Literature DB >> 16720001

Improving hand-washing performance - a crossover study of hand-washing in the orthopaedic department.

Duncan J M Macdonald1, Elisabeth C A McKillop, Sylvia Trotter, Alastair Gray.   

Abstract

INTRODUCTION: Effective hand-washing is essential for reducing the spread of infection in hospitals. We aimed to evaluate hand-washing performance of hospital personnel and to determine if this could be improved by education.
MATERIALS AND METHODS: A total of 55 personnel working in the orthopaedic department were asked to clean their hands using an alcohol gel containing a clear fluorescent substance. They were unaware of the assessment method. Performance was assessed by examining their hands under UV light to identify areas that had been neglected. Subjects could visualise which areas they had missed and were then educated regarding hand-washing technique and retested after 7 days.
RESULTS: Of the 55 subjects, 53 completed the study. Individual performance varied widely. Following a simple educational intervention, 49 out of 53 subjects improved from an average of 7.8% to 2.3% area missed (P < 0.001).
CONCLUSIONS: We suggest that hand-washing effectiveness needs to be improved and that a simple educational intervention can be effective.

Entities:  

Mesh:

Year:  2006        PMID: 16720001      PMCID: PMC1963687          DOI: 10.1308/003588406X98577

Source DB:  PubMed          Journal:  Ann R Coll Surg Engl        ISSN: 0035-8843            Impact factor:   1.891


  5 in total

1.  The management and control of hospital-acquired infection in acute NHS trusts in England: a report by the Comptroller and Auditor General--the who, how and what.

Authors:  M C Kelsey
Journal:  J Hosp Infect       Date:  2000-03       Impact factor: 3.926

2.  Hand hygiene.

Authors:  L Teare; B Cookson; S Stone
Journal:  BMJ       Date:  2001-08-25

3.  The epic project: developing national evidence-based guidelines for preventing healthcare associated infections. Phase I: Guidelines for preventing hospital-acquired infections. Department of Health (England).

Authors:  R J Pratt; C Pellowe; H P Loveday; N Robinson; G W Smith; S Barrett; P Davey; P Harper; C Loveday; C McDougall; A Mulhall; S Privett; C Smales; L Taylor; B Weller; M Wilcox
Journal:  J Hosp Infect       Date:  2001-01       Impact factor: 3.926

4.  Performance feedback of hand hygiene, using alcohol gel as the skin decontaminant, reduces the number of inpatients newly affected by MRSA and antibiotic costs.

Authors:  A MacDonald; F Dinah; D MacKenzie; A Wilson
Journal:  J Hosp Infect       Date:  2004-01       Impact factor: 3.926

5.  Alcohol-based handrub: evaluation of technique and microbiological efficacy with international infection control professionals.

Authors:  Andreas E Widmer; Marc Dangel
Journal:  Infect Control Hosp Epidemiol       Date:  2004-03       Impact factor: 3.254

  5 in total
  8 in total

1.  Effectiveness of shoe covers for bioexclusion within an animal facility.

Authors:  Judy M Hickman-Davis; Mackenzie L Nicolaus; Joann M Petty; Dianne M Harrison; Valerie K Bergdall
Journal:  J Am Assoc Lab Anim Sci       Date:  2012-03       Impact factor: 1.232

2.  Detection of dental fomites using topical fluorescein.

Authors:  Richard Newsom; Chris Pattison; Adam Amara; Chris Louca
Journal:  Br Dent J       Date:  2022-07-05       Impact factor: 2.727

3.  A multifaceted hand hygiene improvement program on the intensive care units of the National Referral Hospital of Indonesia in Jakarta.

Authors:  Yulia Rosa Saharman; Damiat Aoulad Fares; Souhaib El-Atmani; Rudyanto Sedono; Dita Aditianingsih; Anis Karuniawati; Joost van Rosmalen; Henri A Verbrugh; Juliëtte A Severin
Journal:  Antimicrob Resist Infect Control       Date:  2019-06-03       Impact factor: 4.887

4.  Moving beyond hand hygiene monitoring as a marker of infection prevention performance: Development of a tailored infection control continuous quality improvement tool.

Authors:  Annette Jeanes; Pietro G Coen; Nicolas S Drey; Dinah J Gould
Journal:  Am J Infect Control       Date:  2019-07-27       Impact factor: 2.918

5.  Comparison of droplet spread in standard and laminar flow operating theatres: SPRAY study group.

Authors:  R B Newsom; A Amara; A Hicks; M Quint; C Pattison; B R Bzdek; J Burridge; C Krawczyk; J Dinsmore; J Conway
Journal:  J Hosp Infect       Date:  2021-02-04       Impact factor: 3.926

6.  Hand hygiene technique quality evaluation in nursing and medicine students of two academic courses.

Authors:  Manuela Škodová; Alfredo Gimeno-Benítez; Elena Martínez-Redondo; Juan Francisco Morán-Cortés; Ramona Jiménez-Romano; Alfredo Gimeno-Ortiz
Journal:  Rev Lat Am Enfermagem       Date:  2015 Jul-Aug

7.  Deployment of a Smart Handwashing Station in a School Setting During the COVID-19 Pandemic: Field Study.

Authors:  Jeremy Herbert; Caitlin Horsham; Helen Ford; Alexander Wall; Elke Hacker
Journal:  JMIR Public Health Surveill       Date:  2020-10-19

Review 8.  Implementation methods of infection prevention measures in orthopedics and traumatology - a systematic review.

Authors:  Benedikt Marche; Meike Neuwirth; Christiane Kugler; Bertil Bouillon; Frauke Mattner; Robin Otchwemah
Journal:  Eur J Trauma Emerg Surg       Date:  2020-09-10       Impact factor: 3.693

  8 in total

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