| Autor: |
Murali Chakravarthy, Sheila Nainan Myatra, Victor D. Rosenthal, F.E. Udwadia, B.N. Gokul, J.V. Divatia, Aruna Poojary, R. Sukanya, Rohini Kelkar, Geeta Koppikar, Leema Pushparaj, Sanjay Biswas, Lata Bhandarkar, Sandhya Raut, Shital Jadhav, Sulochana Sampat, Neeraj Chavan, Shweta Bahirune, Shilpa Durgad |
| Jazyk: |
angličtina |
| Rok vydání: |
2015 |
| Předmět: |
|
| Zdroj: |
Journal of Infection and Public Health, Vol 8, Iss 2, Pp 177-186 (2015) |
| Druh dokumentu: |
article |
| ISSN: |
1876-0341 |
| DOI: |
10.1016/j.jiph.2014.08.004 |
| Popis: |
Summary: The fundamental tool for preventing and controlling healthcare-acquired infections is hand hygiene (HH). Nonetheless, adherence to HH guidelines is often low. Our goal was to assess the effect of the International Nosocomial Infection Control Consortium (INICC) Multidimensional Hand Hygiene Approach (IMHHA) in three intensive care units of three INICC member hospitals in two cities of India and to analyze the predictors of compliance with HH. From August 2004 to July 2011, we carried out an observational, prospective, interventional study to evaluate the implementation of the IMHHA, which included the following elements: (1) administrative support, (2) supplies availability, (3) education and training, (4) reminders in the workplace, (5) process surveillance and (6) performance feedback. The practices of health care workers were monitored during randomly selected 30-min periods. We observed 3612 opportunities for HH. Overall adherence to HH increased from 36.9% to 82% (95% CI 79.3–84.5; P = 0.0001). Multivariate analysis indicated that certain variables were significantly associated with poor HH adherence: nurses vs. physicians (70.5% vs. 74%; 95% CI 0.62–0.96; P = 0.018), ancillary staff vs. physicians (43.6% vs. 74.0%; 95% CI 0.48–0.72; P |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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