A Simple Effective Clean Practice Protocol Significantly Improves Hand Decontamination and Infection Control Measures in the Acute Surgical Setting

Abstract

The introduction of the CPP significantly improved compliance of hand decontamination, correct usage of gloves and aprons, and overall infection-control in a large teaching hospital. The CPP is a highly effective auditing and educational tool that can be readily adapted for use in hospitals globally to monitor and improve infection-control practices.

Preventing healthcare-associated infection through education: Have surgeons been overlooked?

“…Given the recent success of a unique education programme in educating surgeons [11], it is apparent that further such programmes would be effective in reducing morbidity and mortality for surgical patients. If such education programmes were developed and were readily exportable across hospitals, regions, and countries, this would have positive financial implications for health services.…”

“…Significantly, a novel study in a U.K. hospital uniquely targeted surgical teams to implement a "Clean Practice Protocol". Through audit and education infection prevention practices were significantly improved [11]. Some 20-30% of HCAI are considered to be preventable through an extensive infection prevention and control programme [12,13].…”

Auditing Physicians to Improve Their Infection Control Behavior?

“…In this issue of Infection, Howard et al [1] report an interesting approach. They carried out an infection control audit using a ''clean practice protocol.''…”

Estratégia multimodal na promoção da higiene das mãos: atributos para aceitação e tolerância das preparações alcoólicas

“…A falta de rigor com as práticas de controle de infecção, principalmente no que se refere à adesão a HM, tem sido demonstrada em diversos estudos, que relatam taxas de adesão inferiores a 60% em diferentes realidades de assistência à saúde (O'BOYLE, HENLY, LARSON, 2001;GOPAL et al, 2002;HARBARTH et al, 2002;HUGONNET, PERNEGER, PITTET, 2002;PITTET, 2005;WHITBY et al, 2007;HASS, LARSON, 2008;RUEF, 2009;CAMARGO et al, 2009;ATIF et al, 2009;HOMSTED, 2009;HAKKO et al, 2011 (LARSON, 1999;NOGUERAS et al, 2001;CDC, 2002;ELLIOT, 1992 (SETO, 1995;LEVIN, 1999;GODIN et al, 2000;GIROU et al, 2008;BRAUN, KUSEK, LARSON, 2009;FERREIRA et al, 2009;HOWARD et al, 2009;ROCHA et al, 2009;TENÍAS et al, 2009;HAKKO et al, 2011 A adesão ao procedimento de HM em estabelecimentos de assistência à saúde é um problema que merece ser analisado do ponto de vista individual e organizacional. Deste modo, romper com as dificuldades de adesão à HM é um desafio emergente, e apesar da expressiva evolução tecnológica ainda não se ultrapassou a etapa inicial da conscientização pessoal e organizacional quanto à efetividade desta prática nos cenários de assistência (SETO, 1995;LEVIN, 1999;GODIN et al,2000;LARSON et al, 2000;O'BOYLE, HENLY, LARSON, 2001;GOPAL et al, 2002;PITTET, 2005;WHITBY et al, 2007;GIROU et al, 2008;…”

“…Deste modo, romper com as dificuldades de adesão à HM é um desafio emergente, e apesar da expressiva evolução tecnológica ainda não se ultrapassou a etapa inicial da conscientização pessoal e organizacional quanto à efetividade desta prática nos cenários de assistência (SETO, 1995;LEVIN, 1999;GODIN et al,2000;LARSON et al, 2000;O'BOYLE, HENLY, LARSON, 2001;GOPAL et al, 2002;PITTET, 2005;WHITBY et al, 2007;GIROU et al, 2008;ATIF, 2009;HOMSTED, 2009;HOWARD et al, 2009;TENÍAS et al, 2009;BRAUN et al, 2009;FERREIRA et al, 2009;ROCHA et al, 2009).…”