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https://www.readbyqxmd.com/read/28883912/infection-control-at-an-urban-hospital-in-manila-philippines-a-systems-engineering-assessment-of-barriers-and-facilitators
#1
Kaitlin F Mitchell, Anna K Barker, Cybele L Abad, Nasia Safdar
BACKGROUND: Healthcare facilities in low- and middle-income countries, including the Philippines, face substantial challenges in achieving effective infection control. Early stages of interventions should include efforts to understand perceptions held by healthcare workers who participate in infection control programs. METHODS: We performed a qualitative study to examine facilitators and barriers to infection control at an 800-bed, private, tertiary hospital in Manila, Philippines...
2017: Antimicrobial Resistance and Infection Control
https://www.readbyqxmd.com/read/28862335/interventions-to-improve-hand-hygiene-compliance-in-patient-care
#2
REVIEW
Dinah J Gould, Donna Moralejo, Nicholas Drey, Jane H Chudleigh, Monica Taljaard
BACKGROUND: Health care-associated infection is a major cause of morbidity and mortality. Hand hygiene is regarded as an effective preventive measure. This is an update of a previously published review. OBJECTIVES: To assess the short- and long-term success of strategies to improve compliance to recommendations for hand hygiene, and to determine whether an increase in hand hygiene compliance can reduce rates of health care-associated infection. SEARCH METHODS: We conducted electronic searches of the Cochrane Register of Controlled Trials, PubMed, Embase, and CINAHL...
September 1, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28857850/interventions-to-improve-hand-hygiene-compliance-in-the-icu-a-systematic-review
#3
Sinéad Lydon, Michael Power, Jennifer McSharry, Molly Byrne, Caoimhe Madden, Janet Elaine Squires, Paul O'Connor
OBJECTIVES: To synthesize the literature describing interventions to improve hand hygiene in ICUs, to evaluate the quality of the extant research, and to outline the type, and efficacy, of interventions described. DATA SOURCES: Systematic searches were conducted in November 2016 using five electronic databases: Medline, CINAHL, PsycInfo, Embase, and Web of Science. Additionally, the reference lists of included studies and existing review papers were screened. STUDY SELECTION: English language, peer-reviewed studies that evaluated an intervention to improve hand hygiene in an adult ICU setting, and reported hand hygiene compliance rates collected via observation, were included...
August 28, 2017: Critical Care Medicine
https://www.readbyqxmd.com/read/28743340/-ventilator-bundle-guided-by-context-of-jci-settings-can-effectively-reduce-the-morbidity-of-ventilator-associated-pneumonia
#4
Lili Zhao, Lili Liu, Jing Chen, Caili Yang, Jianjian Nie, Minwei Zhang
OBJECTIVE: To observe the impact of improving the compliance of ventilator bundle on morbidity of ventilator-associated pneumonia (VAP) in intensive care unit (ICU) patients undergoing mechanical ventilation (MV) guided by context of Joint Commission International (JCI) settings, and to study the oral care efficacy of suction tube sponge brush. METHODS: A prospective study was conducted. The patients who needed MV admitted to Department of Critical Care Medicine of the First Affiliated Hospital of Xiamen University from January 2013 to December 2016 were enrolled...
July 2017: Zhonghua Wei Zhong Bing Ji Jiu Yi Xue
https://www.readbyqxmd.com/read/28734630/management-of-an-acinetobacter-baumannii-outbreak-in-an-intensive-care-unit
#5
M Tanguy, A Kouatchet, B Tanguy, É Pichard, S Fanello, M-L Joly-Guillou
INTRODUCTION: Acinetobacter baumannii is a ubiquitous pathogen resistant to desiccation and responsible for healthcare-associated infections (HAI), especially in intensive care units (ICU) where it is responsible for 5-10% of HAIs. An A. baumannii outbreak occurred in the ICU of the University Hospital of Angers, France. OBJECTIVES: To describe the A. baumannii outbreak and to evaluate the control measures taken. The secondary objective was to evaluate the impact of the electronic alert system on the incidence of multidrug resistance to antibiotics...
July 19, 2017: Médecine et Maladies Infectieuses
https://www.readbyqxmd.com/read/28722122/wet-work-exposure-and-hand-eczema-among-healthcare-workers-a-cross-sectional-study
#6
N Hamnerius, C Svedman, O Bergendorff, J Björk, M Bruze, A Pontén
BACKGROUND: Hand eczema is more common in healthcare workers compared to the general population. The hands are subject to changing occupational exposures due to mandatory hygiene regulations for health care workers. OBJECTIVES: To describe the exposure due to hygiene procedures and investigate the associations between occupational hand washing, use of non-sterile gloves, and hand disinfectant and self-reported hand eczema. METHODS: Cross-sectional study with an electronic questionnaire distributed to 28 762 hospital employees in southern Sweden...
July 19, 2017: British Journal of Dermatology
https://www.readbyqxmd.com/read/28714331/-hand-hygiene-technique-assessment-using-electronic-equipment-in-26-hungarian-healthcare-institutions
#7
Ákos Lehotsky, Júlia Morvai, László Szilágyi, Száva Bánsághi, Alíz Benkó, Tamás Haidegger
INTRODUCTION: Hand hygiene is probably the most effective tool of nosocomial infection prevention, however, proper feedback and control is needed to develop the individual hand hygiene practice. AIM: Assessing the efficiency of modern education tools, and digital demonstration and verification equipment during their wide-range deployment. METHOD: 1269 healthcare workers took part in a training organized by our team. The training included the assessment of the participants' hand hygiene technique to identify the most often missed areas...
July 2017: Orvosi Hetilap
https://www.readbyqxmd.com/read/28632004/behavioral-interventions-to-reduce-infections-in-pediatric-long-term-care-facilities-the-keep-it-clean-for-kids-trial
#8
Elaine L Larson, Meghan T Murray, Bevin Cohen, Edwin Simpser, Marianne Pavia, Olivia Jackson, Haomiao Jia, R Gordon Hutcheon, Linda Mosiello, Natalie Neu, Lisa Saiman
Children in pediatric long-term care facilities (pLTCF) represent a highly vulnerable population and infectious outbreaks occur frequently, resulting in significant morbidity, mortality, and resource use. The purpose of this quasi-experimental trial using time series analysis was to assess the impact of a 4-year theoretically based behavioral intervention on infection prevention practices and clinical outcomes in three pLTCF (288 beds) in New York metropolitan area including 720 residents, ages 1 day to 26 years with mean lengths of stay: 7...
March 3, 2017: Behavioral Medicine
https://www.readbyqxmd.com/read/28526308/implementing-an-electronic-hand-hygiene-monitoring-system-lessons-learned-from-community-hospitals
#9
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/28456322/electronic-monitoring-in-combination-with-direct-observation-as-a-means-to-significantly-improve-hand-hygiene-compliance
#10
REVIEW
John M Boyce
Monitoring hand hygiene compliance among health care personnel (HCP) is an essential element of hand hygiene promotion programs. Observation by trained auditors is considered the gold standard method for establishing hand hygiene compliance rates. Advantages of observational surveys include the unique ability to establish compliance with all of the World Health Organization "My 5 Moments for Hand Hygiene" initiative Moments and to provide just-in-time coaching. Disadvantages include the resources required for observational surveys, insufficient sample sizes, and nonstandardized methods of conducting observations...
May 1, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/28456319/hand-hygiene-electronic-monitoring-are-we-there-yet
#11
EDITORIAL
Daniela Pires, Didier Pittet
No abstract text is available yet for this article.
May 1, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/28389091/workload-even-affects-hand-hygiene-in-a-highly-trained-and-well-staffed-setting-a-prospective-365-7-24-observational-study
#12
S Scheithauer, B Batzer, M Dangel, J Passweg, A Widmer
INTRODUCTION: Compliance with hand hygiene (HH) has often not proved satisfactory; high workload is a commonly self-reported reason. Previous studies comparing workload and compliance have not measured workload precisely and have focused on certain times of day. This study aimed to investigate the association between HH compliance and workload, both electronically defined 365/7/24 (primary endpoint). In addition, the quality of commonly used compliance defining methods (hand disinfectant usage, direct observation) was investigated (secondary endpoint)...
February 20, 2017: Journal of Hospital Infection
https://www.readbyqxmd.com/read/28302432/the-influence-of-spatial-configuration-on-the-frequency-of-use-of-hand-sanitizing-stations-in-health-care-environments
#13
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/28284143/attitude-of-the-stakeholders-involved-in-the-repair-and-second-hand-sale-of-small-household-electrical-and-electronic-equipment-case-study-in-spain
#14
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
#15
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/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...
May 2017: Nurse Education Today
https://www.readbyqxmd.com/read/28118134/validation-of-the-accupoint-advanced-atp-hygiene-monitoring-system-for-sanitation-monitoring-through-detection-of-atp-from-stainless-steel-surfaces
#17
Ryan Viator, R Lucas Gray, Ron Sarver, Brent Steiner, Mark Mozola, Jennifer Rice
The AccuPoint Advanced ATP Hygeine Monitoring System was validated by an AOAC International Performance Tested MethodSM on the detection of ATP from stainless steel surfaces. Neogen Corp.'s system is a lightweight, hand-held diagnostic tool used to validate and verify a hygiene program's effectiveness by detecting organic residues remaining on surfaces and in liquids after cleaning. The system is composed of three primary components: an electronic luminometer, fully self-contained single-use samplers, and software...
March 1, 2017: Journal of AOAC International
https://www.readbyqxmd.com/read/28114724/a-systematic-review-on-the-effectiveness-of-interventions-to-improve-hand-hygiene-compliance-of-nurses-in-the-hospital-setting
#18
Olena Doronina Rn, Denise Jones, Marianna Martello, Alain Biron, Mélanie Lavoie-Tremblay
PURPOSE: The purpose of the present systematic review is to identify the interventions that improve hand hygiene compliance (HHC) specifically among nurses. METHODS: A systematic review was performed guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses to evaluate the short and long-term effects of interventions to promote hand hygiene practices among nurses in the hospital setting. A search of the Cumulative Index to Nursing and Allied Health Literature, Medline Global Health, and Embase was conducted in addition to studies identified by the most recent systematic review...
March 2017: Journal of Nursing Scholarship
https://www.readbyqxmd.com/read/27852324/development-of-a-prognostic-model-based-on-demographic-environmental-and-lifestyle-information-for-predicting-incidences-of-symptomatic-respiratory-or-gastrointestinal-infection-in-adult-office-workers
#19
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
https://www.readbyqxmd.com/read/27817756/frequency-of-use-of-alcohol-based-hand-rubs-by-nurses-a-systematic-review
#20
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...
February 2017: Infection Control and Hospital Epidemiology
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