Impact of COVID-19 pandemic waves on health-care worker hand hygiene activity in department of medicine and ICU as measured by an automated monitoring system.

Autor: Si Ali A; Department of Infection Prevention and Control, Centre Hospitalier Intercommunal de Créteil (CHIC), Créteil, France. Electronic address: amine.siali@chicreteil.fr., Cherel O; Department of Infection Prevention and Control, Centre Hospitalier Intercommunal de Créteil (CHIC), Créteil, France., Brehaut P; Department of Infection Prevention and Control, Centre Hospitalier Intercommunal de Créteil (CHIC), Créteil, France., Garrait V; Department of Internal Medicine, CHIC, Créteil, France., Lombardin C; Department of Internal Medicine, CHIC, Créteil, France., Schortgen F; Intensive Care Unit, CHIC, Créteil, France., Constan A; Intensive Care Unit, CHIC, Créteil, France., Lanceleur F; MediHandTrace, Institut Hospitalo-Universitaire, Marseille, France., El-Assali A; Department of Information Technology, CHIC, Créteil, France., Poullain S; Department of Pharmacy, CHIC, Créteil, France., Jung C; Clinical Research Centre, CHIC, Créteil, France. Electronic address: camille.jung@chicreteil.fr.
Jazyk: angličtina
Zdroj: Infection, disease & health [Infect Dis Health] 2023 May; Vol. 28 (2), pp. 95-101. Date of Electronic Publication: 2022 Dec 19.
DOI: 10.1016/j.idh.2022.11.003
Abstrakt: Background: Hand hygiene (HH) compliance among health-care workers is important for preventing transmission of infectious diseases.
Aim: To describe health-care worker hand hygiene activity in ICU and non-ICU patients' rooms, using an automated monitoring system (AMS), before and after the onset of the COVID-19 pandemic.
Methods: At the Intercommunal Hospital of Créteil, near Paris, France, alcohol-based hand sanitizer (ABHS) consumption in the Department of Medicine (DM) and ICU was recorded using an AMS during four periods: before, during, and after the first wave of the COVID-19 pandemic, and during its second wave.
Findings: From 1st February to 30th November 2020, in the DM, the mean number of doses per patient-day for each of the four periods was, respectively, 5.7 (±0.3), 19.4 (±1.3), 17.6 (±0.7), and 7.9 (±0.2, P < 0.0001). In contrast, ICU ABHS consumption remained relatively constant. In the DM, during the pandemic waves, ABHS consumption was higher in rooms of COVID-19 patients than in other patients' rooms. Multivariate analysis showed ABHS consumption was associated with the period in the DM, and with the number of HCWs in the ICU.
Conclusion: An AMS allows real-time collection of ABHS consumption data that can be used to adapt training and prevention measures to specific hospital departments.
(Copyright © 2022 The Author(s). Published by Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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