Évaluation des pratiques en anesthésie exposant au risque infectieux par transmission croisée

Carbonne, A.; Veber, Benoît; Hajjar, Joseph; Zaro-Goni, D; Maugat, S.; Seguier, J.-C.; Chalfine, Annie; Blanckaert, K.; Aggoune, M.; Auboyer, C.

doi:10.1016/j.annfar.2006.10.002

Cited by 15 publications

(5 citation statements)

References 17 publications

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“…Jewelry and fingernails longer than 2 mm have been reported to enhance total bacterial count on hands 35 . In 2006, a multicenter prospective study carried out by the French Society of Hygiene and the French Society of Anesthesia found that in the operating room, 38% of the 964 anesthesiology physicians and 26% of the 325 nurses wore jewelry 36 . Another French survey reported that 43% of 706 healthcare professionals did not comply with French recommendations on wearing jewelry, and 11.5% on nail hygiene standards 37 .…”

Section: Discussionmentioning

confidence: 99%

“…35 In 2006, a multicenter prospective study carried out by the French Society of Hygiene and the French Society of Anesthesia found that in the operating room, 38% of the 964 anesthesiology physicians and 26% of the 325 nurses wore jewelry. 36 Another French survey reported that 43% of 706 healthcare professionals did not comply with French recommendations on wearing jewelry, and 11.5% on nail hygiene standards. 37 A survey conducted in Poland among 112 students revealed that even if most of them were trained in hand hygiene, >50% wore a wrist watch or jewelry on their hands.…”

Section: Secondary Outcomesmentioning

confidence: 99%

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Impact of a simulation-based training in hand hygiene with alcohol-based hand rub in emergency departments

Ghazali

Deilhes

Thomas

et al. 2018

Infect. Control Hosp. Epidemiol.

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BackgroundHand hygiene is the primary measure for reducing nosocomial infections based on 7 steps recommended by the WHO. The aim of this study was to assess the duration and the quality of hand hygiene before and after simulation-based training (SBT).MethodsThe study took place in a University Hospital Pediatric Department among its residents and nurses. In assessment A, 10 hand-rubbing procedures per participant during a work day were scored by observers using a validated, anatomically based assessment scale. Two weeks later, all participants received a didactic course and SBT, followed 1 month later by assessment B, observation of 10 hand-rubbing procedures. Assessments were performed by 2 independent observers. Before-and-after testing was used to evaluate the demonstration of theoretical knowledge.ResultsIn total, 22 participants were included, for whom 438 hand hygiene procedures were assessed: 218 for assessment A and 220 for assessment B. The duration of hand rubbing increased from 31.16 seconds in assessment A to 35.75 seconds in assessment B (P=.04). In assessment A, participants averaged 6.33 steps, and in assessment B, participants averaged 6.03 steps (difference not significant). Significant improvement in scores was observed between assessments A and B, except for the dorsal side of the right hand. The wrist and interdigital areas were the least-cleaned zones. A difference between assessments A and B was observed for nail varnish (P=.003) but not for long nails or jewelry. Theoretical scores increased from 2.83 to 4.29 (scale of 0–5; P<.001).ConclusionThis study revealed that an optimal number of steps were performed during hand-rubbing procedures and that SBT improved the duration and quality of hand hygiene, except for the dorsal right side. Emphasis should be placed on the specific hand areas that remained unclean after regular hand-rubbing procedures.

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Section: Discussionmentioning

confidence: 99%

Section: Secondary Outcomesmentioning

confidence: 99%

Impact of a simulation-based training in hand hygiene with alcohol-based hand rub in emergency departments

Ghazali

Deilhes

Thomas

et al. 2018

Infect. Control Hosp. Epidemiol.

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“…L'implication de l'anesthésie dans la survenue d'infections nosocomiales est peu évaluée, ce qui entraîne une mécon-naissance du problème de la part des équipes d'anesthésie peu formées à l'hygiène et à la prévention des infections nosocomiales [1].…”

Section: Introductionunclassified

“…L'utilisation de dispositifs médicaux (DM) à usage multiple comme l'échographe expose les patients à un risque infectieux si le DM est mal ou insuffisamment nettoyé, si les procédures de désinfection ou de stérilisation ne sont appliquées, ou même s'il y a recontamination après désinfection ou lors du stockage [1].…”

Section: Introductionunclassified

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Recommandations concernant l’hygiène lors de la réalisation des blocs nerveux périphériques sous échoguidage avec mise en place de cathéter

Nasser¹

2009

Le Praticien en Anesthésie Réanimation

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Study about Using of Polymeric Materials for Improving Hand Hygiene Quality for Healthcare Staff

Dinu

Repanovici

Nemet

2022

Macromolecular Symposia

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The study aims to evaluate the quality of hand hygiene for different categories of employees in the health system. An analysis of the observance of the correct hand washing steps is performed using the observation method at six hospitals in Brasov, Romania. The results are compared with those obtained using the Semmelweis Scanner device, produced by the Hand in Scan company in Budapest; this is a digital control system. Immediate, objective feedback on the quality of the completion of the hand disinfection technique is obtained. The system requires Ultra Violet -UV-light. The aspect regarding the presence of polymeric materials like varnish and the nail polish on the nails of the medical staff is followed. The sample consists of 553 volunteers. There are no statistically significant differences between the three categories of healthcare staff when the compliance to the World Health Organization recommendations regarding nail hygiene is concerned (67.24% compliance in physicians compared to 66.10% in nurses and 67.60% in auxiliary staff, respectively). Surprisingly, the presence of gel coated nails is a protection factor with statistically significant p value after objectivation with Semmelweis scanner.

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Évaluation des pratiques en anesthésie exposant au risque infectieux par transmission croisée

Cited by 15 publications

References 17 publications

Impact of a simulation-based training in hand hygiene with alcohol-based hand rub in emergency departments

Impact of a simulation-based training in hand hygiene with alcohol-based hand rub in emergency departments

Recommandations concernant l’hygiène lors de la réalisation des blocs nerveux périphériques sous échoguidage avec mise en place de cathéter

Study about Using of Polymeric Materials for Improving Hand Hygiene Quality for Healthcare Staff

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