Automated Hand Hygiene Monitoring and Nosocomial Infection Marker Reduction

Background: Most of the persons thought that nosocomial infection is spread from the hands of health care workers. The main aim of hand washing is to be aware for all to know that this is a myth that nosocomial infection is spread from hand. Methods: This cross-sectional study was conducted in Eradah Complex in Jeddah. The Saudi Commission for Health Specialties (SCFHS) has accredited Eradah Complex for Mental Health- Jeddah, as a training center for addiction medicine fellowship program. An observation is done by providing a Google form to the health care workers of the Eradah complex in Jeddah. This is to observe the views of the health care workers on the issue of practices of hand hygiene. Results: There were a total of 178 study participants (111 male and 67 participants). Age groups demonstrate that 34.27% of participants belong to the age group of 36 to 45 years. 32.02% of the participants belong to the age group of 26 to 35 years of age group. Moreover, the graph has shown that 14.04% of participants belong to the age group of 18 to 25 years. It has been seen that the number of female workers bearing the position of Nurse is less than those of males. It is important to have more respondents being nurses as the nurses usually communicate directly with the patients. There is a doctor too, but they are less interaction directly with the patient. Therefore, overall graph shows that only 6.18% participants prefer other professions whereas among other percentages, 7.30% participants are pharmacists, 25.28% people are nurses, and 18.54% participants are doctors. Conclusion: The present study has discussed that maintenance of hand hygiene in the hospitals and clinics are of sheer importance. The research methodology that is incorporated in the present study has been helpful for the researchers in understanding the perception of the healthcare workers what they think about the aspect of washing hands primarily after the pandemic. Therefore, it has been seen that most of the participative healthcare workers primarily males do not find the aspect hand hygiene much important and so they rarely use soap for hand wash. On the contrary, the female workers understand the importance of hand wash more and thus, they support the thought of hand hygiene at the workplace.

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Effectiveness of Process Surveillance for Increasing Hand Hygiene Compliance in 50 Intensive Care Units of 12 Developing Countries. Findings of the International Nosocomial Infection Control Consortium (INICC).

American Journal of Infection Control ◽

10.1016/j.ajic.2008.04.200 ◽

2008 ◽

Vol 36 (5) ◽

pp. E172 ◽

Cited By ~ 1

Keyword(s):

Developing Countries ◽

Intensive Care ◽

Hand Hygiene ◽

Nosocomial Infection ◽

Infection Control ◽

Intensive Care Units ◽

Hand Hygiene Compliance ◽

Hygiene Compliance

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Hand Hygiene Noncompliance and the Cost of Hospital-Acquired Methicillin-Resistant Staphylococcus aureus Infection

Infection Control and Hospital Epidemiology ◽

10.1086/651096 ◽

2010 ◽

Vol 31 (4) ◽

pp. 357-364 ◽

Cited By ~ 28

Author(s):

Keith L. Cummings ◽

Deverick J. Anderson ◽

Keith S. Kaye

Keyword(s):

Staphylococcus Aureus ◽

Hand Hygiene ◽

Nosocomial Infection ◽

Healthcare Worker ◽

Medical Center ◽

Hospital Costs ◽

Published Data ◽

Methicillin Resistant ◽

Mrsa Infection ◽

Mean Cost

Background.Hand hygiene noncompliance is a major cause of nosocomial infection. Nosocomial infection cost data exist, but the effect of hand hygiene noncompliance is unknown.Objective.To estimate methicillin-resistant Staphylococcus aureus (MRSA)-related cost of an incident of hand hygiene noncompliance by a healthcare worker during patient care.Design.Two models were created to simulate sequential patient contacts by a hand hygiene-noncompliant healthcare worker. Model 1 involved encounters with patients of unknown MRSA status. Model 2 involved an encounter with an MRSA-colonized patient followed by an encounter with a patient of unknown MRSA status. The probability of new MRSA infection for the second patient was calculated using published data. A simulation of 1 million noncompliant events was performed. Total costs of resulting infections were aggregated and amortized over all events.Setting.Duke University Medical Center, a 750-bed tertiary medical center in Durham, North Carolina.Results.Model 1 was associated with 42 MRSA infections (infection rate, 0.0042%). Mean infection cost was $47,092 (95% confidence interval [CI], $26,040–$68,146); mean cost per noncompliant event was $1.98 (95% CI, $0.91–$3.04). Model 2 was associated with 980 MRSA infections (0.098%). Mean infection cost was $53,598 (95% CI, $50,098–$57,097); mean cost per noncompliant event was $52.53 (95% CI, $47.73–$57.32). A 200-bed hospital incurs $1,779,283 in annual MRSA infection-related expenses attributable to hand hygiene noncompliance. A 1.0% increase in hand hygiene compliance resulted in annual savings of $39,650 to a 200-bed hospital.Conclusions.Hand hygiene noncompliance is associated with significant attributable hospital costs. Minimal improvements in compliance lead to substantial savings.

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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

Infection Control and Hospital Epidemiology ◽

10.1086/669860 ◽

2013 ◽

Vol 34 (4) ◽

pp. 415-423 ◽

Cited By ~ 46

Author(s):

Victor D. Rosenthal ◽

Mandakini Pawar ◽

Hakan Leblebicioglu ◽

Josephine Anne Navoa-Ng ◽

Wilmer Villamil-Gómez ◽

...

Keyword(s):

Hand Hygiene ◽

Nosocomial Infection ◽

Infection Control ◽

Performance Feedback ◽

Hand Hygiene Compliance ◽

Administrative Support ◽

Univariate Analysis ◽

Limited Resource ◽

Improve Hand Hygiene ◽

Hygiene Compliance

Objective.To assess the feasibility and effectiveness of the International Nosocomial Infection Control Consortium (INICC) multi-dimensional 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.

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Impact of the International Nosocomial Infection Control Consortium (INICC) multidimensional hand hygiene approach in three cities of Colombia

International Journal of Infectious Diseases ◽

10.1016/j.ijid.2013.10.021 ◽

2014 ◽

Vol 19 ◽

pp. 67-73 ◽

Cited By ~ 17

Author(s):

Nayide Barahona-Guzmán ◽

María Eugenia Rodríguez-Calderón ◽

Victor D. Rosenthal ◽

Narda Olarte ◽

Wilmer Villamil-Gómez ◽

...

Keyword(s):

Hand Hygiene ◽

Nosocomial Infection ◽

Infection Control

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The Hand Hygiene And Bacterial Colonies Count Of ICCU’ Visitors Hands: As An Indicator For Nosocomial Infection Prevention

Klabat Journal of Nursing ◽

10.37771/kjn.v1i1.381 ◽

2019 ◽

Vol 1 (1) ◽

pp. 71

Author(s):

Sammy Erica Malau ◽

Samuel M. Simanjuntak

Keyword(s):

Hand Hygiene ◽

Nosocomial Infection ◽

Infection Prevention ◽

T Test ◽

Bacillus Sp ◽

Staphylococcus Epidermis ◽

Convenience Sampling ◽

Paired T Test

Latar belakang: Infeksi nosokomial diperoleh dan ditransmisikan ke pasien yang dirawat di rumah sakit melalui kontak langsung dengan tangan. WHO menjelaskan bahwa intervensi yang paling efektif dan ekonomis untuk mencegah infeksi nosokomial adalah dengan mewajibkan prosedur mencuci tangan. Tujuan: Penelitian ini bertujuan untuk mendeskripsikan jumlah dan jenis koloni bakteri sebelum dan sesudah prosedur mencuci tangan, selanjutnya untuk mengetahui perbedaan jumlah dan jenis koloni bakteri pada sebelum dan sesudah prosedur mencuci tangan. Metode: design penelitian ini adalah quasi-eksperimen dengan satu kelompok pretest-posttest. Partisipan penelitian ini adalah pengunjung Unit Perawatan Intensif Kritis (ICCU) Rumah Sakit Advent Bandung. Partisipan direkrut menggunakan metode convenience sampling. Penelitian ini menggunakan 10 sampel dan data dianalisis menggunakan perangkat lunak SPSS. Hasil: Rata-rata jumlah bakteri sebelum mencuci tangan adalah 73,40 sel / cm2, dan rata-rata jumlah bakteri pada setelah mencuci tangan adalah 12,50 sel / cm2. Staphylococcus Sapropytuicus, Bacillus sp. dan Staphylococcus epidermis juga ditemukan di tangan pengunjung. Hasil uji paired t-test menunjukkan bahwa terdapat perbedaan yang signifikan antara jumlah koloni bakteri sebelum dan sesudah prosedur mencuci tangan dengan nilai p=0,002. Kesimpulan: Hasil penelitian ini adalah bukti yang valid bagi pengambil keputusan di rumah sakit untuk mempromosikan keberlanjutan kebijakan mencuci tangan sebagai bagian dari peningkatan kualitas asuhan keperawatan dan pada saat yang sama mempromosikan program pencegahan infeksi nosokomial dan keselamatan pasien.

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