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Hand Hygiene

Herleen Rai, Shanina Knighton, Trina F Zabarsky, Curtis J Donskey
We conducted a randomized trial of a simple educational intervention encouraging patients to perform hand hygiene at 5 specific moments, including on entry of health care personnel into their room as a reminder of the importance of hand hygiene. The intervention resulted in a significant increase in patient hand hygiene.
February 13, 2017: American Journal of Infection Control
Satchit Balsari, P Gregg Greenough, Dhruv Kazi, Aaron Heerboth, Shraddha Dwivedi, Jennifer Leaning
India's Kumbh Mela remains the world's largest and longest mass gathering. The 2013 event, where participants undertook a ritual bath, hosted over 70 million Hindu pilgrims during 55 days on a 1936 hectare flood plain at the confluence of the Yamuna and Ganga Rivers. On the holiest bathing days, the population surged. Unlike other religious, cultural, and sports mass gatherings, the Kumbh Mela's administration cannot estimate or limit the participant number. The event created serious and uncommon public health challenges: initiating crowd safety measures where population density and mobility directly contact flowing bodies of water; providing water, sanitation, and hygiene to a population that frequently defecates in the open; and establishing disease surveillance and resource use measures within a temporary health delivery system...
December 2016: Journal of Public Health Policy
Laura Pedersen, Kimberly Elgin, Barbara Peace, Nadia Masroor, Michelle Doll, Kakotan Sanogo, Wilhelm Zuelzer, Gene Peterson, Michael P Stevens, Gonzalo Bearman
We examined the perceptions and barriers to nonsurgical scrubbed hand hygiene in the operating room and endoscopy procedure room using 2 anonymous Likert-scale surveys. Results indicated poor role modeling, inconvenience, and the need to monitor hand hygiene and feedback data to providers because of poor self-awareness of hand hygiene practices.
February 8, 2017: American Journal of Infection Control
Shanina C Knighton, Cherese McDowell, Herleen Rai, Patricia Higgins, Christopher Burant, Curtis J Donskey
BACKGROUND: Patient hand hygiene may be a useful strategy to prevent acquisition of pathogens and to reduce the risk for transmission by colonized patients. Several studies demonstrate that patients and long-term-care facility (LTCF) residents may have difficulty using hand hygiene products that are provided; however, none of them measure feasibility for patients to use different hand hygiene products. METHODS: A convenience sample of 42 hospitalized patients and 46 LTCF residents was assessed for their ability to use 3 hand sanitizer products (8-oz pushdown pump bottle, 2-oz pocket-sized bottle with a reclosable lid, and alcohol-impregnated hand wipes)...
February 8, 2017: American Journal of Infection Control
Bence Mogyoródi, Erzsébet Dunai, János Gál, Zsolt Iványi
BACKGROUND AND AIMS: Ventilator-associated pneumonia (VAP) increases intensive care unit (ICU) length of stay, ICU mortality, the number of ventilator days, and costs. We implemented a VAP bundle and investigated its efficacy on prevention. MATERIALS AND METHODS: A prospective observational study was conducted between January 1, 2015 and December 31, 2015 in a 12-bed multidisciplinary ICU. The bundle was implemented on July 02, 2015. Comparative analysis was performed before and after the implementation of the bundle...
December 2016: Interventional Medicine & Applied Science
Karen Siegel, Alex R Cook, Hanh La
Hand foot and mouth disease (HFMD) is a widespread pediatric disease in Asia. Most cases are relatively mild and caused by Coxsackie viruses, but in epidemics caused by Enterovirus 71, severe complications can occur. In response to the deaths of dozens of children in a 1997 outbreak (Podin in BMC Public Health 6:180,1 Abubakar in Virus Res 61(1):1-9,2 WHO in3), Singapore practices childcare centre surveillance, case-isolation, and short-term closure of centres. We conducted 44 in-depth interviews with teachers, principals, and parents at four childcare centres in Singapore to better understand experiences with current control policies...
February 8, 2017: Journal of Public Health Policy
Thomas von Lengerke, Bettina Lutze, Christian Krauth, Karin Lange, Jona Theodor Stahmeyer, Iris Freya Chaberny
BACKGROUND: The German "Clean Hands Campaign" (an adaptation of the WHO "Clean Care is Safer Care" programme) to promote hand hygiene among hospital personnel at Hannover Medical School (MHH, Medizinische Hochschule Hannover), known as Aktion Saubere Hände (ASH), met with initial success. By 2013, however, compliance rates with hygienic hand disinfection in the hospital's ten intensive care units (ICUs) and two hematopoietic stem cell transplantation units (HSCTUs) had relapsed to their initial levels (physicians: 48%; nurses: 56%)...
January 20, 2017: Deutsches Ärzteblatt International
Andrew J Stewardson, Rhonda L Stuart, Caroline Marshall, Marilyn Cruickshank, M Lindsay Grayson
No abstract text is available yet for this article.
February 9, 2017: Infection Control and Hospital Epidemiology
Hailing Chang, Ling Zhang, Yanling Ge, Jiehao Cai, Xiangshi Wang, Zheng Huang, Jiayin Guo, Hao Xu, Zhen Gu, Hong Chen, Xuebin Xu, Mei Zeng
BACKGROUND: Prevention and control of childhood diarrhea is a global priority. We conducted a case-control study of childhood diarrhea in Shanghai. METHODS: We prospectively recruited diarrheal children in an outpatient setting. Non-diarrheal controls were individually matched to cases. Rotavirus, norovirus and bacterial pathogens were examined. Clinical and epidemiologic data were obtained at enrollment and follow-up. RESULTS: Potential pathogens identified in 680 diarrheal cases and 680 controls were rotavirus (19...
February 6, 2017: Pediatric Infectious Disease Journal
Jürgen Becker, Roland Diel
BACKGROUND: Since many hospitals report high MRSA colonization rates among elderly patients, and because it has been shown that S. aureus colonization increases with advancing age, there are concerns about the introduction of MRSA into nursing homes by MRSA positive patients discharged from hospital. So far, admission screening and subsequent longitudinal screening in residence homes or screening at time of hospital discharge is not established on a regular base. On the other hand, MRSA is acquired frequently during hospital stay...
2017: Journal of Occupational Medicine and Toxicology
P Tatarelli, I Lorenzi, I Caviglia, R A Sacco, D LA Masa, E Castagnola
INTRODUCTION: Hand decontamination with alcohol-based antiseptic agents is considered the best practise to reduce healthcare associated infections. We present a new method to monitor hand hygiene, introduced in a tertiary care pediatric hospital in Northern Italy, which estimates the mean number of daily hand decontamination procedures performed per patient. METHODS: The total amount of isopropyl alcohol and chlorhexidine solution supplied in a trimester to each hospital ward was put in relation with the number of hospitalization days, and expressed as litres/1000 hospitalization-days (World Health Organization standard method)...
December 2016: Journal of Preventive Medicine and Hygiene
Borbála Szél, Kamilla Nagy, Márta Milassin, Gyula Tálosi
Contaminated hands can play pivotal role in the development and spread of healthcare-associated infections. Consequently hand hygiene practice performed with adequate technique and with adequate timing is an essential implement for patient safety. Inhibition of the practice of high level hand hygiene by the misconceptions or deficient knowledge of healthcare workers may lead to negative influence on the quality of patient care. Erroneous beliefs or "rumourous knowledge" acquired from colleagues can not only influence the attitude of healthcare workers, but can also give rise to insufficient hand hygiene compliance...
February 2017: Orvosi Hetilap
Sarker Masud Parvez, Laura Kwong, Musarrat Jabeen Rahman, Ayse Ercumen, Amy J Pickering, Probir K Ghosh, Md Zahidur Rahman, Kishor Kumar Das, Stephen P Luby, Leanne Unicomb
OBJECTIVE: To determine the frequency and concentration of E. coli in child complementary food and its association with domestic hygiene practices in rural Bangladesh. METHOD: 608 households with children <2 years were enrolled. We collected stored complementary food samples, performed spot checks on domestic hygiene and measured ambient temperature in the food storage area. Food samples were analyzed using the IDEXX most probable number (MPN) method with Colilert-18 media to enumerate E...
February 6, 2017: Tropical Medicine & International Health: TM & IH
Liana Sholomovich, Racheli Magnezi
Hospital-acquired infections are the most common complication of treatment and the primary patient safety hazard. Hand hygiene (HH) is the most important tool for preventing these infections. Although thousands of research projects have been conducted, many articles written, and numerous therapeutic recommendations made, the goal has not yet been reached. The professional literature emphasizes that the reasons HH strategies fail are still only partially understood. The aim of this study was to examine the correlation between the psychological safety of an organization's nursing staff and its sense of personal responsibility for avoiding transmission of infections...
February 1, 2017: American Journal of Infection Control
Mary J Ogg, Amber Wood
Implementing surgical smoke evacuation practices Key words: surgical smoke, compliance, health effects, smoke evacuators. Surgical smoke evacuation policies and procedures Key words: surgical smoke, smoke evacuation, policy, procedure. Measuring compliance with surgical smoke evacuation practices Key words: surgical smoke, smoke evacuation, compliance. Patient safety and hand hygiene Key words: hand hygiene, hand wash, hand rub, patient safety, point of use.
February 2017: AORN Journal
(no author information available yet)
No abstract text is available yet for this article.
February 2017: AORN Journal
Judith L Goldberg
Performing proper hand hygiene and surgical hand antisepsis is essential to reducing the rates of health care-associated infections, including surgical site infections. The updated AORN "Guideline for hand hygiene" provides guidance on hand hygiene and surgical hand antisepsis, the wearing of fingernail polish and artificial nails, proper skin care to prevent dermatitis, the wearing of jewelry, hand hygiene product selection, and quality assurance and performance improvement considerations. This article focuses on key points of the guideline to help perioperative personnel make informed decisions about hand hygiene and surgical hand antisepsis...
February 2017: AORN Journal
Anne Pedersen, Elizabeth Getty Ritter, Megan Beaton, David Gibbons
Remote video auditing, a method first adopted by the food preparation industry, was later introduced to the health care industry as a novel approach to improving hand hygiene practices. This strategy yielded tremendous and sustained improvement, causing leaders to consider the potential effects of such technology on the complex surgical environment. This article outlines the implementation of remote video auditing and the first year of activity, outcomes, and measurable successes in a busy surgery department in the eastern United States...
February 2017: AORN Journal
M A C Wilkinson, K Ormandy, C R Bradley, A P Fraise, J Hines
BACKGROUND: Manufacturers' recommended dosages for alcohol-based hand rubs are typically determined by measuring product efficacy using a model protocol such as EN 1500; however, anecdotal reports and informal observation suggests that in many cases users self-titrate to much lower doses in real-world application. AIM: To examine the interdependence of alcohol-based hand-rub volume on in-vivo efficacy using the EN 1500 standard test method, on drying time on users' hands, and on their perceptions of acceptability...
February 2017: Journal of Hospital Infection
Jeremy C Ganz
BACKGROUND: The purpose of this paper is to introduce a new method of assessing historical clinical series with a view to obtaining more nuanced information from the relevant texts. METHOD: Seven eighteenth century clinical series were analysed by determining different parameters which could then be tabulated, thus enabling the examination of correlations within and between series. RESULTS: It could be seen that there were different patterns of practice related to different concepts of pathology and different patient characteristics...
February 1, 2017: Acta Neurochirurgica
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