The effect of a hand hygiene intervention on infections in residents of nursing homes: a cluster randomized controlled trial

Autor: G. R. Teesing, J. H. Richardus, D. Nieboer, M. Petrignani, V. Erasmus, A. Verduijn-Leenman, J. M. G. A. Schols, M. P. G. Koopmans, M. C. Vos, H. A. C. M. Voeten
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Antimicrobial Resistance and Infection Control, Vol 10, Iss 1, Pp 1-9 (2021)
Druh dokumentu: article
ISSN: 2047-2994
DOI: 10.1186/s13756-021-00946-3
Popis: Abstract Background The primary goal of hand hygiene is to reduce infectious disease rates. We examined if a nursing home’s participation in a hand hygiene intervention resulted in residents having fewer healthcare associated infections (HAIs) when compared to nursing homes without the hand hygiene intervention. Methods This study is a part of a cluster randomized controlled trial (RCT) in 33 nursing homes to improve hand hygiene (HANDSOME). The incidence of five illnesses was followed over 13 months: gastroenteritis, influenza-like illness, pneumonia, urinary tract infections and infections from methicillin-resistant Staphylococcus aureus (MRSA). Incidence rates per study arm were reported for baseline (October–December 2016) and two follow-up periods (January–April 2017, May–October 2017). HAI rates were compared in a Poisson multilevel analysis, correcting for baseline differences (the baseline infection incidence and the size of the nursing home), clustering of observations within nursing homes, and period in the study. Results There was statistically significantly more gastroenteritis (p
Databáze: Directory of Open Access Journals