Hand hygiene: An educational intervention targeting grass root level

Chauhan, Kalpana; Pandey, Anita; Thakuria, Bhaskar

doi:10.1016/j.jiph.2018.12.014

Cited by 13 publications

(22 citation statements)

References 9 publications

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“…Overall adherence to HH compliance is very low, as focus till now has been education and assessment of knowledge part of Hand Hygiene which has definitely shown improvement over the past few years may be because of celebration of World HH day on 5thMay every year. [3][4][5] The average HH compliance rate amongst student and residents was 40.14 % and 17 % respectively in this study. The other workers have also reported much lower HH compliance rate amongst doctor in India 13.75% by Gupta et al, 9% by Saiet al, and Kumar 28%.…”

Section: Discussionmentioning

confidence: 85%

Early education and clinical exposure on hand hygiene: a key for better compliance

2019

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Background: India is underperforming when it comes to compliance to hand hygiene. Early education on followed by regular hand hygiene audits can bring positive changes in infection control practices.Methods: Group I included the 3rd Semester MBBS students who had early education and training on hand hygiene and Group II included the post graduate residents who were exposed to Hand Hygiene later in their carrier were followed up for compliance of WHO Hand Hygiene moments for four months. Compliance among students and residents were observed and compared.Results: Compliance rate was more (40.4%) among medical students as compared to residents (17%). The After moments had a better compliance than Before moments among both students and residents. The difference in the compliance rate was statistically significant.Conclusions: Early clinical exposure of the students to any problem, is the key for better compliance thus explaining the better compliance rate among medical students. Better HH practice can bring down prevalence of Healthcare associated infection by multidrug resistant organism which is a major concern today.

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Section: Discussionmentioning

confidence: 85%

Early education and clinical exposure on hand hygiene: a key for better compliance

2019

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“…Three studies were undertaken in the Far East (Fisher et al 2010;Salmon et al 2013;Suen et al 2019), one in Germany (Scheithauer et al 2012), two in the United States (Lavigne and Curran 2015; Kornicki and Miller 2016) and one each in Australia (Kaur et al 2017), India (Chauhan et al 2019), Finland (Korhonen et al 2019) and Turkey (Kısacık et al 2021). Four studies were undertaken with medical students (Fisher et al 2010;Scheithauer et al 2012;Kaur et al 2017;Chauhan et al 2019), five with nursing students, (Salmon et al 2013;Kornicki andMiller 2016, Korhonen, Suen et al 2019;Kısacık et al 2021), and one with pharmacy students (Lavigne and Curran 2015). Some studies recruited students at the earliest possible stage in their course (Kornicki and Miller 2016), others recruited more senior students (Fisher et al 2010), and some research teams included students at different points in their studies (Scheithauer et al 2012).…”

Section: Included Studiesmentioning

confidence: 99%

“…In the other initiatives outcome measures included knowledge, excellence of practice, attitudes towards hand hygiene and satisfaction with the learning experience. Five publications reported uncontrolled before-and-after study designs (Scheithauer et al 2012;Salmon et al 2013;Lavigne and Curran 2015;Kaur et al 2017;Chauhan et al 2019). One reported a nonrandomised trial (Korhonen et al 2019).…”

Section: Included Studiesmentioning

confidence: 99%

“…There was a move away from conventional, didactic teaching methods, fuelled by awareness of the need to avoid over-burdening an already full curriculum and need to engage students' interest. In five studies infection prevention teams helped develop the intervention (Fisher et al 2010;Scheithauer et al 2012;Salmon et al 2013;Kornicki and Miller 2016;Chauhan et al 2019). Two studies were described by the authors as feasibility studies intended to preface larger scale interventions (Fisher et al 2010;Kornicki and Miller 2016).…”

Section: Included Studiesmentioning

confidence: 99%

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Teaching health care students hand hygiene theory and skills: a systematic review

Purssell

Gould²

2021

International Journal of Environmental Health Research

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Hand hygiene is the cornerstone of infection prevention but is poorly undertaken and under-appreciated by medical, nursing, and other health care students. This systematic review aimed to identify and describe strategies used to teach the theory and practice of hand hygiene, determine impact on knowledge and practice, and identify need for future education and research. Ten studies met the criteria for review. Health care students' theoretical knowledge of hand hygiene and their ability to practise are suboptimal and should be improved before they have contact with vulnerable patients. Educational input can increase knowledge and practice but the methodological heterogeneity of the studies and lack of rigour make it impossible to determine which interventions are most likely to be successful. The literature provides little evidence upon which to base educational practice in this area. There is a need for multi-centred longitudinal studies to measure effectiveness of teaching methods over time.

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“…Hand hygiene is recognized as the most important and cost-effective measure of bundle approach for prevention of all DAIs. 3 Due to the defective hand hygiene practice, microorganisms are often carried by the healthcare worker’s hand from the patients or their surroundings and are transmitted to the adjacent patients and their environment during routine procedures. Adherence to the five moments of the hand hygiene has been evidenced with definite decrease in the infection rate.…”

Section: Introductionmentioning

confidence: 99%

Impact of Continuous Education and Training in Reduction of Central Line-associated Bloodstream Infection in Neurointensive Care Unit

Mohapatra

Kapil

Suri

et al. 2020

Indian Journal of Critical Care Medicine

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Background Patients in the neurointensive care unit have high utilization of devices, thereby increased chance of getting device-associated infection (DAI). Central line-associated bloodstream infection (CLABSI) remains one of the most important DAI. Education remains an important part of the hospital infection control and improves the infection-control practices. Materials and methods To evaluate the effectiveness of a quality initiative in reducing incidence of CLABSI, a prospective study (January 2017–December 2018) was done estimating CLABSI incidence before and after the intervention. Continuous teaching and training for hand hygiene practice and central-line catheter hub care were used as the tool for this study. Results The quality improvement (QI) initiative achieved a 48% reduction in the CLABSI rate from the baseline rate of 8.7 to 4.5 per 1000 catheter days. The overall mortality showed a reduction from 1.5 to 0.05% during the post-intervention period. There was a significant improvement in compliance with the hand hygiene practice and catheter hub care in the post-intervention period. Discussion and conclusion This study demonstrates adherence to hand hygiene and catheter hub care with continuous teaching, training, and supervision was highly effective in reducing the CLABSI rate. Clinical significance Central line-associated bloodstream infection is one of the most important DAI causing significant morbidity and mortality in critically ill patient. Our findings support that continuous educational intervention of hand hygiene with and training on the catheter hub care are two most important preventive measures in the reduction of CLABSI incidence. How to cite this article Mohapatra S, Kapil A, Suri A, Pandia MP, Bhatia R, Borkar S, et al. Impact of Continuous Education and Training in Reduction of Central Line-associated Bloodstream Infection in Neurointensive Care Unit. Indian J Crit Care Med 2020;24(6):414–417.

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Hand hygiene: An educational intervention targeting grass root level

Cited by 13 publications

References 9 publications

Early education and clinical exposure on hand hygiene: a key for better compliance

Early education and clinical exposure on hand hygiene: a key for better compliance

Teaching health care students hand hygiene theory and skills: a systematic review

Impact of Continuous Education and Training in Reduction of Central Line-associated Bloodstream Infection in Neurointensive Care Unit

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