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Electronic hand hygiene

Tapani Hovi, Jukka Ollgren, Jaason Haapakoski, Carita Savolainen-Kopra
BACKGROUND: Occurrence of respiratory tract infection (RTI) or gastrointestinal tract infection (GTI) is known to vary between individuals and may be a confounding factor in the analysis of the results of intervention trials. We aimed at developing a prognostic model for predicting individual incidences of RTI and GTI on the basis of data collected in a hand-hygiene intervention trial among adult office workers, and comprising a prior-to-onset questionnaire on potential infection-risk factors and weekly electronic follow-up reports on occurrence of symptoms of, and on exposures to RTI or GTI...
November 16, 2016: Trials
John M Boyce, Philip M Polgreen, Mauricio Monsalve, David R Macinga, James W Arbogast
BACKGROUND Recently, the US Food and Drug Administration requested that a "maximal use" trial be conducted to ensure the safety of frequent use of alcohol-based hand rubs (ABHRs) by healthcare workers. OBJECTIVE To establish how frequently volunteers should be exposed to ABHR during a maximal use trial. DESIGN Retrospective review of literature and analysis of 2 recent studies that utilized hand hygiene electronic compliance monitoring (ECM) systems. METHODS We reviewed PubMed for articles published between 1970 and December 31, 2015, containing the terms hand washing, hand hygiene, hand hygiene compliance, and alcohol-based hand rubs...
November 7, 2016: Infection Control and Hospital Epidemiology
Akie Arai, Masaki Tanabe, Akiko Nakamura, Daisuke Yamasaki, Yuichi Muraki, Toshihiro Kaneko, Ayako Kadowaki, Masaaki Ito
BACKGROUND: Our objectives were to evaluate the utility of electronic hand hygiene counting devices in outpatient settings and the impact of results feedback on physicians' hand hygiene behaviors. METHODS: We installed 130 electronic hand hygiene counting devices in our redesigned outpatient department. We remotely monitored physicians' hand hygiene practices during outpatient examinations and calculated the adherence rate as follows: number of hand hygiene counts divided by the number of outpatients examined multiplied by 100...
December 1, 2016: American Journal of Infection Control
D J Gould, S Creedon, A Jeanes, N S Drey, J Chudleigh, D Moralejo
The purpose of hand hygiene is to break the chain of healthcare-associated infection. In many countries hand hygiene is regularly audited as part of quality assurance based on recommendations from the World Health Organization. Direct observation is the recommended audit method but is associated with disadvantages, including potential for being observed to alter usual behaviour. The Hawthorne effect in relation to hand hygiene is analogous with productivity improvement by increasing the frequency with which hand hygiene is undertaken...
August 18, 2016: Journal of Hospital Infection
Bevin Cohen, Meghan Murray, Haomiao Jia, Olivia Jackson, Lisa Saiman, Natalie Neu, Gordon Hutcheon, Elaine Larson
BACKGROUND: Studies in adult long-term care facilities (LTCFs) have shown a correlation between hand hygiene (HH) and viral outbreak reduction, but no such studies have been conducted in pediatric LTCFs where the epidemiology of viral pathogens is different. METHODS: We compared electronically monitored facility-wide HH frequency in the weeks immediately prior to outbreaks of acute respiratory or gastrointestinal infections versus control weeks in a 137-bed pediatric LTCF from October 2012-August 2015...
December 1, 2016: American Journal of Infection Control
Andrea Stiller, Christin Schröder, Alexander Gropmann, Frank Schwab, Michael Behnke, Christine Geffers, Jan Holzhausen, Wolfgang Sunder, Petra Gastmeier
BACKGROUND: A high percentage of single-bed rooms and antiseptic hand rub dispensers in hospitals are required for infection prevention OBJECTIVE: Data acquisition of the hospitals' current status of infrastructure pertaining to infection prevention MATERIALS AND METHODS: A electronic questionnaire was sent in March 2015 to all hospitals participating in the nosocomial infection surveillance system (KISS) to collect operational infrastructure data...
August 2016: Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
Neil Deochand, Michelle E Deochand
Various methodologies have been utilized in hand- hygiene (HH) research to measure the quality and compliance rates of hand washing. Some notable examples are direct observation, self-report, image quantification of fluorescence, microbial sampling, automated systems, and electronically assisted devices. While direct observation is considered the gold standard of HH monitoring systems, its methodological limitations (e.g., high staffing demands, participant reactivity, and undersampling) have yet to be overcome...
June 2016: Journal of Environmental Health
J William Kelly, Dawn Blackhurst, Wendy McAtee, Connie Steed
Electronic monitoring of hand hygiene compliance using the World Health Organization's My 5 Moments for Hand Hygiene is a new innovation that has not yet been shown to reduce hospital infections. We analyzed existing data from 23 inpatient units over a 33-month period and found a significant correlation between unit-specific improvements in electronic monitoring compliance and reductions in methicillin-resistant Staphylococcus aureus infection rates (r = -0.37, P < .001).
August 1, 2016: American Journal of Infection Control
M Emaneini, F Hosseinkhani, F Jabalameli, M J Nasiri, M Dadashi, R Pouriran, R Beigverdi
Vancomycin-resistant Enterococcus (VRE) is considered to be a major nosocomial pathogen that results in serious morbidity and mortality worldwide. Limited information is available concerning the prevalence of VRE infections in Iran. We carried out a systematic search by using different electronic databases including: Medline (via PubMed), Embase, Web of Science, and the Iranian Database. Meta-analysis was performed using comprehensive meta-analysis software. The meta-analyses revealed that the prevalence of VRE infections was 9...
September 2016: European Journal of Clinical Microbiology & Infectious Diseases
Silvia Spivakovsky, Analia Keenan
Data sourcesAn electronic search was conducted on PubMed Central. References of retrieved papers and previously published systematic reviews were hand searched.Study selectionRandomised controlled trials (RCTs) with at least six months follow-up evaluating the use of test products used in mouthrinses, toothpastes or gels as adjuncts to mechanical oral hygiene (including toothbrushing) were considered.Data extraction and synthesisTwo trained and calibrated reviewers independently assessed the studies for eligibility, with any disagreement being resolved by discussion...
2016: Evidence-based Dentistry
J A Srigley, C D Furness, M Gardam
Nosocomial pathogens may be acquired by patients via their own unclean hands, but there has been relatively little emphasis on patient hand hygiene as a tool for preventing healthcare-associated infections (HCAIs). The aim of this systematic review was to determine the efficacy of patient hand hygiene interventions in reducing HCAIs and improving patient hand hygiene rates compared to usual care. Electronic databases and grey literature were searched to August 2014. Experimental and quasi-experimental studies were included if they evaluated a patient hand hygiene intervention conducted in an acute or chronic healthcare facility and included HCAI incidence and/or patient hand hygiene rates as an outcome...
September 2016: Journal of Hospital Infection
Jun Rong Jeffrey Neo, Rana Sagha-Zadeh, Ole Vielemeyer, Ella Franklin
BACKGROUND: Hand hygiene (HH) in health care facilities is a key component to reduce pathogen transmission and nosocomial infections. However, most HH interventions (HHI) have not been sustainable. AIMS: This review aims to provide a comprehensive summary of recently published evidence-based HHI designed to improve HH compliance (HHC) that will enable health care providers to make informed choices when allocating limited resources to improve HHC and patient safety...
June 1, 2016: American Journal of Infection Control
Roger E Thomas
PURPOSE: To identify if there is enough evidence at low risk-of-bias to prevent influenza transmission by vaccinating health-care workers (HCWs), patients and visitors; screening for laboratory-proven influenza all entering hospitals; screening asymptomatic individuals; identifying influenza supershedders; hand-washing and mask-wearing by HCWs, patients and visitors; and cleaning hospital rooms and equipment. PRINCIPAL RESULTS: Vaccination reduces influenza episodes of vaccinated (4...
June 8, 2016: Vaccine
Laurie J Conway
Electronic hand hygiene (HH) monitoring systems offer the exciting prospect of a more precise, less biased measure of HH performance than direct observation. However, electronic systems are challenging to implement. Selecting a system that minimizes disruption to the physical infrastructure and to clinician workflow, and that fits with the organization's culture and budget, is challenging. Getting front-line workers' buy-in and addressing concerns about the accuracy of the system and how the data will be used are also difficult challenges...
May 2, 2016: American Journal of Infection Control
W Matthew Linam, Michele D Honeycutt, Craig H Gilliam, Christy M Wisdom, Shasha Bai, Jayant K Deshpande
BACKGROUND: Direct observation of health care worker (HCW) hand hygiene (HH) remains the gold standard, but implementation is challenging. Our objective was to develop an accurate HH observation program using multiple HCW volunteers. METHODS: HH compliance was defined as correct HH performed before and after contact with a patient or a patient's environment. HCW volunteers from each unit at our children's hospital were trained by infection preventionists to covertly collect HH observations during routine care using an electronic tool...
May 1, 2016: American Journal of Infection Control
David Rodriguez-Aldrete, Eellan Sivanesan, Shawn Banks, Ana Mavarez, Kristopher Arheart, Scott Eber, L Silvia Munoz-Price
No abstract text is available yet for this article.
July 2016: Infection Control and Hospital Epidemiology
Sizzle F Vanterpool, Kathleen Tomsin, Leticia Reyes, Luc J Zimmermann, Boris W Kramer, Jasper V Been
BACKGROUND: Periodontal disease is an inflammatory disease of the tissues supporting the teeth. Women who have periodontal disease while pregnant may be at risk of adverse pregnancy outcomes. Although the association between periodontal disease and adverse pregnancy outcomes has been addressed in a considerable number of systematic reviews and meta-analyses, there are important differences in the conclusions of these reviews. Systematic reviews assessing the effectivity of various therapeutic interventions to treat periodontal disease during pregnancy to try and reduce adverse pregnancy outcomes have also arrived at different conclusions...
February 1, 2016: Systematic Reviews
H Møller-Sørensen, A Korshin, T Mogensen, N Høiby
The risks to patients from pathogens present on healthcare workers' (HCWs') hands are high; however, compliance with hand hygiene among HCWs is low. We devised a prospective intervention trial of a new hand-hygiene dispensing technology to improve HCWs' compliance with hand hygiene. Baseline hand-hygiene compliance was observed for three months before and after an intervention consisting of implementation of an electronic device that reminds people to comply with hand hygiene after restroom visits. Compliance in hand-hygiene performance after restroom visits increased among HCWs from 66% to 91% after the intervention...
April 2016: Journal of Hospital Infection
Maryanne McGuckin, John Govednik
Healthcare-associated infections (HAIs) in U.S. acute care hospitals lead to a burden of $96-$147 billion annually on the U.S. health system and affect 1 in 20 hospital patients (Marchetti & Rossiter, 2013). Hospital managers are charged with reducing and eliminating HAIs to cut costs and improve patient outcomes. Healthcare worker (HCW) hand hygiene (HH) practice is the most effective means of preventing the spread of HAIs, but compliance is at or below 50% (McGuckin, Waterman, & Govednik, 2009). For managers to increase the frequency of HCW HH occurrences and improve the quality of HH performance, companies have introduced electronic technologies to assist managers in training, supervising, and gathering data in the patient care setting...
September 2015: Journal of Healthcare Management / American College of Healthcare Executives
Richard T Ellison, Constance M Barysauskas, Elke A Rundensteiner, Di Wang, Bruce Barton
Background.  The use of electronic hand hygiene reminder systems has been proposed as an approach to improve hand hygiene compliance among healthcare workers, although information on efficacy is limited. We prospectively assessed whether hand hygiene activities among healthcare workers could be increased using an electronic hand hygiene monitoring and reminder system. Methods.  A prospective controlled clinical trial was conducted in 2 medical intensive care units (ICUs) at an academic medical center with comparable patient populations, healthcare staff, and physical layout...
December 2015: Open Forum Infectious Diseases
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