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Hand hygiene infection rates

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https://www.readbyqxmd.com/read/29650489/guiding-hand-hygiene-interventions-among-future-healthcare-workers-implications-of-knowledge-attitudes-and-social-influences
#1
Shamsul Arfin Qasmi, Sayed Mustafa Mahmood Shah, Hafiz Yahya Iftikhar Wakil, Sarmad Pirzada
BACKGROUND: Medical students in their clinical years play an important role in healthcare delivery, yet poor levels of hand hygiene (HH) compliance in this population raise the risk for propagating nosocomial infections. To date, there has been a lack of dedicated interventions showing sustainable improvements in HH in this population. METHODS: A multicenter, cross-sectional study was conducted among 450 medical students in their clinical years (third to fifth years)...
April 9, 2018: American Journal of Infection Control
https://www.readbyqxmd.com/read/29650487/speaking-up-about-hand-hygiene-failures-a-vignette-survey-study-among-healthcare-professionals
#2
David L B Schwappach
BACKGROUND: Speaking up by healthcare professionals (HCPs) is an important resource to reduce risks to patient safety. Due to complex tradeoffs, HCPs are often reluctant to voice their concerns. A survey investigated HCPs' likelihood to speak up. METHODS: A cross-sectional survey study among HCPs in 5 Swiss hospitals addressed speaking-up behaviors, safety climate, and likelihood to speak up about poor hand hygiene practice described in a vignette. Likelihood to speak up was analyzed using a multilevel regression model...
April 9, 2018: American Journal of Infection Control
https://www.readbyqxmd.com/read/29649556/is-there-a-relationship-between-airborne-and-surface-microbes-in-the-critical-care-environment
#3
J Smith, C A Adams, M F King, C J Noakes, C Robertson, S J Dancer
OBJECTIVE: This study attempted firstly to correlate environmental contamination of air and surfaces in the intensive care unit (ICU); and secondly, to examine any association between environmental contamination and ICU-acquired staphylococcal infection. DESIGN: We screened patients, air and surfaces on 10 sampling days in a mechanically ventilated 10-bed ICU during 10 months. METHODS: Near-patient hand-touch sites (n=500) and air (n=80) were screened for total colony count and Staphylococcus aureus using dipslides, settle plates (passive air sampling) and an MAS-100 slit-sampler (active air sampling)...
April 9, 2018: Journal of Hospital Infection
https://www.readbyqxmd.com/read/29629382/get-aware-of-hand-hygiene-implement-it-in-your-attitude
#4
Gitali Bhagawati
BACKGROUND: Although there is advancement in the health-care system, the rates of hospital-acquired infections (HAIs) are still high. Poor hand hygiene (HH) among healthcare workers (HCWs) is identified as one of the major causes of HAIs. AIMS: The aim and objective of this study is to assess the awareness and attitude regarding hand hygiene (HH) among HCWs in a superspecialty hospital in Ghaziabad, Uttar Pradesh, India. SETTINGS AND DESIGN: A cross-sectional, semi-structured, questionnaire-based study was carried out in a superspecialty hospital, Uttar Pradesh, India...
2018: Journal of Education and Health Promotion
https://www.readbyqxmd.com/read/29628959/a-survey-of-nurses-compliance-with-hand-hygiene-guidelines-in-caring-for-patients-with-cancer-in-a-selected-center-of-isfahan-iran-in-2016
#5
Mostafa Mostafazadeh-Bora, Masoud Bahrami, Abbas Hosseini
Background: Hand hygiene is one of the key ways of preventing healthcare-associated infections (HCAI), especially in patients with cancer. The aim of this study was to determine nurses' compliance with hand hygiene guidelines in caring for patients with cancer in a selected center in Isfahan, Iran, in 2016. Materials and Methods: The present observational study was conducted on nurses in a cancer center in Isfahan in 2016. The participants were selected via convenience sampling method...
March 2018: Iranian Journal of Nursing and Midwifery Research
https://www.readbyqxmd.com/read/29611399/effect-of-central-line-bundle-compliance-on-central-line-associated-bloodstream-infections
#6
Kyoung Hwa Lee, Nan Hyoung Cho, Su Jin Jeong, Mi Na Kim, Sang Hoon Han, Young Goo Song
PURPOSE: The present study aimed to evaluate the effect of central line (CL) bundle compliance on central line-associated bloodstream infections (CLABSIs) in different departments of the same hospital, including the intensive care unit (ICU) and other departments. MATERIALS AND METHODS: The four components of the CL bundle were hand hygiene, use of maximal sterile barrier precautions, chlorhexidine use, and selection of an appropriate site for venous access. Compliance of the CL bundle and CLABSIs were measured for every department [emergency room (ER), ICU, general ward (GW), and operating room (OR)]...
May 2018: Yonsei Medical Journal
https://www.readbyqxmd.com/read/29596333/patient-as-a-partner-in-healthcare-associated-infection-prevention
#7
Marta Wałaszek, Małgorzata Kołpa, Zdzisław Wolak, Anna Różańska, Jadwiga Wójkowska-Mach
OBJECTIVES: The objective of the study was getting to know the knowledge and attitudes towards hand hygiene (HH) among Polish patients and healthcare workers (HCWs). METHODS: 459 respondents replied to the survey: 173 (37.6%) patients and 286 (62.3%) HCWs; 57 HCWs were additionally interviewed. RESULTS: Few HCWs knew and used the "5 moments for HH" in the required situations. Both patients and HCWs rated HH of other HCWs poorly: only 75% of patients and 54% of HCWs noticed the application of HH before blood sample collection, but 1/2 of interviewed HCWs did not encounter a request for HH from a patient...
March 29, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29580966/hand-hygiene-compliance-and-behavioural-determinants-in-a-paediatric-intensive-care-unit-an-observational-study
#8
Aline S C Belela-Anacleto, Denise M Kusahara, Maria Angélica S Peterlini, Mavilde L G Pedreira
BACKGROUND: Hand hygiene is considered the single most effective means of reducing healthcare-associated infections, but improving and sustaining hand hygiene compliance remains a great challenge. OBJECTIVES: To compare hand hygiene compliance before and after interventions to promote adherence in a paediatric intensive care unit (PICU) and to identify predictors of intention to perform the behaviour "hand hygiene during patient care in the PICU". METHODS: A before and after study was conducted in three phases...
March 23, 2018: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://www.readbyqxmd.com/read/29572392/-and-you-ll-suddenly-realise-i-ve-not-washed-my-hands-medical-students-junior-doctors-and-medical-educators-narratives-of-hygiene-behaviours
#9
Penelope Cresswell, Lynn V Monrouxe
OBJECTIVE: Compliance to hygiene behaviours has long been recognised as important in the prevention and control of healthcare associated infections, but medical doctors still display some of the lowest rates of compliance of all healthcare workers. We aim to understand compliance to hygiene behaviours by analysing medical students', junior doctors' and medical educators' narratives of these behaviours to identify their respective attitudes and beliefs around compliance and how these are learnt during training...
March 22, 2018: BMJ Open
https://www.readbyqxmd.com/read/29570145/the-effects-of-social-influence-on-nurses-hand-hygiene-behaviors
#10
Susan E Piras, Ann Minnick, Jana Lauderdale, Mary S Dietrich, Timothy J Vogus
OBJECTIVE: The aim of this article is to describe the associations of nurses' hand hygiene (HH) attitudes, subjective norms, and perceived behavioral control with observed and self-reported HH behavior. BACKGROUND: Hand hygiene is an essential strategy to prevent healthcare-associated infections. Despite tremendous efforts, nurses' HH adherence rates remain suboptimal. METHODS: This quantitative descriptive study of ICU nurses in the southeastern United States was guided by the theory of planned behavior...
April 2018: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29557594/impact-of-a-program-aimed-at-reducing-catheter-related-infections-implemented-in-nine-pediatric-intensive-care-units-in-argentina
#11
Ana M Lenz, Elena Andion, Silvina Ruvinsky, Clarisa Aguirre, Julieta Alvarez Parma, Facundo Jorro, Gabriela López Cruz, Martín Pascutto, Matías Penazzi, Silvia Santos, Marcela Zuázaga, Norma Aquino, Juan C Vassallo, Guillermo Moreno, Ricardo Magliola, Aldo Haimovich, Luis Landry, Rosa Bologna
INTRODUCTION: Catheter-related infections (CRIs) cause a high level of morbidity and mortality with the increasing use of hospital resources. OBJECTIVE: To describe the outcomes of a program implemented to reduce the rate of CRIs in pediatric intensive care units in Argentina. POPULATION AND METHODS: Collaborative, multi center, clinical-epidemiological, quasiexperimental, before-and-after intervention study. Children who had a central venous catheter during hospitalization in 9 pediatric intensive care units in the Autonomous City of Buenos Aires, Greater Buenos Aires, and other provinces between June 2011 and April 2012 were included...
April 1, 2018: Archivos Argentinos de Pediatría
https://www.readbyqxmd.com/read/29556747/-the-role-of-infection-prevention-in-the-control-of-antimicrobial-resistance-any-avoided-infection-contributes-to-the-reduction-of-antibiotic-use
#12
REVIEW
Martin Mielke
Clinically relevant infections are the primary indication for the use of antimicrobial agents in human medicine. Consequently, the prevention of infections is the fundament of all measures to rationally reduce the use of antibiotics. A prevented infection must not be treated. For the prevention of several community-acquired infections, vaccines are available. In addition, several infections may be prevented on the basis of knowledge and responsible behavior. However, the prevention of nosocomial infections depends mainly on the responsibility of third parties in the context of medical procedures...
March 19, 2018: Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
https://www.readbyqxmd.com/read/29536713/-investigation-of-major-parasitic-diseases-and-related-knowledge-attitude-and-practice-among-rural-residents-in-liyang-city
#13
Guo Yan-Li, Zou Yong-Gen, Xie Yi-Qing, Chen Hong, He Ming-Zhen, Lü Lai-Fu, Huang Li-Zhong, Jin Xiao-Lin
OBJECTIVE: To investigate the prevalence of major parasitic diseases and related knowledge, attitude and practice among rural residents in Liyang City, so as to provide the evidence for formulating appropriate preventive strategies and measures. METHODS: Three villages were selected from three towns as survey sites, and the residents who were above three years old and had been in the village for over six months were investigated. The Kato-Katz technique was applied to detect intestinal parasite eggs in residents' feces, and the cellophane anal swab was used to detect Enterobius vermicularis eggs among children aged 3-6 years...
September 27, 2017: Zhongguo Xue Xi Chong Bing Fang Zhi za Zhi, Chinese Journal of Schistosomiasis Control
https://www.readbyqxmd.com/read/29496338/googling-your-hand-hygiene-data-using-google-forms-google-sheets-and-r-to-collect-and-automate-analysis-of-hand-hygiene-compliance-monitoring
#14
Timothy L Wiemken, Stephen P Furmanek, William A Mattingly, Janet Haas, Julio A Ramirez, Ruth M Carrico
BACKGROUND: Hand hygiene is one of the most important interventions in the quest to eliminate healthcare-associated infections, and rates in healthcare facilities are markedly low. Since hand hygiene observation and feedback are critical to improve adherence, we created an easy-to-use, platform-independent hand hygiene data collection process and an automated, on-demand reporting engine. METHODS: A 3-step approach was used for this project: 1) creation of a data collection form using Google Forms, 2) transfer of data from the form to a spreadsheet using Google Spreadsheets, and 3) creation of an automated, cloud-based analytics platform for report generation using R and RStudio Shiny software...
February 26, 2018: American Journal of Infection Control
https://www.readbyqxmd.com/read/29432997/a-comparative-study-of-hand-hygiene-and-alcohol-based-hand-rub-use-among-irish-nursing-and-medical-students
#15
Liz M Kingston, Nuala H O'Connell, Colum P Dunne
BACKGROUND: In Ireland, the setting for this study, the national prevalence rate of health care-associated infection (HCAI) in acute-care facilities is 5.2%. Hand hygiene and in particular hand rubbing using alcohol-based hand rub (ABHR) is highly efficacious in preventing HCAI transmission. Yet, compliance among healthcare professionals is sub-optimal. Less is known about the practices of nursing and medical students and no study comparing practices among these groups in Ireland was found...
April 2018: Nurse Education Today
https://www.readbyqxmd.com/read/29390515/application-of-failure-mode-and-effect-analysis-in-managing-catheter-related-blood-stream-infection-in-intensive-care-unit
#16
Xixi Li, Mei He, Haiyan Wang
In this study, failure mode and effect analysis (FMEA), a proactive tool, was applied to reduce errors associated with the process which begins with assessment of patient and ends with treatment of complications. The aim of this study is to assess whether FMEA implementation will significantly reduce the incidence of catheter-related bloodstream infections (CRBSIs) in intensive care unit.The FMEA team was constructed. A team of 15 medical staff from different departments were recruited and trained. Their main responsibility was to analyze and score all possible processes of central venous catheterization failures...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29340609/impact-of-antibiotic-stewardship-programmes-in-asia-a-systematic-review-and-meta-analysis
#17
Chun Fan Lee, Benjamin J Cowling, Shuo Feng, Hanae Aso, Peng Wu, Keiji Fukuda, Wing Hong Seto
Background: The use of antibiotic stewardship programmes (ASPs) is increasing in Asia, but their effectiveness in reducing antibiotic consumption and their impact on clinical outcomes is not known. Objectives: To determine the impact of ASPs conducted in Asia on the consumption of antibiotics and on patients' clinical outcomes. Methods: We systematically searched the Embase and Medline (PubMed) databases for studies that compared antibiotic consumption or clinical outcomes of patients in an Asian hospital or clinic with an ASP (intervention) with those in a similar setting without an ASP (control)...
April 1, 2018: Journal of Antimicrobial Chemotherapy
https://www.readbyqxmd.com/read/29331156/high-hand-contamination-rates-during-norovirus-outbreaks-in-long-term-care-facilities
#18
Geun Woo Park, Keenan J Williamson, Emilio DeBess, Paul R Cieslak, Nicole Gregoricus, Elizabeth De Nardo, Christopher Fricker, Verónica Costantini, Jan Vinjé
We examined norovirus contamination on hands of ill patients during 12 norovirus outbreaks in 12 long-term care facilities (LTCFs). The higher frequency and norovirus titers on hands of residents compared to hands of heathcare workers highlights the importance of adhering to appropriate hand hygiene practices during norovirus outbreaks in LTCFs. Infect Control Hosp Epidemiol 2018;39:219-221.
February 2018: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/29298322/economic-evaluation-of-interventions-designed-to-reduce-clostridium-difficile-infection
#19
David Brain, Laith Yakob, Adrian Barnett, Thomas Riley, Archie Clements, Kate Halton, Nicholas Graves
INTRODUCTION: Healthcare decision-makers are increasingly expected to balance increasing demand for health services with a finite budget. The role of economic evaluation in healthcare is increasing and this research provides decision-makers with new information about the management of Clostridium difficile infection, from an economic perspective. METHODS: A model-based economic evaluation was undertaken to identify the most cost-effective healthcare intervention relating to the reduction of Clostridium difficile transmission...
2018: PloS One
https://www.readbyqxmd.com/read/29260003/why-sensitive-bacteria-are-resistant-to-hospital-infection-control
#20
Esther van Kleef, Nantasit Luangasanatip, Marc J Bonten, Ben S Cooper
BACKGROUND: Large reductions in the incidence of antibiotic-resistant strains of Staphylococcus aureus and Clostridium difficile have been observed in response to multifaceted hospital-based interventions. Reductions in antibiotic-sensitive strains have been smaller or non-existent. It has been argued that since infection control measures, such as hand hygiene, should affect resistant and sensitive strains equally, observed changes must have largely resulted from other factors, including changes in antibiotic use...
2017: Wellcome Open Research
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