Is Monitoring Parents, Family, and Visitors for Hand Hygiene Compliance Important?

Giannini, Mary Anne; Edwards, Chardae S.; Rooks, Tiffany; Gilliam, Craig; Gipson, Mike; Owings, Angie; Hakim, Hana

doi:10.1016/j.ajic.2016.04.051

Cited by 1 publication

(2 citation statements)

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“…This classification of compliance is vital, yet noticeably missing in current literature. This study proposes the need for hand hygiene compliance monitoring among them as similarly highlighted in a recent study by Giannini et al (2016). Thus, future research may focus on this area.…”

Section: General Implications and Future Directionssupporting

confidence: 54%

“…Hand hygiene compliance monitoring amongst parents and visitors is not mandatory in most institutions, unlike hand hygiene compliance among healthcare workers (Hand Hygiene Australia, 2017a; World Health Organization (WHO), 2009a). This lack of surveillance may underestimate the demand for education on hand hygiene for parents and visitors (Giannini et al, 2016).…”

Section: Perceptions Of 'Speaking Up For Hand Hygiene' Among Healthcamentioning

confidence: 99%

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An epidemiological study of ventilator-associated pneumonia (VAP) and ventilator-associated events (VAE) surveillance and preventative strategies in critically ill children

Ali¹,

Azizah²

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Background: Ventilator-associated pneumonia (VAP) is an ongoing iatrogenic burden within the healthcare system for both adults and paediatrics. Debate continues over the appropriateness of the VAP surveillance tool in paediatrics. Implementation of the new ventilator-associated events (VAE) surveillance tool in the adult setting have shown to overcome the subjectivity of the traditional pneumonia 1 VAP (PNU1/VAP) surveillance tool. Unlike in adult units, the application of the VAE surveillance tool in paediatrics has not been mandated, leaving a question as to its potential application. The lack of VAP paediatric specific studies has hampered progress informing compliance with VAP preventative strategies in paediatric intensive care units (PICUs). Despite good hand hygiene practise being established as a vital infection control measure, perception of 'Speaking up for hand hygiene' in PICU still under-research. Hence, it became a potential area to improve good hygiene practice. Aim: To determine the VAP and VAE incidence using two surveillance tools at two time points; at baseline and post an education campaign aimed at both PICU staff and parents. In addition to testing the two surveillance tools, compliance auditing and staff and parental perspectives of VAP/VAE and preventative strategies was established. Methods: Retrospective study: PNU1/VAP and VAE surveillance tools were applied to 262 mechanical episodes of 234 children who received invasive mechanical ventilation ≥48 hours in PICU in 2015. The sensitivity and specificity of VAE surveillance tool was tested. Other epidemiological data were recorded; demographic characteristics, risk factors and VAP preventative strategies documented within the unit. VAP education, VAP compliance auditing with feedback and surveys: reinforcement of updated VAP education was launched for PICU staff, and a pamphlet focusing on 'Speaking up for hand hygiene' was developed primarily to educate parents. The information was delivered to parents (N=37) via a pamphlet and face-to-face education. VAP compliance auditing was conducted for a two-month period and involved 37 patients in PICU undergoing VAP preventative strategies implemented by PICU staff and parents: hand hygiene, oral hygiene, endotracheal tube (ETT) suctioning, ETT cuff pressure checks, head of bed elevation, ventilator circuit checks, and early enteral feeding commencement. The parents' and nurses' perceptions of 'Speaking up for hand hygiene' were examined through surveys undertaken by 19 parents and 34 nurses. ii Prospective study: a six-month prospective study was conducted to investigate any improvement in incidence rates of VAP/VAE and estimate the compliance rate of VAP preventative strategies. Results: The incidence rate of VAP/VAE was 9.3 per 1000 ventilator days (VAP/VAE) based on end of ventilation and 10.2 (VAP) and 10.4 (VAE) per 1000 ventilator days based on when the patients were no longer at risk. The specificity of the new VAE surveillance tool was high with a slight agreement between the tools. The...

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Section: General Implications and Future Directionssupporting

confidence: 54%

Section: Perceptions Of 'Speaking Up For Hand Hygiene' Among Healthcamentioning

confidence: 99%

An epidemiological study of ventilator-associated pneumonia (VAP) and ventilator-associated events (VAE) surveillance and preventative strategies in critically ill children

Ali¹,

Azizah²

View full text Add to dashboard Cite

show abstract

Is Monitoring Parents, Family, and Visitors for Hand Hygiene Compliance Important?

Cited by 1 publication

References 0 publications

An epidemiological study of ventilator-associated pneumonia (VAP) and ventilator-associated events (VAE) surveillance and preventative strategies in critically ill children

An epidemiological study of ventilator-associated pneumonia (VAP) and ventilator-associated events (VAE) surveillance and preventative strategies in critically ill children

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