Use of an Alcohol-Based Hand Rub and Quality Improvement Interventions to Improve Hand Hygiene in a Russian Neonatal Intensive Care Unit

Abstract

HH may have increased slightly, but the largest effect was a switch from soap and water to alcohol which may have been associated with decreased cross-transmission of Klebsiella, although this may have been confounded by lower device use. Alcohol-based antiseptic may be an improvement over current practices, but further research is required.

Hand Hygiene and Glove Use Behavior in an Italian Hospital

“…Compliance with hand hygiene recommendations by healthcare workers (HCWs) is generally disturbingly low (ie, 20%-40%), 1 " 6 with few studies reporting adherence rates greater than 50%. 7 Significant differences in compliance have been observed between the various HCW professions, with higher rates of adherence reported among nurses, particularly in those in pediatric and intensive care units. 5 Glove use, recommended in case of contact with biological fluids, has been shown to modify hand hygiene compliance and perception, 8 although data regarding glove use in relation to hand hygiene are limited.…”

Hand Hygiene

“…60,140,215,216,334,335,485,486,492,493,496,497,613,633,637,[648][649][650][651]654,655,657, It should be pointed out that the methods for defining adherence (or non-adherence) and the methods for conducting observations varied considerably in the reported studies, and many articles did not include detailed information about the methods and criteria used. Some studies assessed compliance with hand hygiene concerning the same patient, 60,334,648,652,666,667,683,[685][686][687] and an increasing number have recently evaluated hand hygiene compliance after contact with the patient environment. A number of investigators reported improved adherence after implementing various interventions, but most studies had short follow-up periods and did not establish if improvements were of long duration.…”

“…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.…”

“…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 60,217,334,485,486,494,572,613,645,651,657,663,666,667,670,680,682,686,687,701,716 or consumption of hand hygiene products, 60,334,429,486,494,71 3,717,718,803,804,851 making comparison difficult, if not impossible. Despite different methodologies, most interventions have been associated with an increase in hand hygiene compliance, but a sustainable improvement demonstrated by a followup evaluation of two years or more after implementation has rarely been documented.…”

“…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,…”