Sustained increase in resident meal time hand hygiene through an interdisciplinary intervention engaging long-term care facility residents and staff

2015 ◽  
Vol 43 (2) ◽  
pp. 162-164 ◽  
Author(s):  
Marguerite O'Donnell ◽  
Tony Harris ◽  
Terancita Horn ◽  
Blondelle Midamba ◽  
Vickie Primes ◽  
...  
2003 ◽  
Vol 24 (3) ◽  
pp. 165-171 ◽  
Author(s):  
Lona Mody ◽  
Shelly A. McNeil ◽  
Rongjun Sun ◽  
Suzanne F. Bradley ◽  
Carol A. Kauffman

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.


2013 ◽  
Vol 41 (1) ◽  
pp. 39-44 ◽  
Author(s):  
Steven J. Schweon ◽  
Sarah L. Edmonds ◽  
Jane Kirk ◽  
Douglas Y. Rowland ◽  
Carmen Acosta

2008 ◽  
Vol 36 (7) ◽  
pp. 495-497 ◽  
Author(s):  
Angelo Pan ◽  
Francesca Domenighini ◽  
Liana Signorini ◽  
Renata Assini ◽  
Patrizia Catenazzi ◽  
...  

2015 ◽  
Vol 30 (1) ◽  
pp. 33-43
Author(s):  
Kenji TERASHIMA ◽  
Hisako YANO ◽  
Hiroko WAKIMOTO ◽  
Wakako KANEKO

2021 ◽  
Vol 36 (3) ◽  
pp. 287-298
Author(s):  
Jonathan Bergman ◽  
Marcel Ballin ◽  
Anna Nordström ◽  
Peter Nordström

AbstractWe conducted a nationwide, registry-based study to investigate the importance of 34 potential risk factors for coronavirus disease 2019 (COVID-19) diagnosis, hospitalization (with or without intensive care unit [ICU] admission), and subsequent all-cause mortality. The study population comprised all COVID-19 cases confirmed in Sweden by mid-September 2020 (68,575 non-hospitalized, 2494 ICU hospitalized, and 13,589 non-ICU hospitalized) and 434,081 randomly sampled general-population controls. Older age was the strongest risk factor for hospitalization, although the odds of ICU hospitalization decreased after 60–69 years and, after controlling for other risk factors, the odds of non-ICU hospitalization showed no trend after 40–49 years. Residence in a long-term care facility was associated with non-ICU hospitalization. Male sex and the presence of at least one investigated comorbidity or prescription medication were associated with both ICU and non-ICU hospitalization. Three comorbidities associated with both ICU and non-ICU hospitalization were asthma, hypertension, and Down syndrome. History of cancer was not associated with COVID-19 hospitalization, but cancer in the past year was associated with non-ICU hospitalization, after controlling for other risk factors. Cardiovascular disease was weakly associated with non-ICU hospitalization for COVID-19, but not with ICU hospitalization, after adjustment for other risk factors. Excess mortality was observed in both hospitalized and non-hospitalized COVID-19 cases. These results confirm that severe COVID-19 is related to age, sex, and comorbidity in general. The study provides new evidence that hypertension, asthma, Down syndrome, and residence in a long-term care facility are associated with severe COVID-19.


Sign in / Sign up

Export Citation Format

Share Document