Literature DB >> 25722844

A controlled, crossover study of a persistent antiseptic to reduce hospital-acquired infection.

Patrick Kampiatu1, Jesse Cozean1.   

Abstract

BACKGROUND: Alcohol sanitizers have not been demonstrated to reduce hospital-acquired infections over handwashing alone in controlled, well-designed clinical studies. A major reason for this may be the failure of traditional alcohol sanitizers to provide any residual, or persistent, activity. Any lapse in hand hygiene protocol then leaves patients and staff open to transmitting pathogens. The purpose of the study was to determine whether a persistent sanitizer would reduce hospital-acquired infection in a hospital setting as compared to handwashing alone.
MATERIALS AND METHODS: A controlled, crossover study was conducted in three wards of a hospital over the course of three months. Two months were assigned as control periods, while the third month the test product was added. More than 6,000 patient-days were evaluated. Hospital staff were given a questionnaire to determine overall satisfaction with the product. The product used was a persistent, alcohol-based hand sanitizer (Zylast Antiseptic, 76% v/v ethyl alcohol).
RESULTS: Control data showed that the hospital had a standard hospital-acquired infection rate of 23.1% across the three wards. No hospital-acquired infections were reported during use of the Antiseptic. The product was well tolerated by the staff and improved skin condition.
CONCLUSION: The Antiseptic was demonstrated to significantly (p < 0.0005) reduce the hospital-acquired infection rate as compared to handwashing alone and is well-tolerated in a healthcare setting. The novel, persistent product has the ability to significantly reduce hospital-acquired infection and improve patient care in medical facilities.

Entities:  

Keywords:  Hospital-acquired infection; Zylast; antiseptic; benzethonium chloride; hand hygiene; nosocomial infection; persistent

Year:  2015        PMID: 25722844      PMCID: PMC4325352          DOI: 10.4314/ajid.v9i1.2

Source DB:  PubMed          Journal:  Afr J Infect Dis        ISSN: 2006-0165


  11 in total

1.  Efficacy of an alcohol-based healthcare hand rub containing synergistic combination of farnesol and benzethonium chloride.

Authors:  Milind S Shintre; Trupti A Gaonkar; Shanta M Modak
Journal:  Int J Hyg Environ Health       Date:  2006-06-05       Impact factor: 5.840

2.  Prospective, controlled, cross-over trial of alcohol-based hand gel in critical care units .

Authors:  Mark E Rupp; Teresa Fitzgerald; Susan Puumala; James R Anderson; Rita Craig; Peter C Iwen; Dawn Jourdan; Janet Keuchel; Nedra Marion; Delayne Peterson; Lee Sholtz; Valerie Smith
Journal:  Infect Control Hosp Epidemiol       Date:  2008-01       Impact factor: 3.254

Review 3.  Systematic review of studies on compliance with hand hygiene guidelines in hospital care.

Authors:  Vicki Erasmus; Thea J Daha; Hans Brug; Jan Hendrik Richardus; Myra D Behrendt; Margreet C Vos; Ed F van Beeck
Journal:  Infect Control Hosp Epidemiol       Date:  2010-03       Impact factor: 3.254

Review 4.  The changing epidemiology of resistance.

Authors:  Peter M Hawkey; Annie M Jones
Journal:  J Antimicrob Chemother       Date:  2009-09       Impact factor: 5.790

5.  Use of alcohol-based hand sanitizers as a risk factor for norovirus outbreaks in long-term care facilities in northern New England: December 2006 to March 2007.

Authors:  David D Blaney; Elizabeth R Daly; Kathryn B Kirkland; Jon Eric Tongren; Patsy Tassler Kelso; Elizabeth A Talbot
Journal:  Am J Infect Control       Date:  2011-03-16       Impact factor: 2.918

6.  Novel water-based antiseptic lotion demonstrates rapid, broad-spectrum kill compared with alcohol antiseptic.

Authors:  Steven E Czerwinski; Jesse Cozean; Colette Cozean
Journal:  J Infect Public Health       Date:  2014 May-Jun       Impact factor: 3.718

7.  Hand rub consumption and hand hygiene compliance are not indicators of pathogen transmission in intensive care units.

Authors:  T Eckmanns; F Schwab; J Bessert; R Wettstein; M Behnke; H Grundmann; H Rüden; P Gastmeir
Journal:  J Hosp Infect       Date:  2006-08       Impact factor: 3.926

8.  Duration of handwashing in intensive care units: a descriptive study.

Authors:  Z A Quraishi; M McGuckin; F X Blais
Journal:  Am J Infect Control       Date:  1984-04       Impact factor: 2.918

9.  Effect of antiseptic handwashing vs alcohol sanitizer on health care-associated infections in neonatal intensive care units.

Authors:  Elaine L Larson; Jeannie Cimiotti; Janet Haas; Michael Parides; Mirjana Nesin; Phyllis Della-Latta; Lisa Saiman
Journal:  Arch Pediatr Adolesc Med       Date:  2005-04

10.  Hand-rubbing with an aqueous alcoholic solution vs traditional surgical hand-scrubbing and 30-day surgical site infection rates: a randomized equivalence study.

Authors:  Jean Jacques Parienti; Pascal Thibon; Remy Heller; Yannick Le Roux; Peter von Theobald; Henri Bensadoun; Alain Bouvet; François Lemarchand; Xavier Le Coutour; Hervé Bensadoun
Journal:  JAMA       Date:  2002-08-14       Impact factor: 56.272

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