusion Nursing home residents require continuous enablement by their general practitioners to maintain adequate hand hygiene. Therefore, general practitioners should consider the different needs of nursing home residents to ensure adequate individual hand hygiene and safety for the residents. Existing guidelines for infection prevention and control do not adequately cover the nursing home care setting for the enablement of residents to enquire about hand hygiene.

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Section: Discussionmentioning

confidence: 99%

Enablement of nursing home residents in infection prevention during general practitioner visits: A qualitative study

2022

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“…Based on the results of the ‘Healthcare-associated infections and Antimicrobial use in European Long-Term care facilities’ (HALT-2) study, ABHR and antimicrobial soap were available in 90.7 % ( n = 894) and 98.2 % ( n = 968) of European LTCFs, while 67.8 % ( n = 61) and 98.9 % ( n = 89) of participating Hungarian LTCFs reported using ABHR and antimicrobial soap, respectively [ 26 ]. The results of the current study are in keeping with the Hungarian findings of HALT-2 study: 64.9 % ( n = 230) and 93.8 % ( n = 332) of participating Hungarian LTCFs provided ABHR and antimicrobial soap, respectively, in 2013.…”

Section: Discussionmentioning

confidence: 99%

“…In the European-wide HALT-2 study, 836 LTCFs reported consumption data of ABHR in litres used in 2012. A median ABHR use of 73.5 litres per year was reported, ranging from 0 to 9165 liters [ 26 ]. The current Hungarian results are lower than the European findings in 2012: the median ABHR consumption was 40.5 litres (IQR, 0-800 litres) in the previous year.…”

Section: Discussionmentioning

confidence: 99%

Use of hand hygiene agents as a surrogate marker of compliance in Hungarian long-term care facilities: first nationwide survey

Szabó

Morvai

Bellissimo-Rodrigues

et al. 2015

Antimicrob Resist Infect Control

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BackgroundHand hygiene practice is an important measure for preventing infections in long-term care facilities (LTCFs). However, low compliance with hand hygiene has been reported in a number of studies. The purpose of this study was to provide an overview of the first reference data collected on alcohol-based handrub (ABHR) and antiseptic soap consumption, as surrogate markers for hand hygiene compliance by healthcare workers (HCWs) in Hungarian LTCFs. The objective was to inform stakeholders on the need of hand hygiene improvement in these settings.MethodsBetween 5 May and 30 September 2014, we conducted a nationwide, cross-sectional survey using a standardized self-administered questionnaire; all Hungarian LTCFs were eligible. The Statistical Package for Social Sciences (SPSS) version 20.0 was used for data analysis.ResultsThe questionnaire was completed by 354 LTCFs, representing 24 % of all Hungarian LTCFs. In total, the median consumption of ABHR and antimicrobial soap was 15.5 L (IQR, 0–800 L) and 60 L (IQR, 0–1,680 L) per LTCFs, and 2.2 mL (IQR, 0.4–9.1 mL) and 12.1 mL (IQR, 0.7–32.8 mL) per HCWs in 2013, respectively. The estimated number of hand hygiene actions was 0.6 hygienic handrub/HCW per day (IQR, 0–12.8/HCWs) and 2.4 hygienic handwashing/HCW per day (IQR, 0–21.9/HCWs; P = .001), respectively.ConclusionsThis study suggests that non-compliance with hand hygiene is a significant problem in Hungarian LTCFs. Based on our results, there is an urgent need for a nationwide multimodal hand hygiene promotion strategy including education and performance monitoring and feedback in all LTCFs. Furthermore, monitoring of ABHR consumption constitute an additional component of the existing National Nosocomial Surveillance system.

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“…erhoben und publiziert [11,12]. Darüber hinaus liegen verschiedene Untersuchungen zur MREPrävalenz bei Altenpflegeheimbewohnern vor (Literatur in [22]) [14,15].…”

Section: Introductionunclassified

Multiresistente Erreger bei Patienten ambulanter Pflegedienste im Rhein-Main-Gebiet 2014

Neumann

Mischler

Cuny³

et al. 2015

Bundesgesundheitsbl.

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Healthcare-associated infections and antimicrobial use in long term care facilities (HALT-2)

Cited by 22 publications

References 28 publications

Enablement of nursing home residents in infection prevention during general practitioner visits: A qualitative study

Enablement of nursing home residents in infection prevention during general practitioner visits: A qualitative study

Use of hand hygiene agents as a surrogate marker of compliance in Hungarian long-term care facilities: first nationwide survey

Multiresistente Erreger bei Patienten ambulanter Pflegedienste im Rhein-Main-Gebiet 2014

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