Impact of patient and visitor hand hygiene interventions at a pediatric hospital: A stepped wedge cluster randomized controlled trial

Wong, Mandy; Xu, Yan; Bone, Jeffrey; Srigley, Jocelyn A.

doi:10.1016/j.ajic.2019.09.026

Cited by 14 publications

(13 citation statements)

References 12 publications

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“…For example, without continuous active guidance, hygienic hand disinfection (HD) is performed too rarely by patients and visitors, but together with hand sanitiser dispensers (HS dispensers) (e.g. at the entrance to the hospital, ward or specialist outpatient clinic), it can increase the HD rate of patients and visitors [ 40 ], [ 41 ], [ 42 ], [ 43 ]. Experience shows that nursing staff are tremendously important in providing patients and their relatives with information and guidance about basic hygiene measures because of the intensive contact they have with them.…”

Section: Recommendationsmentioning

confidence: 99%

“…In order to maintain a high standard, participation in the “Aktion Saubere Hände” Clean Hands Campaign (or local implementation of a comparable concept) seems eminently reasonable [ 56 ]. HS dispensers should also be installed in the entrances to the relevant wards and outpatient clinics so that the first HD can take place on arrival [ 40 ], [ 41 ], [ 42 ].…”

Section: Recommendationsmentioning

confidence: 99%

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Infection prevention requirements for the medical care of immunosuppressed patients: recommendations of the Commission for Hospital Hygiene and Infection Prevention (KRINKO) at the Robert Koch Institute

2022

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In Germany, guidelines for hygiene in hospitals are given in form of recommendations by the Commission for Hospital Hygiene and Infection Prevention (Kommission für Krankenhaushygiene und Infektionsprävention, “KRINKO”). The KRINKO and its voluntary work are legitimized by the mandate according to § 23 of the Infection Protection Act (Infektionsschutzgesetz, “IfSG”). The original German version of this document was published in February 2021 and has now been made available to the international professional public in English. The guideline provides recommendations on infection prevention and control for immunocompromised individuals in health care facilities. This recommendation addresses not only measures related to direct medical care of immunocompromised patients, but also management aspects such as surveillance, screening, antibiotic stewardship, and technical/structural aspects such as patient rooms, air quality, and special measures during renovations.

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Section: Recommendationsmentioning

confidence: 99%

Section: Recommendationsmentioning

confidence: 99%

Infection prevention requirements for the medical care of immunosuppressed patients: recommendations of the Commission for Hospital Hygiene and Infection Prevention (KRINKO) at the Robert Koch Institute

2022

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“…25,51 Five educational intervention studies related to this topic were included and summarised in Table (3b). [52][53][54][55][56] Two themes identified were: Consumer knowledge and attitudes to IPC and transmission-based precautions, and Parents' willingness to take an active role in infection prevention. Consumer knowledge and attitudes to IPC and transmission-based precautions Over half of the parents felt strongly about glove and mask use by health care workers when caring for patients 49 , identifying that appropriate use could help or inhibit the spread of infectious diseases.…”

Section: Consumers and Infection Prevention And Controlmentioning

confidence: 99%

Paediatric nurses’, children's and parents’ adherence to infection prevention and control and knowledge of antimicrobial stewardship: A systematic review

Kilpatrick

Hutchinson

Manias

et al. 2021

American Journal of Infection Control

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Introduction: Infection prevention and control precautions help to decrease microbial transmission, and through the appropriate use of antibiotics, Antimicrobial Stewardship programs aim to decrease the prevalence and emergence of Antimicrobial Resistance. Methods: A systematic review was undertaken to critically appraise and synthesise evidence for nurses', children's and parents' knowledge and understanding of antimicrobial stewardship, and of infection prevention and control in acute paediatric care settings. The Preferred Reporting Items for Systematic reviews and Meta-Analyses guided the review. Studies were included if they examined the factors that contributed to nurses' adherence to, or consumers' practice in relation to, antimicrobial stewardship and infection prevention and control. Results: Of the 16,957 papers identified, 50 studies conducted in acute paediatric settings met the eligibility criteria, and were included. Most studies were of low methodological quality. Fourteen studies evaluated nurses' knowledge and self-reported adherence to Infection Prevention and Control principles and identified consistent practice gaps by nurses. Six studies evaluating the effectiveness of education programs reported modest improvements in nurses' knowledge and adherence to infection prevention and control. There were 15 studies, that investigated consumers' involvement in infection prevention and control that identified the following themes: Consumer knowledge and attitudes to infection prevention and control and transmissionbased precautions, and parents' willingness to take an active role in infection prevention. Six studies focused on paediatric nurses' role in antimicrobial stewardship, exploring the following themes: (1) nurses' understanding and beliefs of antimicrobial stewardship roles, and (2) barriers to nurses taking a greater role in antimicrobial stewardship. Nine studies explored the role of consumers in antimicrobial stewardship and identified consumers' misconceptions about the benefits and downplayed concerns regarding antibiotic use. Discussion: Although consumers articulated a willingness to be actively involved in infection prevention, observed practice remained lower than that required to consistently prevent infection transmission. Conclusion: These findings highlight a critically important gap in current practice. In relation to optimal use of antimicrobials, although paediatric nurses were involved in supporting antimicrobial stewardship processes and educating consumers, they identified limited antimicrobial stewardship knowledge. Consumers appeared to lack understanding about the benefits of antibiotics and negated concerns regarding antibiotic use.

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“… 1 Encouraging visitors to perform hand hygiene is a basic measure recommended to reduce the risk for acquisition and transmission of pathogens. 2 , 3 However, several studies have demonstrated that visitors rarely clean their hands in healthcare settings. 2 , 3 …”

mentioning

confidence: 99%

“… 2 , 3 However, several studies have demonstrated that visitors rarely clean their hands in healthcare settings. 2 , 3 …”

mentioning

confidence: 99%

Four moments for healthcare facility visitor hand hygiene

Knighton

Zabarsky

Donskey

2020

American Journal of Infection Control

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Impact of patient and visitor hand hygiene interventions at a pediatric hospital: A stepped wedge cluster randomized controlled trial

Cited by 14 publications

References 12 publications

Infection prevention requirements for the medical care of immunosuppressed patients: recommendations of the Commission for Hospital Hygiene and Infection Prevention (KRINKO) at the Robert Koch Institute

Infection prevention requirements for the medical care of immunosuppressed patients: recommendations of the Commission for Hospital Hygiene and Infection Prevention (KRINKO) at the Robert Koch Institute

Paediatric nurses’, children's and parents’ adherence to infection prevention and control and knowledge of antimicrobial stewardship: A systematic review

Four moments for healthcare facility visitor hand hygiene

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