scholarly journals Risk Difference of Multidrug Resistance Organisms (MDROs) According to Risk Factor and Hand Hygiene Compliance

2015 ◽  
Vol 3 (3) ◽  
pp. 277
Author(s):  
Ajeng FS Kurniawati ◽  
Prijono Satyabakti ◽  
Novita Arbianti
Keyword(s):  
Multidrug Resistance ◽  
Length Of Stay ◽  
Hand Hygiene ◽  
Hand Hygiene Compliance ◽  
Health Workers ◽  
Risk Difference ◽  
Control Group ◽  
Treatment Unit ◽  
Hygiene Compliance

ABSTRACTNosocomial infections is still global public health problems. Along with the problems there are resistance bacterial problem to multiple classes of antibiotics, defined as multidrug resistance organisms (MDROs). Incidence rates of MDROs in ICU is higher than in other treatment unit. Rational antibiotic use and controlling the transmission of bacterial is important to avoid MDROs. The purpose of this study was to analyze Risk Differences of MDROs according to risk factors and hand hygiene compliance in ICU patients. This study used case control design with sample size was 20 patients for each case and control groups. Samples in cases group were patients infected by MDROs in ICU, while the samples in control group were patients in ICU didn’t infected by MDROs. The independent variable are long term use of antibiotic, length of stay, the use of ventilator, and hand hygiene compliance by health worker. Analyze data used OR (Odds Ratio) and RD (Risk Difference). The conclusion was that Risk Difference of MDROs infection by long term use of antibiotics (OR 10.23 95% CI 1.12 < OR < 93.35; RD = 0.47), length of stay (OR 7.36 95% CI 1.34<OR<40.55; RD = 0.44), the use of ventilator devices (OR 9.00 95% CI 1.64 < OR < 49.45; RD = 0.48) and hand hygiene compliance (OR 6.00 95% CI 1.46 < OR < 24.69; RD = 0.42). The conclusion was that maintaining hygiene before medical treatment, environment and health workers body should be implemented so can’t became a media for bacterial MDROs growth.Keywords: antibiotic,ventilator, length of stay, hand hygiene, MDROs

scholarly journals Risk Difference of Multidrug Resistance Organisms (MDROs) According to Risk Factor and Hand Hygiene Compliance

2015 ◽  
Vol 3 (3) ◽  
pp. 277
Author(s):  
Ajeng FS Kurniawati ◽  
Prijono Satyabakti ◽  
Novita Arbianti
Keyword(s):  
Multidrug Resistance ◽  
Length Of Stay ◽  
Hand Hygiene ◽  
Hand Hygiene Compliance ◽  
Health Workers ◽  
Risk Difference ◽  
Control Group ◽  
Treatment Unit ◽  
Hygiene Compliance

Nosocomial infections is still global public health problems. Along with the problems there are resistance bacterial problem to multiple classes of antibiotics, defined as multidrug resistance organisms (MDROs). Incidence rates of MDROs in ICU is higher than in other treatment unit. Rational antibiotic use and controlling the transmission of bacterial is important to avoid MDROs. The purpose of this study was to analyze Risk Differences of MDROs according to risk factors and hand hygiene compliance in ICU patients. This study used case control design with sample size was 20 patients for each case and control groups. Samples in cases group were patients infected by MDROs in ICU, while the samples in control group were patients in ICU didn’t infected by MDROs. The independent variable are long term use of antibiotic, length of stay, the use of ventilator, and hand hygiene compliance by health worker. Analyze data used OR (Odds Ratio) and RD (Risk Difference). The conclusion was that Risk Difference of MDROs infection by long term use of antibiotics (OR 10.23 95% CI 1.12 < OR < 93.35; RD = 0.47), length of stay (OR 7.36 95% CI 1.34<OR<40.55; RD = 0.44), the use of ventilator devices (OR 9.00 95% CI 1.64 < OR < 49.45; RD = 0.48) and hand hygiene compliance (OR 6.00 95% CI 1.46 < OR < 24.69; RD = 0.42). The conclusion was that maintaining hygiene before medical treatment, environment and health workers body should be implemented so can’t became a media for bacterial MDROs growth.Keywords: antibiotic,ventilator, length of stay, hand hygiene, MDROs

scholarly journals Description of Hand Hygiene’s Compliance on Nurse of Hemodialysis at Haji Hospital Surabaya

2017 ◽  
Vol 5 (2) ◽  
pp. 240
Author(s):  
Rr Rizqi Saphira Nurani ◽  
Atik Choirul Hidajah
Keyword(s):  
Hand Hygiene ◽  
General Hospital ◽  
Hand Hygiene Compliance ◽  
Health Workers ◽  
Data Retrieval ◽  
Improve Hand Hygiene ◽  
Descriptive Research ◽  
Hemodialysis Unit ◽  
Audit Form ◽  
Hygiene Compliance

Thousands patients around the world die every day because of infections when they get treatment. This is because the transmission of microbacteria from the hands of health workers. Hand hygiene is the most important aspect to prevent the transmission of microbacteria and preventing HAIs. Hand hygiene awareness of health workers is a fundamental behavior to prevent cross-infection. The purpose of this study was to evaluate the hand hygiene compliance of nurse in Unit Hemodialysis of Hajj General Hospital Surabaya. Type of this research is descriptive research and observations by using a qualitative approach. Data retrieval on the research is an interview with nurse and audit hand hygiene. Research instrument using a questionnaire of hand hygiene and BSI knowledge, and hand hygiene audit form made by WHO. The population in this research was all nurses in Hemodialysis Unit General Hospital Surabaya Hajj that add up to 11 people. The results of this research obtained that compliance with hand hygiene Unit Hemodialysis nurse is 35%. The compliance were still less and has not reached the standards established by the PPI Hajj General Hospital Surabaya that is 100% and still has not reach compliance standards of WHO that is 40%. Hand hygiene compliance was low caused by the low participation of PPI base training and the lack of availability of hand hygiene facility in the Hemodialysis Unit General Hospital Surabaya Hajj. Advice from research were conducting on job training about how to perform hand hygiene and improve hand hygiene facilities in Hemodialysis Units. Keywords: hand hygiene, compliance, nurse

scholarly journals Reduction in Intraoperative Bacterial Contamination of Peripheral Intravenous Tubing Through the Use of a Novel Device

2009 ◽  
Vol 110 (5) ◽  
pp. 978-985 ◽  
Author(s):  
Matthew D. Koff ◽  
Randy W. Loftus ◽  
Corey C. Burchman ◽  
Joseph D. Schwartzman ◽  
Megan E. Read ◽  
...  
Keyword(s):  
Confidence Interval ◽  
Hand Hygiene ◽  
Odds Ratio ◽  
Hand Hygiene Compliance ◽  
Group Versus ◽  
Control Group ◽  
Healthcare Associated Infections ◽  
Intravenous Tubing ◽  
Hygiene Compliance ◽  
Healthcare Associated

Background Hand hygiene is a vital intervention to reduce health-care associated infections, but compliance remains low. The authors hypothesized that improvements in intraoperative hand hygiene compliance would reduce transmission of bacteria to surgical patients and reduce the incidence of postsurgical healthcare-associated infections. Methods The authors performed a controlled before-and-after study over 2 consecutive months. One hundred fourteen operative cases were enrolled. Two predesignated sites on the anesthesia machine were selected, decontaminated, and cultured via aseptic technique. These sites and the peripheral intravenous stopcock were cultured again after completion of the surgery. The treatment phase used a novel personal hand-decontamination device capable of recording hand-decontamination events. Results There were no significant differences in patient location, age, or case duration and procedure type between groups. Use of the Sprixx GJ device (Harbor Medical Inc., Santa Barbara, CA) increased hourly hand decontamination events by 27-fold as compared with baseline rates (P &lt; 0.002; 95% confidence interval, 3.3-13.4). Use of the device was associated with a reduction in contamination in the anesthesia work area and peripheral intravenous tubing. Intravenous tubing contamination was identified in 32.8% of cases in the control group versus 7.5% in the treatment group (odds ratio, 0.17; 95% confidence interval, 0.06-0.51; P &lt; 0.01). Healthcare-associated infections rates were reduced in the device group (3.8%) as compared with the control group (17.2%) (odds ratio, 0.19; 95% confidence interval, 0.00-0.81; P = 0.02). Conclusions Improved hand hygiene compliance through the use of a novel hand sanitation strategy reduces the risk of intraoperative bacterial transmission. The intervention was associated with a reduction in healthcare-associated infections.

scholarly journals Application of the Theoretical Domains Framework to identify factors that influence hand hygiene compliance in long-term care

2019 ◽  
Vol 101 (4) ◽  
pp. 393-398 ◽  
Author(s):  
J.D. Smith ◽  
K.M. Corace ◽  
T.K. MacDonald ◽  
L.R. Fabrigar ◽  
A. Saedi ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Hand Hygiene Compliance ◽  
Long Term Care ◽  
Theoretical Domains Framework ◽  
Term Care ◽  
Hygiene Compliance

scholarly journals Utilization of Closed Circuit Television in Improving Nurse's Compliance on Hand Hygiene in Budhi Asih Hospital Jakarta

2020 ◽  
Vol 15 (2) ◽  
Author(s):  
Ahijrah Ramadhanti ◽  
Iwan Dwiprahasto ◽  
Hera Nirwati
Keyword(s):  
Hand Hygiene ◽  
Hand Hygiene Compliance ◽  
Health Workers ◽  
Individual Characteristics ◽  
Control Groups ◽  
Regression Test ◽  
Before And After ◽  
Health Care Associated Infections ◽  
Hygiene Compliance ◽  
And Control

<p><span>Health-care associated infections (HAIs) </span><span lang="SV">are infections</span><span>occur</span><span lang="IN">r</span><span>ing </span><span lang="EN-ID">in</span><span>hospitalized patients.</span><span lang="SV">The most effective way to prevent </span><span>HAIs</span><span lang="SV">is </span><span>through</span><span lang="SV">hand hygiene. However, hand hygiene compliance in health workers is still low. </span><span>This research aimed to </span><span lang="EN-ID">u</span><span>nderstand</span><span lang="EN-ID">the</span><span>association between CCTV</span><span lang="EN-ID">utilization</span><span>as </span><span lang="IN">a </span><span>reminder tool </span><span lang="EN-ID">in</span><span>improving the nurses</span><span lang="EN-ID">'</span><span lang="IN">hand hygiene compliance</span><span>in Budhi Asih</span><span lang="EN-ID">Hospital</span><span>Jakarta. The study </span><span lang="EN-ID">used a </span><span>quantitative</span><span lang="EN-ID">method by</span><span>a quas</span><span lang="EN-ID">i-</span><span>experimen</span><span lang="EN-ID">tal</span><span>approach. The 60 subjects </span><span lang="EN-ID">were</span><span>divided into two groups:</span><span lang="EN-ID">T</span><span>reatment and Control Groups based on their workplace. Quantitative data w</span><span lang="EN-ID">ere</span><span>obtained by filling</span><span lang="EN-ID">-</span><span>in a WHO-standardized questionnaire and observing each group before and after an intervention. </span><span lang="EN-ID">Data were </span><span>analyzed by univariate and bivariate analyses with chi</span><span lang="EN-ID">-</span><span>square test and multivariate analysis with logistic</span><span>regression test</span><span>. </span><span>Nurses' hand hygiene compliance through CCTV observation in Budhi Asih Hospital was 57%. The use of CCTV as reminder media significantly improved hand hygiene compliance (p = 0.002), compliance to 6 steps (p = 0.002) and compliance to the standard time of hand hygiene (p = 0.003). There was no significant correlation between individual characteristics (sex, age, education, working experience, and infection control training participation) with nurses' compliance on hand hygiene. The use of CCTV as reminder media significantly improved nurses' compliance to do hand hygiene.</span></p><p><em>Keywords</em><em>: </em><em>CCTV, Reminder, Hand Hygiene, Complience. </em></p><p><span><br /></span></p>

scholarly journals GAMBARAN KEPATUHAN TENAGA KESEHATAN DALAM MENERAPKAN HAND HYGIENE DI RAWAT INAP RSUP PROF. Dr. R D. KANDOU MANADO

e-CliniC ◽  
2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Citra Prasilya Karuru ◽  
Theresia Isye Mogi ◽  
Lidwina Sengkey
Keyword(s):  
Hand Hygiene ◽  
Hand Hygiene Compliance ◽  
Health Workers ◽  
Compliance Rate ◽  
Cross Sectional ◽  
Route Of Transmission ◽  
Health Care Associated Infections ◽  
Cross Sectional Design ◽  
Hygiene Compliance

Abstract: Hands are the main route of transmission of germs during patient care. Nosocomial infection transmission can occur due to poor sanitation. Hand hygiene of health workers is very helpful in preventing the transmission of harmful germs and health care-associated infections. However, health workers still have less attention about the role of hand hygiene. This study aimed to determine the doctors and nurses’ compliance rate in implementing hand hygiene in Prof. Dr. R.D. Kandou Hospital Manado. This was an observational study with a cross-sectional design. Samples were specialist doctors, residents, and nurses in IRINA A, E, and F. The general compliance rate of hand hygiene was 5,2%. Based on the profession, the hand hygiene compliance rate of doctors was 2.4% (n=21) and of nurses 6.6% (n=113). Based on the monitored time, the compliance rate before entering rooms was 3.02% (n=39) and after entering rooms 7.35% (n=95). Conclusion: Hand hygiene compliance rate among health workers was still low.Keywords: health workers, hand hygiene compliance rate Abstrak: Tangan merupakan jalur utama penularan kuman selama perawatan pasien. Penularan infeksi nosokomial bisa terjadi akibat sanitasi yang kurang. Kebersihan tangan tenaga kesehatan sangat membantu pencegahan penularan kuman berbahaya dan mencegah infeksi terkait perawatan kesehatan. Namun, pentingnya penerapan hand hygiene masih kurang mendapat perhatian oleh tenaga kesehatan. Penelitian ini bertujuan untuk melihat gambaran kepatuhan tenaga kesehatan yakni tenaga dokter dan perawat dalam menerapkan hand hygiene di ruang rawat inap RSUP Prof. Dr. R. D. Kandou Manado. Metode penelitian yang digunakan ialah observasional dengan desain potong lintang. Sampel meliputi dokter spesialis, dokter residen, dan perawat. Angka kepatuhan keseluruhan ialah 5,2%. Berdasarkan kelompok pekerjaan, angka kepatuhan dokter 2,4% (n=21) dan perawat 6,6% (n=113). Dari dua indikasi yang diamati, angka kepatuhan sebelum masuk ruangan 3,02% (n=39) dan setelah keluar ruangan 7,35% (n=95). Simpulan: Tingkat kepatuhan hand hygiene tenaga kesehatan masih rendah.Kata kunci: tenaga kesehatan, tingkat kepatuhan hand hygiene

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