[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.
机构:
Queen Mary Hosp, Dept Microbiol, Hong Kong, Hong Kong, Peoples R China
Queen Mary Hosp, Infect Control Team, Hong Kong, Hong Kong, Peoples R ChinaQueen Mary Hosp, Dept Microbiol, Hong Kong, Hong Kong, Peoples R China
Cheng, Vincent C. C.
Tai, Josepha W. M.
论文数: 0引用数: 0
h-index: 0
机构:
Queen Mary Hosp, Infect Control Team, Hong Kong, Hong Kong, Peoples R ChinaQueen Mary Hosp, Dept Microbiol, Hong Kong, Hong Kong, Peoples R China
Tai, Josepha W. M.
Ho, Sara K. Y.
论文数: 0引用数: 0
h-index: 0
机构:
Queen Mary Hosp, Infect Control Team, Hong Kong, Hong Kong, Peoples R ChinaQueen Mary Hosp, Dept Microbiol, Hong Kong, Hong Kong, Peoples R China
Ho, Sara K. Y.
Chan, Jasper F. W.
论文数: 0引用数: 0
h-index: 0
机构:
Queen Mary Hosp, Dept Microbiol, Hong Kong, Hong Kong, Peoples R China
Queen Mary Hosp, Infect Control Team, Hong Kong, Hong Kong, Peoples R ChinaQueen Mary Hosp, Dept Microbiol, Hong Kong, Hong Kong, Peoples R China
Chan, Jasper F. W.
Hung, Kwan Ngai
论文数: 0引用数: 0
h-index: 0
机构:
Queen Mary Hosp, Dept Neurosurg, Hong Kong, Hong Kong, Peoples R ChinaQueen Mary Hosp, Dept Microbiol, Hong Kong, Hong Kong, Peoples R China
Hung, Kwan Ngai
Ho, Pak Leung
论文数: 0引用数: 0
h-index: 0
机构:
Queen Mary Hosp, Dept Microbiol, Hong Kong, Hong Kong, Peoples R ChinaQueen Mary Hosp, Dept Microbiol, Hong Kong, Hong Kong, Peoples R China
Ho, Pak Leung
Yuen, Kwok Yung
论文数: 0引用数: 0
h-index: 0
机构:
Queen Mary Hosp, Dept Microbiol, Hong Kong, Hong Kong, Peoples R ChinaQueen Mary Hosp, Dept Microbiol, Hong Kong, Hong Kong, Peoples R China
机构:
Hosp Israelita Albert Einstein, Intens Care Unit, BR-06561901 Morumbi, SP, BrazilHosp Israelita Albert Einstein, Intens Care Unit, BR-06561901 Morumbi, SP, Brazil
Marra, Alexandre R.
Moura, Denis Faria, Jr.
论文数: 0引用数: 0
h-index: 0
机构:
Hosp Israelita Albert Einstein, Intens Care Unit, BR-06561901 Morumbi, SP, BrazilHosp Israelita Albert Einstein, Intens Care Unit, BR-06561901 Morumbi, SP, Brazil
Moura, Denis Faria, Jr.
Paes, Angela Tavares
论文数: 0引用数: 0
h-index: 0
机构:
Inst Israelita Ensino & Pesquisa, Dept Stat, Sao Paulo, BrazilHosp Israelita Albert Einstein, Intens Care Unit, BR-06561901 Morumbi, SP, Brazil
Paes, Angela Tavares
Pavao dos Santos, Oscar Fernando
论文数: 0引用数: 0
h-index: 0
机构:
Hosp Israelita Albert Einstein, Intens Care Unit, BR-06561901 Morumbi, SP, BrazilHosp Israelita Albert Einstein, Intens Care Unit, BR-06561901 Morumbi, SP, Brazil
Pavao dos Santos, Oscar Fernando
Edmond, Michael B.
论文数: 0引用数: 0
h-index: 0
机构:
Virginia Commonwealth Univ, Sch Med, Dept Internal Med, Richmond, VA 23284 USAHosp Israelita Albert Einstein, Intens Care Unit, BR-06561901 Morumbi, SP, Brazil
机构:
Queen Mary Hosp, Dept Microbiol, Hong Kong, Hong Kong, Peoples R China
Queen Mary Hosp, Infect Control Team, Hong Kong, Hong Kong, Peoples R ChinaQueen Mary Hosp, Dept Microbiol, Hong Kong, Hong Kong, Peoples R China
Cheng, Vincent C. C.
Tai, Josepha W. M.
论文数: 0引用数: 0
h-index: 0
机构:
Queen Mary Hosp, Infect Control Team, Hong Kong, Hong Kong, Peoples R ChinaQueen Mary Hosp, Dept Microbiol, Hong Kong, Hong Kong, Peoples R China
Tai, Josepha W. M.
Ho, Sara K. Y.
论文数: 0引用数: 0
h-index: 0
机构:
Queen Mary Hosp, Infect Control Team, Hong Kong, Hong Kong, Peoples R ChinaQueen Mary Hosp, Dept Microbiol, Hong Kong, Hong Kong, Peoples R China
Ho, Sara K. Y.
Chan, Jasper F. W.
论文数: 0引用数: 0
h-index: 0
机构:
Queen Mary Hosp, Dept Microbiol, Hong Kong, Hong Kong, Peoples R China
Queen Mary Hosp, Infect Control Team, Hong Kong, Hong Kong, Peoples R ChinaQueen Mary Hosp, Dept Microbiol, Hong Kong, Hong Kong, Peoples R China
Chan, Jasper F. W.
Hung, Kwan Ngai
论文数: 0引用数: 0
h-index: 0
机构:
Queen Mary Hosp, Dept Neurosurg, Hong Kong, Hong Kong, Peoples R ChinaQueen Mary Hosp, Dept Microbiol, Hong Kong, Hong Kong, Peoples R China
Hung, Kwan Ngai
Ho, Pak Leung
论文数: 0引用数: 0
h-index: 0
机构:
Queen Mary Hosp, Dept Microbiol, Hong Kong, Hong Kong, Peoples R ChinaQueen Mary Hosp, Dept Microbiol, Hong Kong, Hong Kong, Peoples R China
Ho, Pak Leung
Yuen, Kwok Yung
论文数: 0引用数: 0
h-index: 0
机构:
Queen Mary Hosp, Dept Microbiol, Hong Kong, Hong Kong, Peoples R ChinaQueen Mary Hosp, Dept Microbiol, Hong Kong, Hong Kong, Peoples R China
机构:
Hosp Israelita Albert Einstein, Intens Care Unit, BR-06561901 Morumbi, SP, BrazilHosp Israelita Albert Einstein, Intens Care Unit, BR-06561901 Morumbi, SP, Brazil
Marra, Alexandre R.
Moura, Denis Faria, Jr.
论文数: 0引用数: 0
h-index: 0
机构:
Hosp Israelita Albert Einstein, Intens Care Unit, BR-06561901 Morumbi, SP, BrazilHosp Israelita Albert Einstein, Intens Care Unit, BR-06561901 Morumbi, SP, Brazil
Moura, Denis Faria, Jr.
Paes, Angela Tavares
论文数: 0引用数: 0
h-index: 0
机构:
Inst Israelita Ensino & Pesquisa, Dept Stat, Sao Paulo, BrazilHosp Israelita Albert Einstein, Intens Care Unit, BR-06561901 Morumbi, SP, Brazil
Paes, Angela Tavares
Pavao dos Santos, Oscar Fernando
论文数: 0引用数: 0
h-index: 0
机构:
Hosp Israelita Albert Einstein, Intens Care Unit, BR-06561901 Morumbi, SP, BrazilHosp Israelita Albert Einstein, Intens Care Unit, BR-06561901 Morumbi, SP, Brazil
Pavao dos Santos, Oscar Fernando
Edmond, Michael B.
论文数: 0引用数: 0
h-index: 0
机构:
Virginia Commonwealth Univ, Sch Med, Dept Internal Med, Richmond, VA 23284 USAHosp Israelita Albert Einstein, Intens Care Unit, BR-06561901 Morumbi, SP, Brazil