Hand disinfection in a neonatal intensive care unit: continuous electronic monitoring over a one-year period

被引:15
作者
Helder, Onno K. [1 ]
van Goudoever, Johannes B. [2 ,3 ]
Hop, Wim C. J. [4 ]
Brug, Johannes [5 ]
Kornelisse, Rene F. [1 ]
机构
[1] Erasmus Univ, Med Ctr, Sophia Childrens Hosp, Dept Pediat,Div Neonatol,Erasmus MC, NL-3000 CB Rotterdam, Netherlands
[2] Vrije Univ Amsterdam, Med Ctr Amsterdam, Dept Pediat, Amsterdam, Netherlands
[3] AMC Amsterdam, Emma Childrens Hosp, Dept Pediat, Amsterdam, Netherlands
[4] Erasmus Univ, Med Ctr Rotterdam, Dept Biostat, NL-3000 CB Rotterdam, Netherlands
[5] Vrije Univ Amsterdam, Med Ctr Amsterdam, EMGO Inst Hlth & Care Res, Amsterdam, Netherlands
来源
BMC INFECTIOUS DISEASES | 2012年 / 12卷
关键词
HYGIENE; RATES;
D O I
10.1186/1471-2334-12-248
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Background: Good hand hygiene compliance is essential to prevent nosocomial infections in healthcare settings. Direct observation of hand hygiene compliance is the gold standard but is time consuming. An electronic dispenser with built-in wireless recording equipment allows continuous monitoring of its usage. The purpose of this study was to monitor the use of alcohol-based hand rub dispensers with a built-in electronic counter in a neonatal intensive care unit (NICU) setting and to determine compliance with hand hygiene protocols by direct observation. Methods: A one-year observational study was conducted at a 27 bed level III NICU at a university hospital. All healthcare workers employed at the NICU participated in the study. The use of bedside dispensers was continuously monitored and compliance with hand hygiene was determined by random direct observations. Results: A total of 258,436 hand disinfection events were recorded; i.e. a median (interquartile range) of 697 (559-840) per day. The median (interquartile range) number of hand disinfection events performed per healthcare worker during the day, evening, and night shifts was 13.5 (10.8 - 16.7), 19.8 (16.3 - 24.1), and 16.6 (14.2 - 19.3), respectively. In 65.8% of the 1,168 observations of patient contacts requiring hand hygiene, healthcare workers fully complied with the protocol. Conclusions: We conclude that the electronic devices provide useful information on frequency, time, and location of its use, and also reveal trends in hand disinfection events over time. Direct observations offer essential data on compliance with the hand hygiene protocol. In future research, data generated by the electronic devices can be supplementary used to evaluate the effectiveness of hand hygiene promotion campaigns.
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页数:5
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