Effect of an infection control programme on bacterial contamination of enteral feed in nursing homes

Ho, Suki S.K.; Tse, Mun Yee Mimi; Boost, Maureen

doi:10.1016/j.jhin.2012.05.002

Cited by 24 publications

(44 citation statements)

References 20 publications

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“…8–11, 20–23 A small interventional study involving three NHs in Hong Kong was conducted, where 15 residents and 10 HCP received an educational program about infection control with respect to enteral feeding. The intervention consisted of an educational program that lasted for two weeks after the baseline test at week one.…”

Section: Discussionmentioning

confidence: 99%

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Making infection prevention education interactive can enhance knowledge and improve outcomes: Results from the Targeted Infection Prevention (TIP) Study

Koo

McNamara

Lansing

et al. 2016

American Journal of Infection Control

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Objectives To assess effectiveness of an interactive educational program in increasing knowledge of key infection prevention and control (IPC) principles with emphasis on indwelling device care, hand hygiene and multi-drug resistant organisms (MDROs) among nursing home (NH) healthcare personnel (HCP). Methods We conducted a multi-modal randomized-controlled study involving HCP at 12 NHs. Ten comprehensive and interactive modules covered common IPC topics. We compared: a) intervention and control scores to assess differences in pre-test scores as a result of field interventions; b) pre- and post-test scores to assess knowledge gain and c) magnitude of knowledge gain based on job categories. Results 4,962 tests were returned over the course of the intervention with 389–633 HCP/module. Participants were mostly female certified nursing assistants (CNAs). Score improvement was highest for modules emphasizing hand hygiene, urinary catheter care and MDROs (15.6%, 15.95%, and 22.0%, respectively). After adjusting for cluster study design, knowledge scores were significantly higher after each educational module, suggesting the education delivery method was effective. When compared to CNAs, nursing and rehabilitation personnel scored significantly higher in their knowledge tests. Conclusion Our intervention significantly improved IPC knowledge in HCP, especially for those involved in direct patient care. This increase in knowledge along with preemptive barrier precautions and active surveillance has enhanced resident safety by reducing MDROs and infections in high-risk NH residents.

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Section: Discussionmentioning

confidence: 99%

“…8–13 A majority of those educational interventions have generally focused on one aspect of infection prevention, such as hand hygiene, 9–11 antibiotic usage, 7, 14–16 or evidence-based strategies to prevent a specific type of infection. 8 …”

mentioning

confidence: 99%

Making infection prevention education interactive can enhance knowledge and improve outcomes: Results from the Targeted Infection Prevention (TIP) Study

Koo

McNamara

Lansing

et al. 2016

American Journal of Infection Control

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“…Among the 46 remaining studies, 33 investigated multifaceted interventions which covered other aspects of infection control besides HH, 39,43,46,50,52,53,56,59,61,63,65 whereas 13 described interventions based on HH only. 10,45,[47][48][49]51,54,55,57,58,60,62,64 The interventions on HH were diverse and included educational programs for the staff and the residents (in 57% of the 46 studies describing interventions), 10,14,20,21,23,27,29,39,43,45,47,48,50,51,53,55-65 implementation of new guidelines (28% of studies), [10][11][12][13]15,17,19,20,22,26,…”

Section: Interventionsmentioning

confidence: 99%

“…A total of 28 of the 56 selected studies included some measure of HH compliance; direct observation was performed in 10 studies (18% of all studies), 42,48,51,56,57,59,60,62,64,65 whereas indirect measures, such as questionnaires or amount of alcohol-based rub consumed, were used in 13 (23%) 14,27,30,33,[36][37][38]40,48,49,55,63,64 and 3 studies (5%), 34,35,49 respectively.…”

Section: Hh Observationmentioning

confidence: 99%

Impact of hand hygiene on the infectious risk in nursing home residents: A systematic review

Hocine

Temime

2015

American Journal of Infection Control

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“…En lo que respecta a la NE, aunque no se encontró evidencia que respondiera a la pregunta planteada, las investigaciones de Borges (2010), Ho (2012), Alba (2012) y Sebastián (2014, dejan claro que la manipulación de estos dispositivos es segura utilizando medidas higiénicas básicas como el lavado de manos y el uso de guantes limpios.…”

Section: Discussionunclassified

Mejores prácticas para el lavado y manipulación de la bolsa de alimentación enteral Kangaroo

Alpízar

Martínez

Rodríguez

2016

Revenf

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Institución: Hospital San Rafael de Alajuela COMO CITAR RESUMENIntroducción: La nutrición enteral es una valiosa herramienta en la terapia de los pacientes hospitalizados, especialmente en las unidades de cuidado intensivo y en pacientes que, por sus patologías, pierden su habilidad de ingerir alimentos.Metodología: se aplicó la metodología que señala la práctica clínica basada en evidencia (PCBE) que trata de localizar hallazgos que respondan a la pregunta clínica planteada mediante el estudio y análisis de investigaciones primarias y originales de alta calidad científica. Resultados:Ningún estudio respondió directamente a la pregunta, sin embargo, varias investigaciones aluden que el lavado de manos y el uso de guantes limpios funcionan como estrategia para la manipulación y lavado de este dispositivo. La calidad de los estudios encontrados es baja ya que provienen de investigaciones basadas en la opinión de expertos y revisión de literatura de poca calidad. Conclusiones.No se encuentra evidencia significativa que respalde el uso de técnica aséptica médica y quirúrgica para el manejo y lavado de la bolsa Kangaroo de alimentación enteral.Palabras clave: lavado-de-bolsa-kangaroo, nutrición-enteral, práctica-clínica.

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Effect of an infection control programme on bacterial contamination of enteral feed in nursing homes

Cited by 24 publications

References 20 publications

Making infection prevention education interactive can enhance knowledge and improve outcomes: Results from the Targeted Infection Prevention (TIP) Study

Making infection prevention education interactive can enhance knowledge and improve outcomes: Results from the Targeted Infection Prevention (TIP) Study

Impact of hand hygiene on the infectious risk in nursing home residents: A systematic review

Mejores prácticas para el lavado y manipulación de la bolsa de alimentación enteral Kangaroo

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