Impact of a training strategy on improving compliance of hand hygiene and gloving during the placement of a short peripheral venous catheter: the multicentre study CleanHand4

Autor: Mathilde Farizon, Sandra dos Santos, Lucas Richard, Agnès Petiteau, Anne-Sophie Valentin, Nathalie van der Mee-Marquet, on behalf of the CleanHand4 collaboration group
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: BMC Medical Education, Vol 23, Iss 1, Pp 1-11 (2023)
Druh dokumentu: article
ISSN: 1472-6920
DOI: 10.1186/s12909-023-04727-x
Popis: Abstract Background Patients who have short peripheral venous catheters (PVC) face an elevated risk of developing bloodstream infections. Preventing catheter-related infections relies on implementing multiple measures, including practicing proper hand hygiene (HH) during catheter placement. Methods We conducted a four-part study: (1) an evaluation of HH practices through direct observation of PVC placements, coupled with the study of the microbial flora of the HCWs fingers just before the placement; (2) the development of an educational tool based on the collected observational and microbiological data; (3) the training to the HCWs observed during the first part, using this tool; and (4) the subsequent observation of the trained HCWs to measure the impact of the training on practice improvement. Results Compliant HH was observed in 23.5% of the 647 HCWs observed during PVC placement before training. The microbiological study revealed fewer pathogens on the fingertips of the HCWs practicing compliant HH compared other HCWs (2.6 vs 11,7%; p = 0.003). The comparison of practices before and after training, assessed among 180 HCWs, showed an increase in the proportion of HCWs performing compliant HH (25.0 vs 63.2%; p
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