Determinants of hand hygiene noncompliance in intensive care units

Alsubaie, Sarah; Maither, Abdallah bin; Alalmaei, Waddah; Al-Shammari, Ayshah D.; Tashkandi, Mariam; Somily, Ali M.; Alaska, Abdulkareem; BinSaeed, Abdulaziz A.

doi:10.1016/j.ajic.2012.02.035

Cited by 60 publications

(68 citation statements)

References 32 publications

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“…The possible reasons for a poor night shift IC performance could be the facts that night shifts were more likely to be short staffed and run by less experienced midwives, which might be coupled with lower levels of supervision. However, our findings were in contrast with a study that found working the a.m. shift was a risk factor for hand hygiene noncompliance in intensive care units (20).…”

Section: Discussioncontrasting

confidence: 56%

Infection Control Practices and Program Management in Labor and Delivery Units: A Cross-Sectional Study From Iran

Tabatabaei

Pour

2016

Int J Infect

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Background: Although Iranian women increasingly attend hospitals for childbirth, no information is available on programs and practices related to infection control in labor and delivery units. Objectives: This study aims to investigate infection control program management and midwives' practices in labor and delivery units. Patients and Methods:We analyzed data related to infection control program management and also practices performed by 88 midwives in four labor and delivery units in public hospitals in Zahedan, southeast Iran. Results:The evaluation scores for all aspects of infection control were suboptimal; infection control program management 38.1% to 71.4%, healthcare workers post-exposure measures 58.5% to 92.7%, medical waste management 73.9% to 87.0% and infection control related standard infrastructures and equipments 55.9% to 82.8%. The midwives mean scores for attending infection control training courses and hand hygiene were less than 40% of the maximum score, but the mean scores for normal vaginal deliveries scrub, and equipments and instruments hygiene practices were generally above 70%. Conclusions:The results of this study revealed a need for development of appropriate policies and protocols for infection control practices in labor and delivery units and also midwives training on clean delivery practices.

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Section: Discussioncontrasting

confidence: 56%

Infection Control Practices and Program Management in Labor and Delivery Units: A Cross-Sectional Study From Iran

Tabatabaei

Pour

2016

Int J Infect

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“…16,19 A prevenção da disseminação dos MR se justifica pelas reduzidas alternativas de tratamento das IRAS, prolongando o período de internação e impactando no aumento de custos e mortalidade.…”

Section: Discussionunclassified

Perfil dos microrganismos associados à colonização e infecção em Terapia Intensiva

Oliveira

Paula²,

Iquiapaza

et al. 2017

Rev Epidemiol Control Infect

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Exceto onde especificado diferentemente, a matéria publicada neste periódico é licenciada sob forma de uma licença Creative Commons -Atribuição 4. //dx.doi.org/10.17058/reci.v7i2.8302 Páginas 01 de 06 não para fins de citação Justificativa e Objetivos: Nas instituições hospitalares, as unidades de terapia intensiva são consideradas o epicentro de resistência bacteriana em razão da maior ocorrência de surtos por bactérias multirresistentes. A monitorização do perfil microbiológico dos microrganismos associados a infecções é fundamental para apoiar o uso racional de antimicrobianos e as medidas de prevenção e controle de infecções. O objetivo desse estudo foi verificar o perfil de sensibilidade de microrganismos aos antimicrobianos associados à ocorrência de colonização e infecções em uma unidade de terapia intensiva. Métodos: Tratou-se de uma coorte com seguimento de 2.137 pacientes (2005 -2008) Background and Objectives:Intensive care units are considered the main focus of bacterial resistance in hospital settings because they are the place where most multiresistant bacterial outbreaks take place. Monitoring the microbiological profile of organisms that cause infections is fundamental to support the rational use of antimicrobial agents and implement infection prevention and control measures.The objective of the present study was to assess the profile of sensitivity of microorganisms associated with colonization and infection to antimicrobial agents in an intensive care unit. Methods: The investigation was a cohort study with 2,137 patients admitted to a teaching Os dados foram coletados por vigilância ativa dos registros dos pacientes, diariamente na unidade. Utilizou-se um instrumento com as variáveis: sexo, idade, procedência, tipo de paciente (clínico ou cirúrgico), tempo de permanência na unidade, diagnóstico de infecção comunitária, colonização/infecção por MR durante a internação, procedimentos invasivos, desenvolvimento de infecção hospitalar, e índice de gravidade clínica à admissão definida pela classificação específica, Average Severity Index Score (ASIS). Este índice é adotado para avaliar a condição clínica do paciente relacionando-a à ocorrência de IRAS, variando de A a E, de forma proporcional a gravidade observada (critério ASIS) a seguir descritos: 10 A: Pacientes em pós-operatório não requerendo cuidado médico ou de enfermagem intensivo com previsão de alta da unidade em até 48 horas; INTRODUÇÃOA resistência bacteriana tornou-se um desafio para o controle de Infecções Relacionadas à Assistência em Saúde (IRAS). Nas últimas décadas, se evidencia cada vez mais casos de colonização e infecção por microrganismos multirresistentes, para os quais o tratamento tem representado sérios dilemas terapêuticos. 1,2Nas instituições hospitalares, as Unidades de Terapia Intensiva (UTI) são consideradas o epicentro da resistência bacteriana devido à maior ocorrência de surtos por bactérias multirresistentes.3-5 Nas UTIs as taxas de infecções são estimadas entre 18 e 54%, sendo responsável por 5 a 35% de t...

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“…In most cases, self-reported rates reflect health professionals' intentions regarding HH or the belief that their HH adherence is good, rather than representing their actual HH adherence rates (2,(15)(16) . In this study, the nursing professionals' self-reported adherence rate was high, but the observed rate was low, which supports the position that self-report rates should be evaluated with caution.…”

Section: Discussionmentioning

confidence: 99%

“…However, worldwide rates of adherence to HH guidelines rarely exceed 50% (2)(3) . In consideration of this issue, the World Health Organization (WHO) and other national and international institutions developed approaches to improve healthcare professionals' HH practices (1) .…”

Section: Introductionmentioning

confidence: 99%

Adherence and factors related to acceptance of alcohol for antiseptic hand rubbing among nursing professionals

Oliveira

Gama

Paula

2017

Rev. esc. enferm. USP

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Objective: Identify rates of adhesion and related factors to acceptance of an alcohol based preparation to hands antiseptic friction among nursing professionals in a unit of intensive therapy. Method: A cross-sectional study, which involved direct observation of hand hygiene opportunities and nursing professionals' completion of questionnaires, was conducted at a university hospital between January and July 2015. Descriptive and univariate analyses were performed, with a 5% significance level. Results: It was observed 956 opportunities of hand hygiene among 46 nursing professionals. The rate of adhesion to alcohol-based handrub (ABH) was 34.8% and about 87.0% preferred handwashing. Nurses used ABH more frequently than nursing technicians (p <0.001), and the report of feeling of clean hands after using the alcohol product was directly related to higher rates of adherence to antiseptic friction through observation (P <0.05). Conclusion: The finding indicating low ABH usage highlights the need for greater institutional investment in strategies that help health professionals to recognize the advantages of this type of HH with respect to time spent, ease of access to dispensers, effectiveness in eliminating microorganisms, and maintaining skin moisturization.

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Determinants of hand hygiene noncompliance in intensive care units

Cited by 60 publications

References 32 publications

Infection Control Practices and Program Management in Labor and Delivery Units: A Cross-Sectional Study From Iran

Infection Control Practices and Program Management in Labor and Delivery Units: A Cross-Sectional Study From Iran

Perfil dos microrganismos associados à colonização e infecção em Terapia Intensiva

Adherence and factors related to acceptance of alcohol for antiseptic hand rubbing among nursing professionals

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