Reduction in Hospitalwide Incidence of Infection or Colonization with Methicillin-ResistantStaphylococcus aureusWith Use of Antimicrobial Hand-Hygiene Gel and Statistical Process Control Charts

Abstract

A sustained reduction in the number of new patients with MRSA colonization or infection has been demonstrated using minimal resources and a limited number of interventions.

Hand Hygiene

“…Few studies reported sustained improvement as a consequence of the long-running implementation of programmes aimed at promoting optimal adherence to hand hygiene policies. 60,494,657,[713][714][715][716][717][718][719] …”

“…60,217,334,429,485,486,613,648,651,663,666,667,670,680,682,684,686,687,713,714,803,804,851,852 Recent studies have further enriched the scientific literature. 140,428,493,494,655,657,694,698,699,701,705,[707][708][709][710][715][716][717][718]728,853 In general, most studies differed greatly in their duration and intervention approach. Moreover, the outcome measure of hand hygiene compliance varied in terms of the definition of a hand hygiene opportunity and assessment of hand hygiene by means of direct observation 60,217,…”

“…60,490,494,657,714,715,717,718 Most studies used multiple strategies, which included: HCWs' education, 60,140,334,429,485,486,613,651,663,666,667,670,676,682,684,686,687,698,705,707,708,713,716,717,813,814,819,834,851 performance feedback, 60,334,485,486,651,657,663,666,667,670,676,680,682,…”

“…58 Several studies show a significant increase in hand hygiene compliance after the introduction of handrub solutions. 60,140,334,428,429,485,486,494,613,645,682,686,687,698,701,707,717,718,855 Of note, handrub promotion with an alcohol-based preparation only started to be tested in intervention studies during the late 1990s. In most of these studies, baseline hand hygiene compliance was below 50%, and the introduction of handrubs was associated with a significant improvement in hand hygiene compliance.…”

“…Why should hand hygiene advocacy not also profit from this evolution and continue to assimilate new concepts of marketing as they are developed by the industry? 60,429,469,493,648,651,684,705,709,851,852,858 Make alcohol-based handrub available 60,140,429,485,486,494,645,686,687,698,701,707,714,717,718,855,856 Make water and soap continuously available 633,659 Install voice prompts 699,710,852,853 2. Hand hygiene education 60,140,334,429,648,651,666,676,684,686,687,698,705,…”