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Hand Hygiene

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https://www.readbyqxmd.com/read/28526312/identification-of-low-high-and-super-gelers-and-barriers-to-hand-hygiene-among-intensive-care-unit-nurses
#1
Sharon Lea Kurtz
BACKGROUND: The purpose of this article was to provide information identified during hand hygiene (HH) surveillance periods at 5 intensive care units (ICUs) (4 hospitals) in Texas. METHODS: Using room entry and room exit, overt observation periods were 8 consecutive hours for 3-5 days on 64 ICU nurses. RESULTS: A total of 3,620 HH opportunities were recorded during 18 days of observation (144 hours). The average hand hygiene compliance (HHC) rate was 64%, with 19% of the nurses participating in HH in the 60%-69% range...
May 16, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/28526308/implementing-an-electronic-hand-hygiene-monitoring-system-lessons-learned-from-community-hospitals
#2
Catherine Edmisten, Charles Hall, Lorna Kernizan, Kimberly Korwek, Aaron Preston, Evan Rhoades, Shalin Shah, Lori Spight, Silvia Stradi, Sonia Wellman, Scott Zygadlo
BACKGROUND: Measuring and providing feedback about hand hygiene (HH) compliance is a complicated process. Electronic HH monitoring systems have been proposed as a possible solution; however, there is little information available about how to successfully implement and maintain these systems for maximum benefit in community hospitals. METHODS: An electronic HH monitoring system was implemented in 3 community hospitals by teams at each facility with support from the system vendor...
May 16, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/28521744/determination-of-the-sources-and-antimicrobial-resistance-patterns-of-salmonella-isolated-from-the-poultry-industry-in-southern-ethiopia
#3
Reta Duguma Abdi, Fisseha Mengstie, Ashenafi Feyisa Beyi, Takele Beyene, Hika Waktole, Bedasso Mammo, Dinka Ayana, Fufa Abunna
BACKGROUND: Ethiopia set an ambitious masterplan to increase chicken meat and egg production from 2015 to 2020. Poultry breeding, multiplication and distribution centers in the country have received executive order to import, amplify and distribute commercial chickens to end users. The biosecurity and the pathogen fauna of the centers have not been evaluated as to whether the centers could implement the mission effectively without any risk. Thus, the aim of this study was to evaluate the biosecurity practices and the pathogen prevalence, risk factors and their antimicrobial resistance (AMR) using Salmonella as case study...
May 18, 2017: BMC Infectious Diseases
https://www.readbyqxmd.com/read/28520886/use-of-an-anaesthesia-workstation-barrier-device-to-decrease-contamination-in-a-simulated-operating-room
#4
S Hunter, D Katz, A Goldberg, H-M Lin, R Pasricha, G Benesh, B Le Grand, S DeMaria
Background.: Strategies to achieve reductions in perioperative infections have focused on hand hygiene among anaesthestists but have been of limited efficacy. We performed a study in a simulated operating room to determine whether a barrier covering the anaesthesia workstation during induction and intubation might reduce the risk of contamination of the area and possibly, by extension, the patient. Methods.: Forty-two attending and resident anaesthetists unaware of the study design were enrolled in individual simulation sessions in which they were asked to induce and intubate a human simulator that had been prepared with fluorescent marker in its oropharynx as a marker of potentially pathogenic bacteria...
May 16, 2017: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/28515904/weekly-screening-supports-terminating-nosocomial-transmissions-of-vancomycin-resistant-enterococci-on-an-oncologic-ward-a-retrospective-analysis
#5
Stefanie Kampmeier, Dennis Knaack, Annelene Kossow, Stefanie Willems, Christoph Schliemann, Wolfgang E Berdel, Frank Kipp, Alexander Mellmann
BACKGROUND: To investigate the impact of weekly screening within the bundle of infection control measures to terminate vancomycin-resistant enterococci (VRE) transmissions on an oncologic ward. METHODS: A cluster of 12 VRE colonisation and five infections was detected on an oncologic ward between January and April 2015. Subsequently, the VRE point prevalence was detected and, as part of a the bundle of infection control strategies to terminate the VRE cluster, we isolated affected patients, performed hand hygiene training among staff on ward, increased observations by infection control specialists, intensified surface disinfection, used personal protective equipment and initiated an admission screening in May 2015...
2017: Antimicrobial Resistance and Infection Control
https://www.readbyqxmd.com/read/28515632/effectiveness-of-hand-hygiene-education-among-a-random-sample-of-women-from-the-community
#6
REVIEW
J Ubheeram, S D Biranjia-Hurdoyal
OBJECTIVE: The effectiveness of hand hygiene education was investigated by studying the hand hygiene awareness and bacterial hand contamination among a random sample of 170 women in the community. METHODS: Questionnaire was used to assess the hand hygiene awareness score, followed by swabbing of the dominant hand. Bacterial identification was done by conventional biochemical tests. RESULTS: Better hand hygiene awareness score was significantly associated with age, scarce bacterial growth and absence of potential pathogen (p < 0...
March 2017: Journal of Preventive Medicine and Hygiene
https://www.readbyqxmd.com/read/28515601/quality-indicators-compliance-survey-in-indian-intensive-care-units
#7
Munta Kartik, Palepu B N Gopal, Rahul Amte
CONTEXT: The quality of health care and outcomes of Intensive Care Unit (ICU) have been a major subject of discussion in the past decade. Quality indicators in ICUs maintain an order of uniformity and standard care of delivery across ICUs. AIMS: In this study, we tried to analyze the percentage compliance of quality indicators in ICU across our country. METHODS: Four hundred complete questionnaire forms were collected in two stages by means of conducting a survey and through email responses to the survey questionnaire...
April 2017: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/28511634/human-factors-considerations-in-designing-for-infection-prevention-and-control-in-neonatal-care-findings-from-a-pre-design-inquiry
#8
Chantal Trudel, Sue Cobb, Kathryn Momtahan, Janet Brintnell, Ann Mitchell
Qualitative data collection methods drawn from the early stages of human-centred design frameworks combined with thematic analysis were used to develop an understanding of infection prevention practice within an existing neonatal intensive care unit. Findings were used to generate a framework of understanding which in turn helped inform a baseline approach for future research and design development. The study revealed that a lack of clarity between infection transmission zones and a lack of design attributes needed to uphold infection prevention measures may be undermining healthcare workers' understanding and application of good practice...
May 17, 2017: Ergonomics
https://www.readbyqxmd.com/read/28507890/hand-washing-with-soap-and-wash-educational-intervention-reduces-under-five-childhood-diarrhoea-incidence-in-jigjiga-district-eastern-ethiopia-a-community-based-cluster-randomized-controlled-trial
#9
Abdiwahab Hashi, Abera Kumie, Janvier Gasana
Despite the tremendous achievement in reducing child mortality and morbidity in the last two decades, diarrhoea is still a major cause of morbidity and mortality among children in many developing countries, including Ethiopia. Hand washing with soap promotion, water quality improvements and improvements in excreta disposal significantly reduces diarrhoeal diseases. The objective of this study was to evaluate the effect of hand washing with soap and water, sanitation and hygiene (WASH) educational Intervention on the incidence of under-five children diarrhoea...
June 2017: Preventive Medicine Reports
https://www.readbyqxmd.com/read/28506182/elemental-properties-of-copper-slag-and-measured-airborne-exposures-at-a-copper-slag-processing-facility
#10
Christopher Mugford, Jenna L Gibbs, Randy Boylstein
In 1974, the National Institute for Occupational Safety and Health recommended a ban on the use of abrasives containing >1% silica, giving rise to abrasive substitutes like copper slag. We present results from a National Institute for Occupational Safety and Health industrial hygiene survey at a copper slag processing facility that consisted of the collection of bulk samples for metals and silica; and full-shift area and personal air samples for dust, metals, and respirable silica. Carcinogens, suspect carcinogens, and other toxic elements were detected in all bulk samples, and area and personal air samples...
May 16, 2017: Journal of Occupational and Environmental Hygiene
https://www.readbyqxmd.com/read/28502361/measuring-and-accounting-for-the-hawthorne-effect-during-a-direct-overt-observational-study-of-intensive-care-unit-nurses
#11
Sharon Lea Kurtz
BACKGROUND: Because suspecting nurses could alter hand hygiene (HH) behavior when observed, the goal of this article was to describe how the Hawthorne effect (HE) was measured and accounted for in a direct observational prospective study. METHODS: Observations were made 8 h/d for 3-5 days in 5 intensive care units (ICUs) (4 hospitals) on a convenience sample of 64 ICU nurses in Texas. The HE was measured so if hand hygiene adherence rates of the first 2 hours were 20% higher than the last 6 hours, the first 2 hours would be dropped and an additional 2 hours would be added at the end of the observation period...
May 10, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/28498168/effectiveness-of-formal-hand-hygiene-education-and-feedback-on-healthcare-workers-hand-hygiene-compliance-and-hospital-associated-infections-in-adult-intensive-care-units-a-systematic-review-protocol
#12
Joy Akanji, Jean Walker, Robin Christian
The objective of this quantitative systematic review is to identify and synthesize evidence on the effectiveness of formal hand hygiene education with and without feedback on healthcare workers' hand hygiene compliance and healthcare-associated infections in adult intensive care units.
May 2017: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/28495125/comparative-study-of-presurgical-hand-hygiene-with-hydroalcoholic-solution-versus-traditional-presurgical-hand-hygiene
#13
M Beatriz López Martín, Alejo Erice Calvo-Sotelo
OBJECTIVE: To compare presurgical hand hygiene with hydroalcoholic solution following the WHO protocol with traditional presurgical hand hygiene. METHODS: Cultures of the hands of surgeons and surgical nurses were performed before and after presurgical hand hygiene and after removing gloves at the end of surgery. Cultures were done in 2different days: the first day after traditional presurgical hand hygiene, and the second day after presurgical hand hygiene with hydroalcoholic solution following the WHO protocol...
May 8, 2017: Enfermería Clínica
https://www.readbyqxmd.com/read/28487207/effectiveness-of-personal-protective-measures-in-reducing-pandemic-influenza-transmission-a-systematic-review-and-meta-analysis
#14
REVIEW
Patrick Saunders-Hastings, James A G Crispo, Lindsey Sikora, Daniel Krewski
The goal of this review was to examine the effectiveness of personal protective measures in preventing pandemic influenza transmission in human populations. We collected primary studies from Medline, Embase, PubMed, Cochrane Library, CINAHL and grey literature. Where appropriate, random effects meta-analyses were conducted using inverse variance statistical calculations. Meta-analyses suggest that regular hand hygiene provided a significant protective effect (OR=0.62; 95% CI 0.52-0.73; I(2)=0%), and facemask use provided a non-significant protective effect (OR=0...
April 30, 2017: Epidemics
https://www.readbyqxmd.com/read/28479008/monitoring-the-hand-hygiene-compliance-of-health-care-workers-in-a-general-intensive-care-unit-use-of-continuous-closed-circle-television-versus-overt-observation
#15
Evgeni Brotfain, Ilana Livshiz-Riven, Alexander Gushansky, Alexander Erblat, Leonid Koyfman, Tomer Ziv, Lisa Saidel-Odes, Moti Klein, Abraham Borer
INTRODUCTION: A variety of hand hygiene monitoring programs (HHMPs) have come into use in hospitals throughout the world. In the present study, we compare continuous closed circle television (CCTV) with overt observation for monitoring the hand hygiene compliance of health care workers (HCWs) in a general intensive care unit (GICU). METHODS: This is a cross-sectional and comparative study. In this study, we use a novel hand hygiene CCTV monitoring system for hand hygiene performance monitoring...
May 4, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/28476492/comparison-of-ethanol-hand-sanitizer-versus-moist-towelette-packets-for-mealtime-patient-hand-hygiene
#16
Herleen Rai, Shanina Knighton, Trina F Zabarsky, Curtis J Donskey
To facilitate patient hand hygiene, there is a need for easy-to-use products. In a survey of 100 patients, a single-use ethanol hand sanitizer packet took less time to access than a single-use moist towelette packet (3 vs 23 seconds) and was preferred by 74% of patients for mealtime hand hygiene. Performance of patient hand hygiene increased when a reminder was provided at the time of meal tray delivery.
May 2, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/28476170/provision-versus-promotion-to-develop-a-handwashing-station-the-effect-on-desired-handwashing-behavior
#17
Debashish Biswas, Fosiul Alam Nizame, Tina Sanghvi, Sumitro Roy, Stephen P Luby, Leanne E Unicomb
BACKGROUND: Diarrhea prevalence increases from around the time that complementary foods are introduced. Improving caregiver's hand hygiene during food preparation could reduce complementary food contamination and enteric pathogen transmission. Washing hands with soap is more common when water and soap are together at a convenient location. We conducted a three-month pilot intervention to evaluate two options for setting up handwashing stations: i) provide a handwashing station, or ii) help the family to make their own from available materials...
May 5, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28475783/national-survey-of-practices-to-prevent-methicillin-resistant-staphylococcus-aureus-and-multidrug-resistant-acinetobacter-baumannii-in-thailand
#18
Anucha Apisarnthanarak, David Ratz, Thana Khawcharoenporn, Payal K Patel, David J Weber, Sanjay Saint, M Todd Greene
Background: We evaluated the extent to which hospital characteristics, infection control practices, and compliance with prevention bundles impacted multidrug-resistant organism (MDRO) infections in Thai hospitals. Methods: From 1 January 2014 to 30 November 2014, we surveyed all Thai hospitals with an intensive care unit and ≥250 beds. Infection control practices for methicillin-resistant Staphylococcus aureus (MRSA) and multidrug-resistant Acinetobacter baumannii (MDR-AB) were assessed...
May 15, 2017: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
https://www.readbyqxmd.com/read/28469905/switch-al-wakra-hospital-journey-to-90-hand-hygiene-practice-compliance-2011-2015
#19
Feah Altura- Visan, Almunzer Zakaria, Jenalyn Castro, Omar Alhasanat, Khalil Al Ismail, Naser Al Ansari, Manal Hamed
Hand Hygiene is the cheapest and simplest way to prevent the spread of infection, however international compliance is below than 40% (WHO, 2009). In the experience of Al Wakra Hospital, the improvement in hand hygiene compliance highlighted not just interventions towards training and education but also behavioral motivation and physical allocations of hand hygiene appliances and equipment. Through motivating the behavioral, emotional, physical and intellectual dimensions of the different healthcare worker professions, hand hygiene compliance has increased from 60...
2017: BMJ Quality Improvement Reports
https://www.readbyqxmd.com/read/28465127/implementing-a-pilot-trial-of-an-infection-control-program-in-nursing-homes-results-of-a-matched-cluster-randomized-trial
#20
Kevin W McConeghy, Rosa Baier, Kevin P McGrath, Christof J Baer, Vincent Mor
BACKGROUND: Hand hygiene is the single-most important nursing home (NH) infection control measure. We piloted a multifaceted hand-washing/surface cleaning intervention in 5 NHs. Our aims were to assess the feasibility of implementing this intervention by assessing staff participation, satisfaction, hand-washing compliance, and whether the intervention was associated with reductions in infection rates, new antimicrobial orders, or overall hospitalization rates. METHODS: We conducted a randomized, pair-matched pilot intervention in 10 Colorado NHs to reduce infections for all NH residents from October 1, 2015 through May 31, 2016...
April 29, 2017: Journal of the American Medical Directors Association
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