Compliance with hand hygiene: reference data from the national hand hygiene campaign in Germany

被引：82

作者：

Wetzker, W. ^{[1
]}

Bunte-Schoenberger, K. ^{[1
]}

Walter, J. ^{[1
]}

Pilarski, G. ^{[1
]}

Gastmeier, P. ^{[1
]}

Reichardt, Ch. ^{[1
]}

机构：

[1] Charite, Inst Hyg & Environm Med, Hindenburgdamm 27, D-12203 Berlin, Germany

来源：

JOURNAL OF HOSPITAL INFECTION | 2016年 / 92卷 / 04期

关键词：

Benchmarking; Compliance; Hand hygiene; National campaign; Observational study; INTERRUPTED TIME-SERIES; STAPHYLOCOCCUS-AUREUS; CARE; IMPACT;

D O I：

10.1016/j.jhin.2016.01.022

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Hand hygiene is a key measure to prevent healthcare-associated infection. To promote hand hygiene nationally the German campaign 'Aktion Saubere Hande' was launched in January 2008, based on the World Health Organization's 'Clean Care is Safer Care' initiative. We report the first results from a full year of data collection on hand hygiene compliance recorded with the help of a renewed observation tool. Data were based on submissions from 109 participating hospitals collected from 576 wards between January 1st and December 31st, 2014. The overall median compliance was 73%, ranging from 55% (10th percentile) to 89% (90th percentile). The results demonstrated only small differences between adult and non-adult intensive care units (ICUs) with neonatal ICUs and paediatric non-ICUs maintaining higher compliance than adult care units. Performance among nurses was better than physicians, and overall rates of hand hygiene performance were significantly higher after patient contact than before. (C) 2016 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.

引用

页码：328 / 331

页数：4

共 19 条

[1] Hand hygiene and healthcare system change within multi-modal promotion: a narrative review [J].

Allegranzi, B. ;

Sax, H. ;

Pittet, D. .

JOURNAL OF HOSPITAL INFECTION, 2013, 83 :S3-S10

[2] Role of hand hygiene in healthcare-associated infection prevention [J].

Allegranzi, B. ;

Pittet, D. .

JOURNAL OF HOSPITAL INFECTION, 2009, 73 (04) :305-315

[3]

Behnke M, 2015, ANTIMICROB RESIST S1, V4, P293

[4] Establishment of a National Surveillance System for Alcohol-Based Hand Rub Consumption and Change in Consumption over 4 Years [J].

Behnke, Michael ;

Gastmeier, Petra ;

Geffers, Christine ;

Moench, Nadine ;

Reichardt, Christiane .

INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY, 2012, 33 (06) :618-620

[5] Systematic Review of Studies on Compliance with Hand Hygiene Guidelines in Hospital Care [J].

Erasmus, Vicki ;

Daha, Thea J. ;

Brug, Hans ;

Richardus, Jan Hendrik ;

Behrendt, Myra D. ;

Vos, Margreet C. ;

van Beeck, Ed F. .

INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY, 2010, 31 (03) :283-294

[6] Outcomes from the first 2 years of the Australian National Hand Hygiene Initiative [J].

Grayson, M. Lindsay ;

Russo, Philip L. ;

Crulckshank, Marilyn ;

Bear, Jacqui L. ;

Gee, Christine A. ;

Hughes, Clifford F. ;

Johnson, Paul D. R. ;

McCann, Rebecca ;

McMillan, Alison J. ;

Mitchell, Brett G. ;

Selvey, Christine E. ;

Smith, Robin E. ;

Wilkinson, Irene J. .

MEDICAL JOURNAL OF AUSTRALIA, 2011, 195 (10) :615-619

[7] Quantifying the Hawthorne Effect in Hand Hygiene Compliance Through Comparing Direct Observation With Automated Hand Hygiene Monitoring [J].

Hagel, Stefan ;

Reischke, Jana ;

Kesselmeier, Miriam ;

Winning, Johannes ;

Gastmeier, Petra ;

Brunkhorst, Frank M. ;

Scherag, Andre ;

Pletz, Mathias W. .

INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY, 2015, 36 (08) :957-962

[8]

Hand Hygiene Australia, NAT DAT PER ON 2015

[9] Impact of a hospital-wide hand hygiene initiative on healthcare-associated infections: results of an interrupted time series [J].

Kirkland, Kathryn B. ;

Homa, Karen A. ;

Lasky, Rosalind A. ;

Ptak, Judy A. ;

Taylor, Eileen A. ;

Splaine, Mark E. .

BMJ QUALITY & SAFETY, 2012, 21 (12) :1019-1026

[10] The role and utilisation of public health evaluations in Europe: a case study of national hand hygiene campaigns [J].

Latham, Jonathan R. ;

Magiorakos, Anna-Pelagia ;

Monnet, Dominique L. ;

Alleaume, Sophie ;

Aspevall, Olov ;

Blacky, Alexander ;

Borg, Michael ;

Ciurus, Maria ;

Costa, Ana Cristina ;

Cunney, Robert ;

Dolinsek, Mojca ;

Dumpis, Uga ;

Erne, Sabine ;

Gudlaugsson, Olafur ;

Hedlova, Dana ;

Heisbourg, Elisabeth ;

Holt, Jette ;

Kerbo, Natalia ;

Sorknes, Nina Kristine ;

Lyytikainen, Outi ;

Maltezou, Helena C. ;

Michael, Stavroula ;

Moro, Maria Luisa ;

Reichardt, Christiane ;

Stefkovicova, Maria ;

Szilagyi, Emese ;

Valinteliene, Rolanda ;

Vatcheva-Dobrevska, Rossitza ;

Viseur, Natacha ;

Voss, Andreas ;

Woodward, Suzette ;

Cordier, Laura ;

Jansen, Andreas .

BMC PUBLIC HEALTH, 2014, 14

← 1 2 →