Patient-centered hand hygiene: The next step in infection prevention

Landers, Timothy; Abusalem, Said; Coty, Mary-Beth; Bingham, J S

doi:10.1016/j.ajic.2012.02.006

Cited by 84 publications

(70 citation statements)

References 61 publications

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“…Hierfür empfiehlt es sich, durch geeignete Formen der Aufklärung (z. B. Flyer, Plakat, Patientenbroschüre) das Interesse für dieses Präventi-onsanliegen zu wecken und dadurch ein zusätzliches Präventionspotential zu etablieren [3].…”

Section: Inhaltsverzeichnisunclassified

Händehygiene in Einrichtungen des Gesundheitswesens

2016

Bundesgesundheitsbl

163

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Section: Inhaltsverzeichnisunclassified

Händehygiene in Einrichtungen des Gesundheitswesens

2016

Bundesgesundheitsbl

163

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“…Critical care nurses must educate and involve patients more directly in hand hygiene practices (eg, not putting their hands in their mouth or putting contaminated items in their mouth) and use patient-centered safety initiatives to provide recommendations for patient hand hygiene protocols. 59 …”

Section: Meticulous Hand Washingmentioning

confidence: 99%

“…Although much emphasis has been placed on ways to improve health care workers' compliance with hand hygiene, 58,59 little effort has been directed toward involving patients in the patients' own hand hygiene. Evidence suggests that patients' flora and the hospital environment are the primary source of many infections.…”

Section: Meticulous Hand Washingmentioning

confidence: 99%

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Fecal Microbiota Transplant to Treat Recurrent Clostridium difficile Infections

Boyle

Ruth-Sahd

Zhou

2015

Critical Care Nurse

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C lostridium difficile infections (CDIs) are some of the most common health care-associated infections in hospitalized patients 1-8 and in patients residing in nursing homes. 9-11 According to estimates, the diagnosis and treatment of CDIs cost more than $3.2 billion annually in the United States, 2,4,11,12 with approximately 333 000 cases and 15 000 to 20 000 deaths per year. 2,4,[13][14][15] When the diarrhea associated with CDIs becomes severe and causes complications, the infections become life-threatening and are a marked cause of morbidity and death in hospitalized patients. [1][2][3][4] The incidence of severe and recurrent CDIs (RCDIs) has increased because of a new hypervirulent strain of C difficile that is less responsive to traditional medications. Patients with RCDI often are treated in an intensive care unit. Fecal microbiota transplant (FMT), also called fecal bacteriotherapy, is an adjunctive, costeffective treatment for patients with RCDI. 2,[12][13][14][15][16][17][18][19] Critical care nurses must understand the importance of a balanced gut microbiome 20,21 and how CDIs disrupt that balance. [22][23][24][25] Furthermore, the nurses must recognize the role of FMT in order to provide appropriate care, educate patients, and collaborate with health care professionals on the latest treatment options for patients with RCDI. Feature The prevalence of recurrent or refractory Clostridium difficile infection has been steadily increasing since 2000. Consequently, alternative treatments to the standard antibiotic therapies are now being considered. One alternative treatment is fecal microbiota transplant. Although fecal microbiota transplant is relatively new-and not appealing to most people-it has been around for many years and has great promise as an inexpensive, safe, and efficient treatment of refractory and recurrent C difficile infection. With a better understanding of the intricacies of the colonic microbiome and its role in colonic physiology and pathophysiology, critical care nurses will recognize that fecal microbiota transplant has the potential to become the standard of care for treatment of recurrent or refractory C difficile infection. The American College of Gastroenterology and the Infectious Diseases Society of America provide the latest treatment guidelines for care of patients with these clostridial infections. (Critical Care Nurse. 2015;35[2]:51-65) Fecal Microbiota Transplant to Treat Recurrent

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“…1,6,8,9 In a study conducted by Larson et al, 10 microbial flora on the hands of the general population differed from healthcare professionals with higher prevalence of colonised gram-negative bacteria and increased resistance to several antibiotics, particularly with community isolates of Pseudomonas aeruginosa. As Landers et al 11 highlighted, most infections within the healthcare setting occurs as a result of the patient's own bacteria and suggests that patients may be seen as unidentified reservoirs of pathogens.…”

Section: Introductionmentioning

confidence: 99%

Hand hygiene practices amongst patients

Prasad¹,

Chok²,

Wilkes³

2017

Int. j. infect. control

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Hand hygiene is seen as one of the principal means of preventing hospital acquired infections for both staff and patients. While there are many guidelines for hand hygiene practices for health professionals, there is a scarcity of research studies about the attitudes and hand hygiene practices among patients. The aim of this study is to explore nurses' and patients' attitudes and behaviours towards patient hand hygiene at a tertiary teaching hospital in Western Sydney. This descriptive study used patient observations of hand hygiene practices using a validated observation tool, face-to-face interviews with patients, and a survey of nurses. Interviews and surveys were textually and quantitatively analysed. A total of 105 patient observations, 50 patient interviews and 51 nurse surveys were collected. The majority of patients and nurses reported hand hygiene as an important aspect of everyday life in preventing infection in the hospital setting. However, this contrasts with the poor patient hand hygiene compliance identified using the patient observation tool. Patient interviews found that more encouragement and education by staff, increased signage and easily accessible facilities will increase hand hygiene practices. This study highlights the importance of patient input in understanding the entirety of hand hygiene practice from both the nurses and patients point of view. Further training of nursing staff in promoting a hand hygiene friendly environment will have a powerful influence among patients and in delivering patient centred care.

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Patient-centered hand hygiene: The next step in infection prevention

Cited by 84 publications

References 61 publications

Händehygiene in Einrichtungen des Gesundheitswesens

Händehygiene in Einrichtungen des Gesundheitswesens

Fecal Microbiota Transplant to Treat Recurrent Clostridium difficile Infections

Hand hygiene practices amongst patients

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