Hand hygiene in pediatric and neonatal intensive care unit patients: Daily opportunities and indication- and profession-specific analyses of compliance

Scheithauer, Simone; Oude-Aost, Jan; Heimann, Konrad; Haefner, Helga; Schwanz, Thomas; Waitschies, B.; Kampf, Günter; Orlikowsky, Thorsten; Lemmen, Sebastian

doi:10.1016/j.ajic.2010.12.020

Cited by 59 publications

(40 citation statements)

References 27 publications

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“…Sacar et al suggested that hands must be washed both before and after touching or doing any procedure [11]. Mazi et al and Scheithauer et al in their studies have shown that compliance with hand hygiene among nurses is better than doctors [12,13], but the current study reports that the knowledge regarding hand hygiene is better in doctors than nursing staffs.…”

Section: Discussioncontrasting

confidence: 52%

Knowledge of Hand Hygiene Practices among Healthcare workers in Neonatal and Paediatric Intensive Care Unit of a tertiary care hospital of Odisha

Choudhury

Mahapatra²

2017

Asian J Pharm Clin Res

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Objective: The objective of this study was to assess the knowledge of hand hygiene of health-care workers in the neonatal and pediatric intensive care unit in a tertiary care hospital. Methods:A study was conducted to assess the knowledge of hand hygiene for the five moments of hand hygiene of the World Health Organization. Health-care workers were given a questionnaire during routine patient care on a random basis and the data were collected. Data analysis was performed using SPSS software version 13.Results: A total of 50 health-care workers were questioned during the observation period. Answers differed by role: Nurses (25) and doctors (10). 15 nurses have no knowledge of moments of hand hygiene and were excluded from the study. Nurses were more likely to use soap and water compared to waterless-alcohol-based hand hygiene practices. Doctors were most likely to use alcoholic hand rub. Conclusion:Although knowledge of hand hygiene practice is high, use of alcohol-based disinfectant was found to be very low compared to soap and water.

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Section: Discussioncontrasting

confidence: 52%

Knowledge of Hand Hygiene Practices among Healthcare workers in Neonatal and Paediatric Intensive Care Unit of a tertiary care hospital of Odisha

Choudhury

Mahapatra²

2017

Asian J Pharm Clin Res

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“…The apprehension that compliance is lower during night shifts than during day shifts has, however, not been confirmed (Pittet et al 1999). Some studies have shown a significantly lower compliance with hygiene guidelines among physicians compared to other professions (Randle et al 2010;Scheithauer et al 2011;Costers et al 2012). A more recent study did not show any general differences in compliance rates between physicians, midwives and registered nurse assistants (Mernelius et al 2013c).…”

Section: Hand Hygienementioning

confidence: 87%

Infection control of Staphylococcus aureus : spa typing to elucidate transmission

Mernelius¹

2015

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Staphylococcus aureus is a commensal of the human flora, primarily colonizing the anterior nares and throat, but it may also cause infections ranging from mild skin and soft tissue infections to severe diseases such as endocarditis and septicemia. S. aureus is also a major nosocomial problem increasing with the worldwide dissemination of methicillin-resistant S. aureus (MRSA).The main vector for bacterial cross-transmission in healthcare settings is the hands of healthcare workers (HCWs). No S. aureus was detected in the air in this thesis demonstrating that transmission through air is not important. Despite the fact that good compliance with hand hygiene is essential to prevent cross-transmission the compliance is generally less than 50 %.Gold standard to track bacterial transmission in healthcare settings has for long been pulsedfield gel electrophoresis (PFGE), a method that is labor-intensive, lacks consensus protocol and relies on semi-subjective analysis. Molecular typing by sequencing of the hypervariable part of the S. aureus protein A gene (spa typing) has overcome these problems and has shown promising results in epidemiological investigations.The aims of this thesis were to study bacterial transmission with S. aureus colonization of newborn infants as a model and to evaluate spa typing as a molecular tool. Additionally, the influence of compliance with hygiene guidelines on S. aureus transmission was assessed.Analysis of 280 MRSA isolates by spa typing revealed excellent typeability and epidemiological concordance and satisfactory discriminatory power. Additionally, spa typing was considered superior to PFGE thanks to its accessibility, ease of use and rapidity. Also, spa typing results are registered in a global database, facilitating inter-laboratory comparison.The prevalence of S. aureus ranged from 41 % to 66 % in the populations studied and males had the highest colonization rate. Throat was the premier colonization site for adults and transmission from individuals colonized in the throat only was documented, suggesting that throat cultures should be included in S. aureus screening programs. The umbilicus was the premier colonization site for newborn infants. Incubating the swabs in enrichment broth prior to plating increased the prevalence of S. aureus positive samples by 46 %, resulting in prevalence viii ranging from 51 % to 70 % in the populations studied. Thus enrichment prior to plating is necessary to determine more truthful S. aureus colonization rates. There were no indications of an institutional flora, as the colonization rates, spa type distribution and antibiotic resistance prevalence were similar among parents and HCWs.Direct observations and self-reporting by HCWs were both validated as tools for monitoring compliance with hygiene guidelines. The compliance with hygiene guidelines was significantly higher following a 10-point hygiene intervention as compared to baseline. The compliance was also higher three years after the intervention in three of four participating departm...

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“…Product usage can also be compared with the industry-average volume of a single dose of product in estimating adherence rates. 36,55,56 Product measurement can be hampered by unreliable usage data from distribution or materials management or intentional tampering with dispensers or deliberate waste of product. B.…”

Section: Methods For Hand Hygiene Adherence Measurementmentioning

confidence: 99%

Strategies to Prevent Healthcare-Associated Infections through Hand Hygiene

Ellingson

Haas

Aiello

et al. 2014

Infect. Control Hosp. Epidemiol.

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Previously published guidelines provide comprehensive recommendations for hand hygiene in healthcare facilities. The intent of this document is to highlight practical recommendations in a concise format, update recommendations with the most current scientific evidence, and elucidate topics that warrant clarification or more robust research. Additionally, this document is designed to assist healthcare facilities in implementing hand hygiene adherence improvement programs, including efforts to optimize hand hygiene product use, monitor and report back hand hygiene adherence data, and promote behavior change. This expert guidance document is sponsored by the Society for Healthcare Epidemiology of America (SHEA) and is the product of a collaborative effort led by SHEA, the Infectious Diseases Society of America (IDSA), the American Hospital Association (AHA), the Association for Professionals in Infection Control and Epidemiology (APIC), and The Joint Commission, with major contributions from representatives of a number of organizations and societies with content expertise. The list of endorsing and supporting organizations is presented in the introduction to the 2014 updates.

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Hand hygiene in pediatric and neonatal intensive care unit patients: Daily opportunities and indication- and profession-specific analyses of compliance

Cited by 59 publications

References 27 publications

Knowledge of Hand Hygiene Practices among Healthcare workers in Neonatal and Paediatric Intensive Care Unit of a tertiary care hospital of Odisha

Knowledge of Hand Hygiene Practices among Healthcare workers in Neonatal and Paediatric Intensive Care Unit of a tertiary care hospital of Odisha

Infection control of Staphylococcus aureus : spa typing to elucidate transmission

Strategies to Prevent Healthcare-Associated Infections through Hand Hygiene

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