Promoting and sustaining a hospital-wide, multifaceted hand hygiene program resulted in significant reduction in health care-associated infections

Al‐Tawfiq, Jaffar A.; Abed, Mahmoud S.; Al-Yami, Nashma; Birrer, Richard B.

doi:10.1016/j.ajic.2012.08.009

Cited by 78 publications

(78 citation statements)

References 24 publications

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“…Some facilities report hand hygiene adherence data in conjunction with hospital-associated infection rates. 7,230,251 Although an association between hand hygiene and HAI reductions has been reported in the literature, the association may not be evident in individual unit or facility data because of confounding factors (eg, environmental cleanliness and small sample sizes). 25 …”

Section: Section 6: Examples Of Implementation Strategiesmentioning

confidence: 99%

Strategies to Prevent Healthcare-Associated Infections through Hand Hygiene

Ellingson

Haas

Aiello

et al. 2014

Infect. Control Hosp. Epidemiol.

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Previously published guidelines provide comprehensive recommendations for hand hygiene in healthcare facilities. The intent of this document is to highlight practical recommendations in a concise format, update recommendations with the most current scientific evidence, and elucidate topics that warrant clarification or more robust research. Additionally, this document is designed to assist healthcare facilities in implementing hand hygiene adherence improvement programs, including efforts to optimize hand hygiene product use, monitor and report back hand hygiene adherence data, and promote behavior change. This expert guidance document is sponsored by the Society for Healthcare Epidemiology of America (SHEA) and is the product of a collaborative effort led by SHEA, the Infectious Diseases Society of America (IDSA), the American Hospital Association (AHA), the Association for Professionals in Infection Control and Epidemiology (APIC), and The Joint Commission, with major contributions from representatives of a number of organizations and societies with content expertise. The list of endorsing and supporting organizations is presented in the introduction to the 2014 updates.

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Section: Section 6: Examples Of Implementation Strategiesmentioning

confidence: 99%

Strategies to Prevent Healthcare-Associated Infections through Hand Hygiene

Ellingson

Haas

Aiello

et al. 2014

Infect. Control Hosp. Epidemiol.

View full text Add to dashboard Cite

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“…That study was conducted in 2006 to 2008 and since then the rate of VAP has remained low at 1.3 per 1000 device-days compared to 2.2 per 1000 device-days in 2008 [18]. Thus, it is possible to maintain a low rate of VAP over time with diligent application and incorporation of the bundle in the daily routine, as well as an increase in the rate of compliance with hand hygiene [19].…”

Section: Discussionmentioning

confidence: 99%

“…The investigator used the validated tools which were: (1) HAI surveillance form: this was the tool used by IPC team in Tygerberg Hospital. (2) The Infection Control Assessment Tool (ICAT), 2 nd edition-Facility Checklist for hand hygiene practices which was used in all healthcare facilities of South Africa [6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21].…”

Section: Methodsmentioning

confidence: 99%

Surveillance of Healthcare-Associated Infections (HAI) in an Adult Surgical Intensive Care Unit (ICU) in the Republic of South Africa

Hakizimana¹

2017

J Infect Dis Med

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Background: Patients being treated in ICUs are at high risk of developing infection due to invasive procedures, frequent underlying health problems and immunosuppression resulting from their critical illness and co-morbidities. This project aimed to assess the incidence of HAI in A1 Adults Surgical ICU at Tygerberg Hospital and to improve infection prevention and control practices. Methods:This was a prospective observational study conducted during a period of 5 weeks, starting from 08 September to 15 October 2014. During the first four weeks, all new bacterial positive isolates from A1 Surgical ICU were collected daily, and then patient clinical data collected from patient files and from clinician's interactive (doctors and nurses). The diagnosis of HAI was made based on the NHSN definitions. Wound contamination class used is the one described by Altemeier. Direct observation on hand hygiene practice was done to check whether any correlation between hand hygiene compliance and HAI rate. Data was analysed using Ms Excel.Results: There was a very high LRTI with 81.8 infections per 1000 IP-Days per month, followed by SSI with 31.7 infections per 1000 IP-Days and BSI with 26.4 infections per 1000 IP-Days per month. Acinetobacter baumannii was the most common organism representing 31% of all infections. VAP incidence density was 12.3 infections per 1000 ventilator-days per month, while CAUTI incidence density was 7.9 infections per 1000 catheter-days per month. There was no case of CLABSI during the surveillance period. Multidrug resistant organisms represented 65.4% of all isolated organisms causing HAI. Conclusion:HAI rates were very high for LRTI (81.8/1000 IP-Days), SSI (31.7/1000 IP-Days) and BSI (26.4/1000 IP-Days). MDR is very high (65.4%). HH compliance was very scared (29.3%). Only CLABSI bundle was implemented in A1 Surgical ICU. Bundles of care other than CLABSI such as VAP, CAUTI should be implemented to reduce HAIs. The clinical staff should comply with IPC precautions, especially standard precautions to reduce the risk of patients from getting HAIs.

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“…Similar studies have shown that such hand hygiene campaigns effectively reduced HAIs. [1][2][3][4] However, these programs were multifaceted comprising audits, feedback, increased alcohol-based hand rub availability, and bundling of techniques. In the present study, the decreased MRSA infection/colonization incidence rate was achieved only through direct observation and feedback.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4] In a study by Arise et al, hand hygiene compliance was evaluated by direct observation over a five year period. This study confirmed that direct observation comprising only monitoring and feedback is an effective strategy that results in a long-lasting improvement in hand hygiene compliance.…”

Section: Introductionmentioning

confidence: 99%