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Hand Hygiene

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https://www.readbyqxmd.com/read/28336031/clinical-issues-april-2017
#1
Amber Wood
Patient involvement in hand hygiene Key words: patient engagement, hand hygiene, hand washing stations, hand hygiene promotion. Alcohol-based surgical hand rubs in the OR Key words: hand hygiene, hand rub, dispenser. Personal hand hygiene dispensers Key words: hand hygiene, hand rub, hand rub dispenser, personal dispenser. Hand soap Key words: soap, hand hygiene, hand wash, plain soap, triclosan. Disposal of water used for plaster application in scrub sinks Key words: plaster, pour, sink, scrub sink. Multiple hand hygiene indications Key words: hand hygiene, hand wash, hand rub...
April 2017: AORN Journal
https://www.readbyqxmd.com/read/28332639/evaluation-of-the-bacteriological-quality-of-raw-cow-s-milk-at-various-stages-of-the-milk-production-chain-on-farms-in-algeria-%C3%A2-oie-world-organisation-for-animal-health-2016
#2
M Hamiroune, A Berber, S Boubekeur
This study evaluates hygiene practices on 53 dairy farms in the Jijel and Blida regions of Algeria. A survey questionnaire was drawn up covering milking conditions and cleaning of the equipment. In parallel, bacteriological analyses were carried out to estimate the rate, source and development of bacterial contamination in raw milk produced on the farm. In addition, screening was performed to detect the presence of inhibitor residues. The results of the survey revealed poor livestock conditions and milking practices that could explain the presence of bacteria in cow's milk...
December 2016: Revue Scientifique et Technique
https://www.readbyqxmd.com/read/28329415/the-hand-hygiene-compliance-of-student-nurses-during-clinical-placements
#3
Jorun Saetre Sundal, Anne Grethe Aune, Eline Storvig, Jenny Kristin Aasland, Kaja Linn Fjeldsaeter, Kirsti Torjuul
AIMS AND OBJECTIVES: To observe student nurses' overall and moment-specific hand hygiene compliance during clinical placement. BACKGROUND: Hand hygiene is the single most important measure to prevent healthcare-associated infections (HAIs). However, research has shown low compliance among healthcare workers. During clinical placements, student nurses perform various nursing tasks and procedures to a large number of patients, requiring extensive patient contact. It is crucial that they practice correct hand hygiene in order to prevent healthcare-associated infections...
March 22, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28327494/hand-hygiene-in-health-care-settings-the-citizens-point-of-view
#4
Chiara Foà, Grazia Antonella Tura, Claudia Camelli, Roberta Silingardi, Monia Malavolti, Elisabeth Kuenzer, Gabriella Carraro, Barbara De Paolis, Leopoldo Sarli
BACKGROUND AND AIM: The infection risk prevention is one of the main objectives of all health and sanitary systems, since the reduction of the healthcare associated infections is attainable goals through appropriate prevention strategies. Among these, proper hand hygiene of health care professionals and citizens (visitors/outpatients/caregivers, volunteers) is fundamental to reduce the spreading of micro organisms and prevent infections. The purpose of the study is indeed to explore the self-reported hand washing behavior of citizens who access to health facilities and the variables involved in it, using in particular the Theory of Planned Behaviour...
March 14, 2017: Acta Bio-medica: Atenei Parmensis
https://www.readbyqxmd.com/read/28320565/handshake-free-zone-in-a-neonatal-intensive-care-unit-initial-feasibility-study
#5
Joanna J Parga, Maria Valadez, Ruey-Kang R Chang, Anahit Sarin-Gulian, Heaven Holdbrooks, Mark S Sklansky
BACKGROUND: The handshake represents a social custom with special importance in health care settings. However, handshakes can transmit disease and compliance with hand hygiene protocols averages <50%. We hypothesized that a handshake-free zone (HFZ) could be established within our neonatal intensive care unit (NICU) and would be well-received by patient families and their health care providers (HCPs). METHODS: We established an HFZ and conducted a prospective cohort study in the NICU at 2 UCLA Medical Centers...
March 17, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/28302432/the-influence-of-spatial-configuration-on-the-frequency-of-use-of-hand-sanitizing-stations-in-health-care-environments
#6
Jun Rong Jeffrey Neo, Rana Sagha-Zadeh
BACKGROUND: The lack of user-friendly, accessible, and visible hand sanitizing stations (HSSs) in health care environments are significant factors affecting low hand hygiene compliance rates among caregivers. OBJECTIVE: To determine whether the simulated parameters of visibility and global traffic flow score for an HSS can influence the frequency of use of that HSS. METHODS: Space syntax was used to measure virtual simulation of spatial layouts of 3 units to provide quantitative visibility and global traffic flow scores for each HSS...
March 13, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/28300019/clostridium-difficile-infection-in-acute-care-hospitals-systematic-review-and-best-practices-for-prevention
#7
Irene K Louh, William G Greendyke, Emilia A Hermann, Karina W Davidson, Louise Falzon, David K Vawdrey, Jonathan A Shaffer, David P Calfee, E Yoko Furuya, Henry H Ting
OBJECTIVE Prevention of Clostridium difficile infection (CDI) in acute-care hospitals is a priority for hospitals and clinicians. We performed a qualitative systematic review to update the evidence on interventions to prevent CDI published since 2009. DESIGN We searched Ovid, MEDLINE, EMBASE, The Cochrane Library, CINAHL, the ISI Web of Knowledge, and grey literature databases from January 1, 2009 to August 1, 2015. SETTING We included studies performed in acute-care hospitals. PATIENTS OR PARTICIPANTS We included studies conducted on hospitalized patients that investigated the impact of specific interventions on CDI rates...
April 2017: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/28296252/research-on-handwashing-techniques-of-peritoneal-dialysis-patients-from-yiwu-southeast-china
#8
Yuanjun Ye, Xiaohui Zhang, Yansu Liu, Hongqing Lou, Zhangfei Shou
The aim of the present study was to evaluate handwashing technique, bacteriology, and factors influencing handwashing technique of 86 stable chronic peritoneal dialysis (PD) patients from Yiwu City in Southeast China. Based on the "Hygienic standard for disinfection in the hospital", we also performed sampling for bacteriology from PD operators after they washed their hands. We compared their clinical features including the pathogenic bacteria of their previous peritonitis episodes and their handwashing evaluation results according to their bacteriologic sampling results...
March 10, 2017: Therapeutic Apheresis and Dialysis
https://www.readbyqxmd.com/read/28291668/under-utilization-of-taps-in-intensive-care-unit-as-a-cause-of-reservoirs-of-nonfermenting-gram-negative-bacilli
#9
Gonzalo de-Las-Casas-Cámara, María Dolores Martín-Ríos, Maria Isabel Adillo-Montero, María Carmen Muñoz-Egea, Javier Zapardiel-Ferrero, Concepción Pérez-Jorge Peremarch
INTRODUCTION: The under-utilisation of taps is associated with the generation of reservoirs of non-fermenting gram-negative bacilli with the ability to disseminate. We describe the detection and approach of the problem in an ICU. METHODS: Observational descriptive study in an ICU with individual cubicles with their own sink. We collected clinical samples from patients and environmental samples from tap aerators and reviewed the unit's hygiene measures. RESULTS: We detected four cases due to Chryseobacterium indologenes, one to Elizabethkingia meningoseptica and another to Pseudomonas aeruginosa; they were identified both in clinical and the environmental samples...
March 10, 2017: Enfermedades Infecciosas y Microbiología Clínica
https://www.readbyqxmd.com/read/28285726/construct-validity-current-issues-and-recommendations-for-future-hand-hygiene-research
#10
REVIEW
Jun Rong Jeffrey Neo
Health care-associated infection is a leading cause of morbidity and mortality. Hand hygiene is widely regarded as an effective prevention strategy. Often, hand hygiene research is designed and conducted by health care practitioners who may lack formal training in research methods, particularly in the area of social science. In a research context, a construct is a concept that can be measured or observed in some way. A construct can be directly or indirectly measured. For example, height can be directly measured by centimeters, whereas depression can be indirectly measured by a scale of 20 items...
March 10, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/28284143/attitude-of-the-stakeholders-involved-in-the-repair-and-second-hand-sale-of-small-household-electrical-and-electronic-equipment-case-study-in-spain
#11
María D Bovea, Victoria Pérez-Belis, Pilar Quemades-Beltrán
The European legal framework for Electrical and Electronic Equipment (EEE) and Waste Electrical and Electronic Equipment (WEEE) (Directive 2012/19/EU) prioritises reuse strategies against other valorisation options. Along these lines, this paper examines the awareness and perceptions of reusing small household EEE from the viewpoint of the different stakeholders involved in its end-of-life: repair centres, second-hand shops and consumers. Direct interviews were conducted in which an intended survey, designed specifically for each stakeholder, was answered by a representative sample of each one...
March 8, 2017: Journal of Environmental Management
https://www.readbyqxmd.com/read/28268111/characterization-of-growth-inhibition-of-oral-bacteria-by-sophorolipid-using-a-microplate-format-assay
#12
Daniel K Y Solaiman, Richard D Ashby, Joseph Uknalis
Sophorolipid (SL) is a class of glycolipid biosurfactant produced by yeast and has potent antimicrobial activity against many microorganisms. In this paper, a microplate-based method was developed to characterize the growth inhibition by SL on five representative species of caries-causing oral bacteria. Bacterial growth on microplate in the absence and presence of varying concentrations of SL was continuously monitored by recording the absorbance at 600nm of the cultures using a microplate reader. The results showed that SL completely inhibited the growth of the Lactobacilli at ≥1mg/ml and the Streptococci at much lower concentrations of ≥50μg/ml...
March 6, 2017: Journal of Microbiological Methods
https://www.readbyqxmd.com/read/28267992/clostridium-difficile-disease-diagnosis-pathogenesis-and-treatment-update
#13
REVIEW
Lena M Napolitano, Charles E Edmiston
Clostridium difficile infections are the leading cause of health care-associated infectious diarrhea, posing a significant risk for both medical and surgical patients. Because of the significant morbidity and mortality associated with C difficile infections, knowledge of the epidemiology of C difficile in combination with a high index of suspicion and susceptible patient populations (including surgical, postcolectomy, and inflammatory bowel disease patients) is warranted. C difficile infections present with a wide spectrum of disease, ranging from mild diarrhea to fulminant colitis or small bowel enteritis and recurrent C difficile infections...
March 3, 2017: Surgery
https://www.readbyqxmd.com/read/28264743/hand-hygiene-with-alcohol-based-hand-rub-how-long-is-long-enough
#14
Daniela Pires, Hervé Soule, Fernando Bellissimo-Rodrigues, Angèle Gayet-Ageron, Didier Pittet
BACKGROUND Hand hygiene is the core element of infection prevention and control. The optimal hand-hygiene gesture, however, remains poorly defined. OBJECTIVE We aimed to evaluate the influence of hand-rubbing duration on the reduction of bacterial counts on the hands of healthcare personnel (HCP). METHODS We performed an experimental study based on the European Norm 1500. Hand rubbing was performed for 10, 15, 20, 30, 45, or 60 seconds, according to the WHO technique using 3 mL alcohol-based hand rub. Hand contamination with E...
March 7, 2017: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/28262433/evaluation-of-hand-hygiene-compliance-and-associated-factors-with-a-radio-frequency-identification-based-real-time-continuous-automated-monitoring-system
#15
J-C Dufour, P Reynier, S Boudjema, A Soto Aladro, R Giorgi, P Brouqui
BACKGROUND: Hand hygiene is a major means for preventing healthcare-associated infections. One critical point in understanding poor compliance is the lack of relevant markers used to monitor practices systematically. METHODS: This study analysed hand hygiene compliance and associated factors with a radio-frequency-identification-based real-time continuous automated monitoring system in an infectious disease ward with 17 single bedrooms. Healthcare workers (HCWs) were tracked while performing routine care over 171 days...
February 6, 2017: Journal of Hospital Infection
https://www.readbyqxmd.com/read/28259049/survey-of-attitudes-and-practices-of-irish-nursing-students-towards-hand-hygiene-including-handrubbing-with-alcohol-based-hand-rub
#16
Liz M Kingston, Nuala H O'Connell, Colum P Dunne
BACKGROUND: Hand hygiene is widely recognised as the most important measure a healthcare worker can take in preventing the spread of healthcare associated infections. As a member of the healthcare team, nursing students have direct patient contact during clinical practice; hence, good hand hygiene practice among nursing students is essential. Low to moderate levels of hand hygiene knowledge and poor attitudes and practices are reported among nursing students. However, less is known about their attitudes and practices of handrubbing with ABHR, even though handrubbing is the recommended optimum practice in most situations...
February 27, 2017: Nurse Education Today
https://www.readbyqxmd.com/read/28257715/an-assessment-of-diarrhea-among-long-distance-backpackers-in-the-sierra-nevada
#17
Derek J Meyer, Amber Costantino, Susanne Spano
INTRODUCTION: Diarrhea is a common problem among long-distance backpackers, ranging in overall incidence from 11-56% as reported by previous studies on the Appalachian Trail and Long Trail. Differences in age, sex, and regularity of standard backcountry hygiene recommendations and practices have been shown to significantly affect the incidence of diarrhea. No study to date has investigated these trends among long-distance backpackers on the John Muir Trail (JMT) in the Sierra Nevada mountain range of California...
March 2017: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/28251730/epidemiological-surveillance-of-multidrug-resistant-gram-negative-bacteria-in-a-solid-organ-transplantation-department
#18
Anastasia Geladari, Theodoros Karampatakis, Charalampos Antachopoulos, Elias Iosifidis, Olga Tsiatsiou, Lida Politi, Aggeliki Karyoti, Vasilios Papanikolaou, Athanassios Tsakris, Emmanuel Roilides
BACKGROUND: We assessed the impact of intensified infection control measures (ICM) on colonization and infection caused by carbapenem-resistant (CR) Klebsiella pneumoniae, Pseudomonas aeruginosa, and Acinetobacter baumannii in a Solid Organ Transplantation (SOT) Department. METHODS: A quasi-experimental methodology was followed. The study was divided in 3 periods: pre-intervention, intervention with implementation of an ICM bundle including active surveillance program (ASP) and gradually enhanced measures, and post-ASP without ASP...
March 2, 2017: Transplant Infectious Disease: An Official Journal of the Transplantation Society
https://www.readbyqxmd.com/read/28249573/dangerous-practices-in-a-hemodialysis-unit-in-vietnam-identify-from-mixed-methods
#19
Minh Cuong Duong, Mary-Louise McLaws
BACKGROUND: Non-compliance with infection control practices poses a serious risk to patients receiving chronic hemodialysis. We aimed to identify the type and frequency of non-compliance with infection control practices in a hemodialysis unit in Vietnam where a large outbreak of hepatitis C infection had occurred. METHODS: Mixed methods approach included observations and discussions of non-compliance with all 12 nurses at the Hemodialysis Unit, District-6 Hospital in Ho Chi Minh City...
March 1, 2017: BMC Infectious Diseases
https://www.readbyqxmd.com/read/28246001/hand-hygiene-in-intensive-care-units-a-matter-of-time
#20
J T Stahmeyer, B Lutze, T von Lengerke, I F Chaberny, C Krauth
BACKGROUND: Healthcare-associated infections are a frequent threat to patient safety and cause significant disease burden. The most important single preventive measure is hand hygiene (HH). Barriers to adherence with HH recommendations include structural aspects, knowledge gaps, and organizational issues, especially a lack of time in daily routine. AIM: To determine the number of hand hygiene opportunities (HHOs), compliance rates, and time spent on hand hygiene in intensive care units (ICUs)...
January 28, 2017: Journal of Hospital Infection
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