Sustained effects of a multimodal campaign aiming at hand hygiene improvement on compliance and healthcare-associated infections in a large gynaecology/obstetrics tertiary-care centre in Vietnam

Autor: Anh Pham Phuong Dinh, Didier Pittet, Hang Thi Thuy Tran, Hang Thi Phan, Walter Zingg
Jazyk: angličtina
Rok vydání: 2020
Předmět:
0301 basic medicine
Abortion
Rate ratio
Hand sanitizer
Lower-middle-income country
Tertiary Care Centers
0302 clinical medicine
Hygiene
Pregnancy
Hand rubbing
Medicine
Pharmacology (medical)
030212 general & internal medicine
Prospective Studies
media_common
ddc:616
Cross Infection
Incidence (epidemiology)
Incidence
Behaviour change
Alcohol-based handrub
Obstetrics
Infectious Diseases
Vietnam
Practice Guidelines as Topic
Female
Guideline Adherence
Endometritis
Surgical site infection
Compliance
Microbiology (medical)
Healthcare associated infections
medicine.medical_specialty
media_common.quotation_subject
Health Personnel
030106 microbiology
Intervention
Health Promotion
lcsh:Infectious and parasitic diseases
03 medical and health sciences
Humans
Surgical Wound Infection
lcsh:RC109-216
Healthcare-associated infection
Infection Control
business.industry
Research
Public Health
Environmental and Occupational Health
Emergency medicine
Multimodal
Observational study
Patient Participation
business
Hand hygiene
Zdroj: Antimicrobial Resistance and Infection Control, Vol 9, Iss 1, Pp 1-9 (2020)
Antimicrobial Resistance and Infection Control, Vol. 9, No 1 (2020) P. 51
Antimicrobial Resistance and Infection Control
ISSN: 2047-2994
DOI: 10.1186/s13756-020-00712-x
Popis: Background Hung Vuong Hospital (HVH) is a 900-bed maternity hospital in Ho-Chi-Minh-City, Vietnam. Due to low compliance, a quasi-experimental, observational study was conducted with the aim to improve hand hygiene. Methods A multimodal promotion strategy was established in 2010 and further developed towards ongoing, repetitive and inventive campaigns including patient participation. Hand hygiene compliance was monitored by direct observation and healthcare-associated infections (HAIs) by applying standard definitions. Results Between 2010 and 2018, a total of 43,711 hand hygiene opportunities were observed. Compliance improved from 21.5% (95%CI: 20.2–22.8%) in 2010 to 75.1% (73.9–76.2%) in 2018 (incidence rate ratio, IRR , 1.10; 95%CI, 1.10–1.11). This was achieved through increasing recourse to alcohol-based hand rubbing. A total of 554,720 women were admitted to HVH during the study period for 353,919 deliveries (198,679 vaginal; 155,240 by C-section) and 257,127 surgical procedures. The HAI-incidence decreased significantly from 1.10 episodes per 1000 patient-days in 2010 to 0.45 per 1000 patient-days in 2018 (IRR 0.85; 95%CI, 0.79–0.90). Significant improvement was observed also for surgical site infections after gynaecological surgery (IRR 0.95; 95%CI, 0.92–0.99) and endometritis after abortion (IRR 0.80; 95%CI, 0.68–0.93). Conclusions A multimodal strategy aiming at behaviour change significantly improved and sustained hand hygiene, which contributed to the reduction of healthcare-associated infections.
Databáze: OpenAIRE
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