Randomized Crossover Study Evaluating the Effect of a Hand Sanitizer Dispenser on the Frequency of Hand Hygiene among Anesthesiology Staff in the Operating Room

Munoz-Price, L. Silvia; Patel, Zalak Ramanlal; Banks, Shawn; Arheart, Kristopher L.; Eber, Scott; Lubarsky, David A.; Birnbach, David J.

doi:10.1086/676425

Cited by 33 publications

(23 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Previous studies have shown that hand hygiene availability close to the point of use can improve health care worker adherence. 20 However, as demonstrated in a study by Hass and Larson, 21 providing personal hand rub dispensers alone may not lead to sustained improvements in hand hygiene. The use of a contest (awarding a trophy and US$5,000 to the hospital with the best hand hygiene adherence) may have contributed to the improvements seen after the initial intervention implementation; however, it is unlikely that the contest was still affecting hand hygiene adherence 5 years after the initial intervention.…”

Section: Discussionmentioning

confidence: 98%

Assessing sustainability of hand hygiene adherence 5 years after a contest-based intervention in 3 Japanese hospitals

Sakihama

Kayauchi

Kamiya

et al. 2020

American Journal of Infection Control

View full text Add to dashboard Cite

Background: Our goal was to evaluate the 5-year sustainability of a multimodal intervention that included a prize to the hospital with the highest overall hand hygiene adherence rates among health care workers. Methods: We conducted an observational study in 3 Japanese tertiary care hospitals using unobtrusive direct observation of physician and nurse hand hygiene adherence. Observations were performed by a trained observer on inpatient medical, surgical, intensive care, and emergency units. The primary outcome was hand hygiene adherence rates before patient contact. Secondary outcomes were health care worker survey responses to a World Health Organization (WHO) questionnaire on hand hygiene practices. Results: Hand hygiene adherence rates had improved significantly after the introduction of a multimodal intervention (based on principles recommend by the WHO) in 2012 and 2013 (from 18.0% pre-intervention to 32.7% 6 months post-intervention; P < .001). No significant changes were found in hand hygiene adherence in these hospitals 5 years after the original intervention (31.9% 5 years after intervention; P = .53); however, substantial variability in hand hygiene adherence by unit and health care worker type was noted. Conclusions: A multimodal hand hygiene initiative achieved sustained improvement in hand hygiene adherence in 3 Japanese hospitals 5 years after the original intervention.

show abstract

Section: Discussionmentioning

confidence: 98%

Assessing sustainability of hand hygiene adherence 5 years after a contest-based intervention in 3 Japanese hospitals

Sakihama

Kayauchi

Kamiya

et al. 2020

American Journal of Infection Control

View full text Add to dashboard Cite

show abstract

“…The rapid development of AMR poses a global threat to human health as antimicrobials for treating HAI have become an endangered resource [ 8 ]. Hand hygiene (HH) has been recognized as one of the most important and cost-effective measures to prevent HAI, and the introduction of the alcohol-based hand rub has facilitated the adoption of HH practice at the point of care [ 9 - 11 ]. A systematic review of HH in intensive care units (ICU) and general wards showed a mean compliance rate of 40%, and the lowest compliance rates were found in ICUs and among physicians [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

Hand hygiene and aseptic techniques during routine anesthetic care - observations in the operating room

Megeus

Nilsson

Karlsson

et al. 2015

Antimicrob Resist Infect Control

View full text Add to dashboard Cite

BackgroundMore knowledge is needed about task intensity in relation to hand hygiene in the operating room during anesthetic care in order to choose effective improvement strategies. The aim of this study was to explore the indications and occurrence of hand hygiene opportunities and the adherence to hand hygiene guidelines during routine anesthetic care in the operating room.MethodsStructured observational data on hand hygiene during anesthetic care during 94 surgical procedures was collected using the World Health Organization’s observational tool in a surgical department consisting of 16 operating rooms serving different surgical specialties such as orthopedic, gynecological, urological and general surgery.ResultsA total of 2,393 opportunities for hand hygiene was recorded. The number of hand hygiene opportunities when measured during full-length surgeries was mean = 10.9/hour, SD 6.1 with an overall adherence of 8.1%. The corresponding numbers for the induction phase were, mean =77.5/h, SD 27.4 with an associated 3.1% adherence to hand hygiene guidelines. Lowest adherence was observed during the induction phase before an aseptic task (2.2%) and highest during full-length surgeries after body fluid exposure (15.9%).ConclusionsThere is compelling evidence for low adherence to hand hygiene guidelines in the operating room and thus an urgent need for effective improvement strategies. The conclusion of this study is that any such strategy should include education and practical training in terms of how to carry out hand hygiene and aseptic techniques and how to use gloves correctly. Moreover it appears to be essential to optimize the work processes in order to reduce the number of avoidable hand hygiene opportunities thereby enhancing the possibilities for adequate use of HH during anesthetic care.

show abstract

“…3 Muñoz-Price et al 4 showed that increasing access to ABHR led to an increase in the number of times HH was performed by anesthesiology staff during a surgical procedure. 4 Another study suggests that wearable ABHR dispensers improve HH adherence among anesthesia providers. 5 Koff et al 6 showed that the use of a wearable ABHR dispenser capable of recording HH events decreased the contamination rate of intravenous tubing in the operating room (OR).…”

Section: Hand Hygienementioning

confidence: 99%

“…A subsequent study by Muñoz-Price et al reported that placing an ABHR dispenser on the anesthesia machine, in addition to standard wall-mounted dispensers, increased the rate of HH events from 0.5 to 0.8 events per hour (p = 01.01). 4 ABHRs are able to achieve a~4-log (99.99%) reduction in microorganisms on providers' hands after a single application. 115 Petty 5 suggests routine use of wearable ABHR dispenser to improve HH compliance among anesthesia staff.…”

Section: Hand Hygienementioning

confidence: 99%

Infection prevention in the operating room anesthesia work area

Munoz-Price

Bowdle

Johnston

et al. 2018

Infect. Control Hosp. Epidemiol.

Self Cite

View full text Add to dashboard Cite

Randomized Crossover Study Evaluating the Effect of a Hand Sanitizer Dispenser on the Frequency of Hand Hygiene among Anesthesiology Staff in the Operating Room

Cited by 33 publications

References 12 publications

Assessing sustainability of hand hygiene adherence 5 years after a contest-based intervention in 3 Japanese hospitals

Assessing sustainability of hand hygiene adherence 5 years after a contest-based intervention in 3 Japanese hospitals

Hand hygiene and aseptic techniques during routine anesthetic care - observations in the operating room

Infection prevention in the operating room anesthesia work area

Contact Info

Product

Resources

About