Changes in hand hygiene compliance after a multimodal intervention and seasonality variation

Santos, Rodrigo Pires dos; Konkewicz, Loriane Rita; Nagel, Fabiano Marcio; Lisboa, Thiago; Xavier, Renan Cortez; Jacoby, Thalita Silva; Gastal, Sandra Ludwig; Kuplich, Nádia Mora; Pires, Márcia Rosane; Lovatto, Carem Gorniak; Deutschendorf, Caroline; Kuchenbecker, Ricardo

doi:10.1016/j.ajic.2013.05.020

Cited by 20 publications

(15 citation statements)

References 32 publications

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“…I ). This finding is in agreement with similar Middle East studies from Saudi Arabia, Kuwait reporting improvement from 43-60.8% before intervention to 61.4-86.4% post-intervention [ 16 , 17 ], and similar to the reported improvement post intervention from 23.1% to 64.5% in Argentina [ 18 ], and from 30.0% to 56.7% in Brazil [ 19 ] and from 51.0% to 67.2% in a multi-center Multi-national study including 55 departments in 43 hospitals in Costa Rica, Italy, Mali, Pakistan, and Saudi Arabia [ 4 ].…”

Section: Discussionsupporting

confidence: 92%

Improvement of hand hygiene compliance among health care workers in intensive care units

Anwar

Elareed

2019

Journal of Preventive Medicine and Hygiene

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Section: Discussionsupporting

confidence: 92%

Improvement of hand hygiene compliance among health care workers in intensive care units

Anwar

Elareed

2019

Journal of Preventive Medicine and Hygiene

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“…We achieved a sustained reduction of CR BSIs, reaching 40%, when comparing the results of the third year with the starting point. As a result temporary staff may receive less training [30] and reduced exposure to hand hygiene campaigns [31], and should therefore be considered for educational courses. Both the percentage reduction in BSI in these patients and the overall infection incidence density at the end of the study are comparable to studies conducted in ICUs and other settings [3][4][5]19].…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of a programme to reduce the burden of catheter-related bloodstream infections in a tertiary hospital

et al. 2016

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The objective of this study was to assess the effectiveness of a catheter-related bloodstream infection (CR BSI) reduction programme and healthcare workers' compliance with recommendations. A 3-year surveillance programme of CR BSIs in all hospital settings was implemented. As part of the programme, there was a direct observation of insertion and maintenance of central venous catheters (CVCs) to determine performance. A total of 38 education courses were held over the study period and feedback reports with the results of surveillance and recommendations were delivered to healthcare workers every 6 months. A total of 6722 short-term CVCs were inserted in 4982 patients for 58 763 catheter-days. Improvements of compliance with hand hygiene was verified at the insertion (87·1-100%, P < 0·001) and maintenance (51·1-72·1%, P = 0·029) of CVCs; and the use of chlorhexidine for skin disinfection was implemented at insertion (35·7-65·4%, P < 0·001) and maintenance (33·3-45·9%, P < 0·197) of CVCs. There were 266 CR BSI incidents recorded with an annual incidence density of 5·75/1000 catheter-days in the first year, 4·38 in the second year [rate ratio (RR) 0·76, 95% confidence interval (CI) 0·57-1·01] and 3·46 in the third year (RR 0·60, 95% CI 0·44-0·81). The education programme clearly improved compliance with recommendations for CVC handling, and was effective in reducing the burden of CR BSIs.

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“…A Brazilian study involving health professionals in relation to compliance with hand hygiene techniques showed a decrease in compliance in the summer months, which was associated with the Christmas festivity, vacation and summer period [18]. The same can occur with PD patients and may be aggravated by it being a home therapy; the summer could change household conditions and this may contribute to the rise in infections.…”

Section: Discussionmentioning

confidence: 99%

Is the Distribution of Microorganisms and Peritonitis Affected by Seasonality in Peritoneal Dialysis?

Figueiredo¹,

Kehl²,

Bottin³

et al. 2014

OJNeph

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Introduction: Peritonitis continues to be the main complication for patients on peritoneal dialysis (PD). Objective: To determine the frequency of peritonitis according to the disease-causing microorganism and its distribution throughout the year, linking to seasonality. Methods: A retrospective study conducted in the Dialysis Unit of the Hospital São Lucas, PUCRS (HSL-PUCRS). Patients undergoing PD between January 1984 and September 2013 were included. Descriptive statistics were used and Fisher's exact test with Monte Carlo simulation for comparison between the categorical variables. Results: Of 415 evaluated patients, 66% had at least one episode of peritonitis with an incidence rate of 0.68 episode/year. There were 601 peritonitis episodes in total. The most common microorganism was coagulase-negative Staphylococcus (26.6%, n = 160), followed by Staphylococcus aureus (16.3%, n = 98), with 16.3% of the sample being negative culture. Most episodes occurred in the months of January (10.3%, n = 62) and May (10.1%, n = 61), while June had the lowest occurrence (5.2%, n = 31). The number of episodes observed in January and May were significantly higher when compared to June (p < 0.001). No significant differences were found for the remaining months. There was no association between the microorganisms and months of the year (p = 0.841). Conclusion: The rate of peritonitis is in line with that recommended by the International Society for Peritoneal Dialysis. The distribution of peritonitis-causing germs over the months of the year would seem to be random.

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Changes in hand hygiene compliance after a multimodal intervention and seasonality variation

Cited by 20 publications

References 32 publications

Improvement of hand hygiene compliance among health care workers in intensive care units

Improvement of hand hygiene compliance among health care workers in intensive care units

Effectiveness of a programme to reduce the burden of catheter-related bloodstream infections in a tertiary hospital

Is the Distribution of Microorganisms and Peritonitis Affected by Seasonality in Peritoneal Dialysis?

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