Jui-Kuang Chen1, Kuan-Sheng Wu1, Susan Shin-Jung Lee2, Huey-Shyan Lin3, Hung-Chin Tsai4, Ching-Hsien Li5, Hsueh-Lan Chao5, Hsueh-Chih Chou6, Yueh-Ju Chen5, Yu-Hsiu Huang5, Chin-Mei Ke5, Cheng Len Sy1, Yu-Ting Tseng1, Yao-Shen Chen7. 1. Division of Infectious Diseases, Department of Internal Medicine, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan. 2. Division of Infectious Diseases, Department of Internal Medicine, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan; School of Medicine, National Yang-Ming University, Taipei, Taiwan. 3. School of Nursing, Fooyin University, Kaohsiung, Taiwan; Department of Health Services Policy and Management, University of South Carolina, Columbia, SC. 4. Division of Infectious Diseases, Department of Internal Medicine, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan; Graduate Institute of Environmental Education, National Kaohsiung Normal University, Kaohsiung, Taiwan. 5. Infection Control Unit, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan. 6. Department of Nursing, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan. 7. Division of Infectious Diseases, Department of Internal Medicine, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan. Electronic address: yschen@vghks.gov.tw.
Abstract
BACKGROUND: Hand hygiene (HH) is considered to be the most simple, rapid, and economic way to prevent health care-associated infection (HAI). However, poor HH compliance has been repeatedly reported. Our objective was to evaluate the impact of implementing the updated World Health Organization (WHO) multimodal HH guidelines on HH compliance and HAI in a tertiary hospital in Taiwan. METHODS: We conducted a before-and-after interventional study during 2010-2011. A multimodal HH promotion campaign was initiated. Key strategies included providing alcohol-based handrub dispensers at points of care, designing educational programs tailored to the needs of different health care workers, placement of general and individual reminders in the workplace, and establishment of evaluation and feedback for HH compliance and infection rates. RESULTS: Overall HH compliance increased from 62.3% to 73.3% after 1 year of intervention (P < .001). The rate of overall HAI decreased from 3.7% to 3.1% (P < .05), urinary tract infection rate decreased from 1.5% to 1.2% (P < .05), and respiratory tract infection rate decreased from 0.53% to 0.35% (P < .05). This campaign saved an estimated $940,000 and 3,564 admission patient days per year. CONCLUSION: The WHO multimodal HH guidelines are feasible and effective for the promotion of HH compliance and are associated with the reduction of HAIs.
BACKGROUND: Hand hygiene (HH) is considered to be the most simple, rapid, and economic way to prevent health care-associated infection (HAI). However, poor HH compliance has been repeatedly reported. Our objective was to evaluate the impact of implementing the updated World Health Organization (WHO) multimodal HH guidelines on HH compliance and HAI in a tertiary hospital in Taiwan. METHODS: We conducted a before-and-after interventional study during 2010-2011. A multimodal HH promotion campaign was initiated. Key strategies included providing alcohol-based handrub dispensers at points of care, designing educational programs tailored to the needs of different health care workers, placement of general and individual reminders in the workplace, and establishment of evaluation and feedback for HH compliance and infection rates. RESULTS: Overall HH compliance increased from 62.3% to 73.3% after 1 year of intervention (P < .001). The rate of overall HAI decreased from 3.7% to 3.1% (P < .05), urinary tract infection rate decreased from 1.5% to 1.2% (P < .05), and respiratory tract infection rate decreased from 0.53% to 0.35% (P < .05). This campaign saved an estimated $940,000 and 3,564 admission patient days per year. CONCLUSION: The WHO multimodal HH guidelines are feasible and effective for the promotion of HH compliance and are associated with the reduction of HAIs.
Authors: S Ibeneme; V Maduako; G C Ibeneme; A Ezuma; T U Ettu; N F Onyemelukwe; D Limaye; G Fortwengel Journal: Biomed Res Int Date: 2017-06-11 Impact factor: 3.411
Authors: Mayra Gonçalves Menegueti; Fernando Bellissimo-Rodrigues; Marcia A Ciol; Maria Auxiliadora-Martins; Anibal Basile-Filho; Silvia Rita Marin da Silva Canini; Elucir Gir; Ana Maria Laus Journal: Antimicrob Resist Infect Control Date: 2021-01-06 Impact factor: 4.887