A single-arm study to evaluate skin tolerance, effectiveness and adherence to use of an alcohol-based hand rub solution among hospital nurses

Ripabelli, Giancarlo; Tamburro, Manuela; Guerrizio, Giuliana; Fanelli, I; Agnusdei, Concetto Paolo; Sammarco, Michela Lucia

doi:10.1177/1757177419846295

Cited by 7 publications

(5 citation statements)

References 19 publications

(33 reference statements)

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“…The WHO highly recommends that the organization of IPC programs must have clearly defined objectives based on local epidemiology and priorities according to risk assessment and functions that align with and contribute to the prevention of HCAI and the spread of AMR in health care. 1,21 Our findings support this recommendation as we discovered a positive relationship between an IPC program with clearly defined objectives and the advance IPC level. The odds of a facility with clearly defined IPC objectives having a better IPC overall outlook was much higher than facilities without.…”

Section: Discussionsupporting

confidence: 79%

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<p>Infection Prevention and Control Preparedness Level and Associated Determinants in 56 Acute Healthcare Facilities in Ghana</p>

Oppong¹,

Amponsem-Boateng²,

Kyere³

et al. 2020

IDR

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Background: Infection prevention and control (IPC) is a globally relevant aspect of all health systems impacting the health and safety of both patients and healthcare workers. However, best practices remain a challenge in healthcare delivery especially in resource limited situations. The primary objective of this study was to assess the infection prevention and control (IPC) preparedness levels of acute healthcare facilities in Ghana and to determine the factors associated with the overall IPC preparedness levels in acute healthcare facilities. Methods: A cross-sectional study adapting the IPC assessment framework (IPCAF) developed by the World Health Organization (WHO) was conducted. Five of the core components of the WHO IPCAF were used to assess the IPC level of 56 acute healthcare facilities in Ghana. Results: Of the 56 facilities surveyed, only 19 had an IPC program with clearly defined objectives. Overall, 8 (14.3%) facilities scored an IPC preparedness level of "Advance", 18 (32.1%) facilities received an "Intermediate" IPC preparedness score, 23 (41.1%) facilities received an IPC preparedness level of "basic" and 7 (12.5%) facilities scored an IPC preparedness level of "inadequate". IPC materials like detergents, running water and PPEs were not significantly supplied. Government owned facilities performed better in terms of IPC preparedness as compared to privately owned facilities. A PLUM-ordinal regression analysis revealed that an IPC program with clearly defined objectives (OR= 76; 95% CI; 7.23, 808.19), dedicated IPC budget (OR= 13; 95% CI; 3.8-44.3) and regular mandatory training (OR= 50.9; 95% CI; 6.1-425) were associated with increased IPC preparedness. Conclusion: Generally, the IPC preparedness levels in a majority of the facilities were low and required significant improvements in several areas. Facilities must make periodic reviews and adjust their objectives based on facility priorities.

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Section: Discussionsupporting

confidence: 79%

Section: Discussionmentioning

confidence: 99%

<p>Infection Prevention and Control Preparedness Level and Associated Determinants in 56 Acute Healthcare Facilities in Ghana</p>

Oppong¹,

Amponsem-Boateng²,

Kyere³

et al. 2020

IDR

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“…Serving as a teaching hospital as well, there is a continuous inflow of medical residents and junior practitioners, putting a high IP training load on the IPC staff. According to the latest publicly available National Nosocomial Surveillance System data, the average ABHR use was 10.7 L/1000 patient days (based on 22 institutions), which is merely half of the WHO recommended amount [ 39 ]. While the consumption went up significantly during the COVID-19, it is still significantly lagging behind international averages.…”

Section: Discussionmentioning

confidence: 99%

Establishing a Learning Model for Correct Hand Hygiene Technique in a NICU

Németh

Nádor

Szilágyi

et al. 2022

JCM

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The ability of healthcare workers to learn proper hand hygiene has been an understudied area of research. Generally, hand hygiene skills are regarded as a key contributor to reduce critical infections and healthcare-associated infections. In a clinical setup, at a Neonatal Intensive Care Unit (NICU), the outcome of a multi-modal training initiative was recorded, where objective feedback was provided to the staff. It was hypothesized that staff at the NICU are more sensitive towards applying increased patient safety measures. Outcomes were recorded as the ability to cover all hand surfaces with Alcohol-Based Handrub (ABHR), modelled as a time-series of measurements. The learning ability to rub in with 1.5 mL and with 3 mL was also assessed. As a secondary outcome, handrub consumption and infection numbers were recorded. It has been observed that some staff members were able to quickly learn the proper hand hygiene, even with the limited 1.5 mL, while others were not capable of acquiring the technique even with 3 mL. When analyzing the 1.5 mL group, it was deemed an insufficient ABHR amount, while with 3 mL, the critical necessity of skill training to achieve complete coverage was documented. Identifying these individuals helps the infection control staff to better focus their training efforts. The training led to a 157% increase in handrub consumption. The setting of the study did not allow to show a measurable reduction in the number of hospital infections. It has been concluded that the training method chosen by the staff greatly affects the quality of the outcomes.

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“…The isolation of NDM‐1 K. pneumoniae underlines the need to reinforce infection prevention and control measures in our hospital, encompassing the implementation of the active surveillance for CRE carriage or screening of colonization on hospital admission, pre‐emptive isolation, proper reprocessing of medical devices, contact precautions, hand hygiene, dedicated nursing, staff education, environmental cleaning and antimicrobial stewardship programmes (Ripabelli et al . 2018, 2019; ECDC 2019b).…”

Section: Resultsmentioning

confidence: 99%

New Delhi metallo‐β‐lactamase (NDM‐1)‐producingKlebsiella pneumoniaeof sequence type ST11: first identification in a hospital of central Italy

Ripabelli

Sammarco

Salzo

et al. 2020

Lett. Appl. Microbiol.

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The rapidity by which mechanisms of antibiotic resistance can disseminate following the initial identification or recognition is demonstrated by NDM, which is currently diffused worldwide due to the international transmission, involving movement of infected or colonized individuals. The emergence of NDM in our regional hospital setting, where the circulation of carpabenem resistant Klebsiella pneumoniae is widely sustained, represents a significant public health concern. This study reinforces the importance of monitoring antimicrobial susceptibility and undertaking molecular epidemiology investigations for description of the nature and the type of multidrug resistance in isolates causing hospital infections.

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A single-arm study to evaluate skin tolerance, effectiveness and adherence to use of an alcohol-based hand rub solution among hospital nurses

Cited by 7 publications

References 19 publications

<p>Infection Prevention and Control Preparedness Level and Associated Determinants in 56 Acute Healthcare Facilities in Ghana</p>

<p>Infection Prevention and Control Preparedness Level and Associated Determinants in 56 Acute Healthcare Facilities in Ghana</p>

Establishing a Learning Model for Correct Hand Hygiene Technique in a NICU

New Delhi metallo‐β‐lactamase (NDM‐1)‐producingKlebsiella pneumoniaeof sequence type ST11: first identification in a hospital of central Italy

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