Impact of the International Nosocomial Infection Control Consortium (INICC) Multidimensional Hand Hygiene Approach over 13 Years in 51 Cities of 19 Limited-Resource Countries from Latin America, Asia, the Middle East, and Europe

被引：51

作者：

Rosenthal, Victor D. ^{[1
]}

Pawar, Mandakini ^{[2
]}

Leblebicioglu, Hakan ^{[3
]}

Navoa-Ng, Josephine Anne ^{[4
]}

Villamil-Gomez, Wilmer ^{[5
]}

Armas-Ruiz, Alberto ^{[6
]}

Cuellar, Luis E. ^{[7
]}

Medeiros, Eduardo A. ^{[8
]}

Mitrev, Zan ^{[9
]}

Gikas, Achilleas ^{[10
]}

Yang, Yun ^{[11
]}

Ahmed, Altaf ^{[12
]}

Kanj, Souha S. ^{[13
]}

Duenas, Lourdes ^{[14
]}

Gurskis, Vaidotas ^{[15
]}

Mapp, Trudell ^{[16
]}

Guanche-Garcell, Humberto ^{[17
]}

Fernandez-Hidalgo, Rosalia ^{[18
]}

Kuebler, Andrzej ^{[19
]}

机构：

[1] INICC, RA-1195 Buenos Aires, DF, Argentina

[2] Pushpanjali Crosslay Hosp, Ghaziabad, India

[3] Ondokuz Mayis Univ, Sch Med, Samsun, Turkey

[4] St Lukes Med Ctr, Quezon City, Philippines

[5] Clin Santa Maria, Sucre, Colombia

[6] Ctr Med La Raza IMSS, Mexico City, DF, Mexico

[7] Inst Nacl Enfermedades Neoplas, Lima, Peru

[8] Hosp Sao Paulo, Sao Paulo, Brazil

[9] Special Hosp Surg Dis Filip Vtori, Skopje, North Macedonia

[10] Univ Hosp Herakl, Iraklion, Greece

[11] Shanxi Dayi Hosp, Taiyuan, Peoples R China

[12] Indus Hosp, Karachi, Pakistan

[13] Amer Univ Beirut, Med Ctr, Beirut, Lebanon

[14] Hosp Nacl Ninos Benjamin Bloom, San Salvador, El Salvador

[15] Lithuanian Univ Hlth Sci, Pediat Clin, Kaunas, Lithuania

[16] Clin Hosp San Fernando, Panama City, Panama

[17] Hosp Docente Clin Quirurg Joaquin Albarran Doming, Havana, Cuba

[18] Hosp Clin Bibl, San Jose, Costa Rica

[19] Univ Hosp Wroclaw, Wroclaw, Poland

来源：

INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY | 2013年 / 34卷 / 04期

关键词：

INTENSIVE-CARE UNITS; VENTILATOR-ASSOCIATED PNEUMONIA; URINARY-TRACT-INFECTION; HEALTH-CARE; PERFORMANCE FEEDBACK; CONTROL STRATEGY; CONTROL PROGRAM; RATES; EDUCATION; PREVENTION;

D O I：

10.1086/669860

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

OBJECTIVE. To assess the feasibility and effectiveness of the International Nosocomial Infection Control Consortium (INICC) multidimensional hand hygiene approach in 19 limited-resource countries and to analyze predictors of poor hand hygiene compliance. DESIGN. An observational, prospective, cohort, interventional, before-and-after study from April 1999 through December 2011. The study was divided into 2 periods: a 3-month baseline period and a 7-year follow-up period. SETTING. Ninety-nine intensive care unit (ICU) members of the INICC in Argentina, Brazil, China, Colombia, Costa Rica, Cuba, El Salvador, Greece, India, Lebanon, Lithuania, Macedonia, Mexico, Pakistan, Panama, Peru, Philippines, Poland, and Turkey. PARTICIPANTS. Healthcare workers at 99 ICU members of the INICC. METHODS. A multidimensional hand hygiene approach was used, including (1) administrative support, (2) supplies availability, (3) education and training, (4) reminders in the workplace, (5) process surveillance, and (6) performance feedback. Observations were made for hand hygiene compliance in each ICU, during randomly selected 30-minute periods. RESULTS. A total of 149,727 opportunities for hand hygiene were observed. Overall hand hygiene compliance increased from 48.3% to 71.4% (P < .01). Univariate analysis indicated that several variables were significantly associated with poor hand hygiene compliance, including males versus females (63% vs 70%; P < .001), physicians versus nurses (62% vs 72%; P < .001), and adult versus neonatal ICUs (67% vs 81%; P < .001), among others. CONCLUSIONS. Adherence to hand hygiene increased by 48% with the INICC approach. Specific programs directed to improve hand hygiene for variables found to be predictors of poor hand hygiene compliance should be implemented. Infect Control Hosp Epidemiol 2013;34(4):415-423

引用

页码：415 / 423

页数：9

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