An automated hand hygiene compliance system is associated with decreased rates of health care-associated infections
| Autor: | Michael Palumbo, Dawn McSpedon-Rai, Rowena Thomas, Saungi McCalla, Leigh Anne McMahon, Maggie Reilly |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male Catheterization Central Venous medicine.medical_specialty Adolescent Epidemiology Health Personnel media_common.quotation_subject Psychological intervention Bacteremia Hospitals Community 030501 epidemiology Health care associated Young Adult 03 medical and health sciences 0302 clinical medicine Hygiene medicine Humans Infection control Hand Hygiene 030212 general & internal medicine Child Aged media_common Aged 80 and over Cross Infection Infection Control business.industry Health Policy Public Health Environmental and Occupational Health Infant Middle Aged Intervention studies United States Community hospital Infectious Diseases Catheter-Related Infections Child Preschool Urinary Tract Infections Emergency medicine Female Guideline Adherence 0305 other medical science business |
| Zdroj: | American Journal of Infection Control. 46:1381-1386 |
| ISSN: | 0196-6553 |
| DOI: | 10.1016/j.ajic.2018.05.017 |
| Popis: | Background Health care-associated infections (HAIs) are avoidable through good hand hygiene (HH) practices. Hand hygiene compliance systems (HHCSs) have been shown to reliably measure HH adherence, but data on their effectiveness at reducing HAI rates are limited. Methods This nonrandomized, pre-post intervention study was conducted at a community hospital in the United States. HAI rates were examined before and after implementation of a HHCS. Preintervention began in January 2014 and intervention began in March 2015; data were collected through September 2017. Additional infection-specific interventions were carried out. HAIs were calculated as incidence rate ratios. Results The preintervention and intervention periods included 14,297 and 36,890 patients, respectively. The HHCS recorded an average of 696,928 HH opportunities/month. A significant reduction in the rate of catheter-associated urinary tract infections was observed during the intervention: IRR, 0.55; 95% CI, 0.35-0.87. Similarly, a significant reduction in the rate of central line-associated bloodstream infections was observed: IRR, 0.45; 95% CI, 0.23-0.89. Discussion and conclusions These findings suggest that monitoring HH practices with an automated system, in addition to other infection control measures, may be an effective means of reducing HAIs. Further studies are needed to isolate the potential role of HHCSs in the reduction of HAIs. |
| Databáze: | OpenAIRE |
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