Effectiveness of a Comprehensive Hand Hygiene Program for Reduction of Infection Rates in a Long-Term Care Facility: Lessons Learned

2012 ◽  
Vol 40 (5) ◽  
pp. e149 ◽  
Author(s):  
Steven Schweon ◽  
Sarah Edmonds ◽  
Jane M. Kirk ◽  
Douglas Y. Rowland
Keyword(s):  
Hand Hygiene ◽  
Long Term Care ◽  
Care Facility ◽  
Lessons Learned ◽  
Infection Rates ◽  
Term Care ◽  
Term Care Facility ◽  
Long Term Care Facility

Effectiveness of a comprehensive hand hygiene program for reduction of infection rates in a long-term care facility

2013 ◽  
Vol 41 (1) ◽  
pp. 39-44 ◽  
Author(s):  
Steven J. Schweon ◽  
Sarah L. Edmonds ◽  
Jane Kirk ◽  
Douglas Y. Rowland ◽  
Carmen Acosta
Keyword(s):  
Hand Hygiene ◽  
Long Term Care ◽  
Care Facility ◽  
Infection Rates ◽  
Term Care ◽  
Term Care Facility ◽  
Long Term Care Facility

scholarly journals Introduction of a Waterless Alcohol-Based Hand Rub in a Long-Term–Care Facility

2003 ◽  
Vol 24 (3) ◽  
pp. 165-171 ◽  
Author(s):  
Lona Mody ◽  
Shelly A. McNeil ◽  
Rongjun Sun ◽  
Suzanne F. Bradley ◽  
Carol A. Kauffman
Keyword(s):  
Hand Hygiene ◽  
Long Term Care ◽  
Care Facility ◽  
Microbial Colonization ◽  
Term Care ◽  
Term Care Facility ◽  
Long Term Care Facility ◽  
Hygiene Practices ◽  
The Impact

AbstractObjective:To examine the impact of introduction of an alcohol-based hand rub on hand hygiene knowledge and compliance and hand colonization of healthcare workers (HCWs) in a long-term-care facility (LTCF).Methods:Two floors of an LTCF participated. Ward A used the hand rub as an adjunct to soap and water; ward B was the control. HCWs' hands were cultured using the bag-broth technique forStaphylococcus aureus,gram-negative bacilli (GNB),Candida,and vancomycin-resistant enterococci (VRE). HCWs completed a questionnaire at baseline and after an educational intervention and introduction of rub.Results:Hand hygiene practices, knowledge, and opinions did not change after the educational or rub intervention. Ward A HCWs thought that the rub was faster (P= .002) and less drying (P= .04) than soap. Hand hygiene frequency did not differ at baseline between the two floors, but increased on ward A by the end of the study (P= .04). HCWs were colonized frequently with GNB (66%),Candida(41%), S.aureus(20%), and VRE (9%). Although colonization did not change from baseline on either ward, the rub was more effective in clearing GNB (P= .03) and S.aureus(P= .003). Nosocomial infection rates did not change.Conclusion:The alcohol-based hand rub was a faster, more convenient, less drying method of hand hygiene for HCWs in an LTCF, and it improved compliance. Although microbial colonization did not change, the rub was more efficacious in removing pathogens already present on the hands of HCWs.

Leading a Long-Term Care Facility through the COVID-19 Crisis: Successes, Barriers and Lessons Learned

2021 ◽  
Vol 23 (4) ◽  
pp. 28-34
Author(s):  
Farinaz Havaei ◽  
Maura MacPhee ◽  
David Keselman ◽  
Sabina Staempfli
Keyword(s):  
Long Term Care ◽  
Care Facility ◽  
Lessons Learned ◽  
Term Care ◽  
Term Care Facility ◽  
Long Term Care Facility

scholarly journals Responding to a COVID-19 Outbreak at a Long-Term Care Facility

2020 ◽  
Vol 40 (1) ◽  
pp. 14-17
Author(s):  
Carl D. Shrader ◽  
Shauna Assadzandi ◽  
Courtney S. Pilkerton ◽  
Amie M. Ashcraft
Keyword(s):  
Long Term Care ◽  
Index Case ◽  
Care Facility ◽  
Lessons Learned ◽  
Control Treatment ◽  
Sequential Order ◽  
Term Care ◽  
Term Care Facility ◽  
Long Term Care Facility

This article describes an outbreak of COVID-19 in a long-term care facility (LTCF) in West Virginia that was the epicenter of the state’s pandemic. Beginning with the index case, we describe the sequential order of procedures undertaken by the facility including testing, infection control, treatment, and communication with facility residents, staff, and family members. We also describe the lessons learned during the process and provide recommendations for handling an outbreak at other LTCFs.

Adherence to hand hygiene in an Italian long-term care facility

2008 ◽  
Vol 36 (7) ◽  
pp. 495-497 ◽  
Author(s):  
Angelo Pan ◽  
Francesca Domenighini ◽  
Liana Signorini ◽  
Renata Assini ◽  
Patrizia Catenazzi ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Long Term Care ◽  
Care Facility ◽  
Term Care ◽  
Term Care Facility ◽  
Long Term Care Facility

scholarly journals Hand Hygiene Compliance in a Pediatric Long-term Care Facility

2015 ◽  
Vol 30 (1) ◽  
pp. 33-43
Author(s):  
Kenji TERASHIMA ◽  
Hisako YANO ◽  
Hiroko WAKIMOTO ◽  
Wakako KANEKO
Keyword(s):  
Hand Hygiene ◽  
Hand Hygiene Compliance ◽  
Long Term Care ◽  
Care Facility ◽  
Term Care ◽  
Term Care Facility ◽  
Long Term Care Facility ◽  
Hygiene Compliance

Lessons learned from a prolonged norovirus GII.P16-GII.4 Sydney 2012 variant outbreak in a long-term care facility in Portugal, 2017

2019 ◽  
Vol 40 (10) ◽  
pp. 1164-1169
Author(s):  
Emma Sáez-López ◽  
Rodrigo Marques ◽  
Nuno Rodrigues ◽  
Mónica Oleastro ◽  
Helena Andrade ◽  
...  
Keyword(s):  
Long Term Care ◽  
Care Facility ◽  
Lessons Learned ◽  
Control Measures ◽  
Term Care ◽  
Environmental Cleaning ◽  
Term Care Facility ◽  
Long Term Care Facility ◽  
Staff Members

AbstractObjective:To investigate an outbreak of acute gastroenteritis caused by norovirus (NoV) in a long-term care facility (LTCF) in Portugal to describe and estimate its extent, and we implemented control measures.Design:Outbreak investigation.Methods:Probable cases were residents or staff members in the LTCF with at least 1 of the following symptoms: (1) diarrhea, (2) vomiting, (3) nausea, and/or (4) abdominal pain between October 31 and December 8, 2017. Confirmed cases were probable cases with positive NoV infection detected by real-time polymerase chain reaction (RT-PCR) and the same genotype in stool specimens.Results:The outbreak was caused by NoV GII.P16-GII.4 Sydney 2012 variant and affected 146 people. The highest illness rates were observed in residents (97 of 335, 29%) and nurses (16 of 83, 19%). All 11 resident wards were affected. Data on cases and their working or living areas suggest that movement between wards facilitated the transmission of NoV, likely from person to person.Conclusions:The delay in the identification of the causative agent, a lack of restrictions of resident and staff movement between wards, and ineffective initial deep-cleaning procedures resulted an outbreak that continued for >1 month. The outbreak ended only after implementation of strict control measures. Recommendations for controlling future NoV outbreaks in LTCFs include emphasizing the need to control resident’s movements and to restrict visitors, timely and effective environmental cleaning and disinfection, leave of absence for ill staff, and encouraging effective hand hygiene.

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