Patient hand hygiene practices in surgical patients.

Abstract:

BACKGROUND:Little is known about the hand hygiene practices of surgical patients. Most of the research has been directed at the health care worker, and this may discount the role that hand hygiene of the surgical patient might play in surgical site infections. METHODS:A quasiexperimental, pretest/post-test study was conducted in which patients (n = 72) and nurses (n = 42) were interviewed to examine perceptions and knowledge about patient hand hygiene. Concurrently, observations were conducted to determine whether surgical patients were offered assistance by the nursing staff. Following an initial observation period, nursing staff received an educational session regarding general hand hygiene information and observation results. One month after the education session, patient/nurse dyads were observed for an additional 6 weeks to determine the impact of the educational intervention. RESULTS:Eighty observations, 72 patient interviews, and 42 nurse interviews were completed preintervention, and 83 observations were completed postintervention. In response to the survey, more than half of patients (n = 41, 55%) reported that they were not offered the opportunity to clean their hands, but a majority of the nursing staff reported (n = 25, 60%) that they offered patients the opportunity to clean their hands. Prior to the educational intervention, nursing staff assisted patients in 14 of 81 hand hygiene opportunities. Following the intervention, nursing staff assisted patients 37 out of 83 opportunities (17.3% vs 44.6%, respectively, [χ(2)1 = 13.008, P = .0003]). CONCLUSION:This study suggests that efforts to increase hand hygiene should be directed toward patients as well as health care workers.

journal_name

Am J Infect Control

authors

Ardizzone LL,Smolowitz J,Kline N,Thom B,Larson EL

doi

10.1016/j.ajic.2012.05.029

subject

Has Abstract

pub_date

2013-06-01 00:00:00

pages

487-91

issue

6

eissn

0196-6553

issn

1527-3296

pii

S0196-6553(12)01022-X

journal_volume

41

pub_type

临床试验,杂志文章
  • Surgical site infection risk factors identified by multivariate analysis for patient undergoing laparoscopic, open colon, and gastric surgery.

    abstract:BACKGROUND:Surgical site infection (SSI) is an important clinical indicator of quality of patient care and infection control; therefore, we aimed to assess risk factors SSI in colon and gastric surgeries. METHODS:SSI was assessed according to the National Nosocomial Infection Surveillance (NNIS) system (1999). Risk fa...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2007.12.011

    authors: Imai E,Ueda M,Kanao K,Kubota T,Hasegawa H,Omae K,Kitajima M

    更新日期:2008-12-01 00:00:00

  • Who let the dogs out? Infection control did: utility of dogs in health care settings and infection control aspects.

    abstract::Research has substantiated that animals improve human health, both psychologically and physiologically. Therefore, healthcare facilities have begun to implement programs, such as the "Furry Friends Foundation," that bring animals into the facility to improve the quality of life of patients. When implementing these pro...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2005.06.005

    authors: DiSalvo H,Haiduven D,Johnson N,Reyes VV,Hench CP,Shaw R,Stevens DA

    更新日期:2006-06-01 00:00:00

  • Needleless intravenous systems: A review.

    abstract:BACKGROUND:Needleless intravenous devices have now been implemented by many institutions worldwide. A rationale for their use has been a reduction in the number of needlestick injuries. OBJECTIVE:The aim of this review is to outline the possible benefits and dangers of needleless intravenous systems. REVIEW:Many earl...

    journal_title:American journal of infection control

    pub_type: 杂志文章,评审

    doi:10.1016/s0196-6553(99)70009-x

    authors: Russo PL,Harrington GA,Spelman DW

    更新日期:1999-10-01 00:00:00

  • Transmission of Salmonella enteritidis after endoscopic retrograde cholangiopancreatography because of inadequate endoscope decontamination.

    abstract::We report a historic nosocomial outbreak of Salmonella enteritidis affecting 4 inpatients who underwent endoscopic retrograde cholangiopancreatography. The cause was attributed to inadequate decontamination of an on-loan endoscope used over a weekend. This report highlights the risks of using on-loan endoscopes, parti...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2016.11.024

    authors: Robertson P,Smith A,Anderson M,Stewart J,Hamilton K,McNamee S,Curran ET

    更新日期:2017-04-01 00:00:00

  • Fluid dispersal from safety cannulas: an in vitro comparative test.

    abstract::We report a comparative laboratory study between 2 peripheral intravenous catheters equipped with a passive fully automatic safety mechanism to assess generation of blood droplets during withdrawal. One presented no fluid droplets, whereas the other presented droplets in 48% and 60% for the best and worst case, with a...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2014.11.020

    authors: Rosenthal VD,Hughes G

    更新日期:2015-03-01 00:00:00

  • High rate of multidrug-resistant organism colonization among patients hospitalized overseas highlights the need for preemptive infection control.

    abstract::We performed 4 years of active screening for multidrug resistant organism (MDRO) colonization among patients with a history of overseas hospitalization. Thirteen (56.5%) of 23 cases were positive for MDROs, which highlights the importance of preemptive infection control to prevent the spread of MDROs in this populatio...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2016.06.040

    authors: Hayakawa K,Mezaki K,Sugiki Y,Nagamatsu M,Miyoshi-Akiyama T,Kirikae T,Kutsuna S,Takeshita N,Yamamoto K,Katanami Y,Ohmagari N

    更新日期:2016-11-01 00:00:00

  • Clinical and molecular epidemiology of community-onset, extended-spectrum beta-lactamase-producing Escherichia coli infections in Thailand: a case-case-control study.

    abstract:BACKGROUND:Extended-spectrum beta-lactamase (ESBL)-producing organisms, first identified in Germany in 1983, are now widely recognized as clinically relevant causes of infections in community. METHODS:Our objective was to evaluate the clinical and molecular epidemiology of community-onset, extended-spectrum beta-lacta...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2007.05.008

    authors: Apisarnthanarak A,Kiratisin P,Saifon P,Kitphati R,Dejsirilert S,Mundy LM

    更新日期:2007-11-01 00:00:00

  • National survey of infection control practitioners' educational needs.

    abstract::The purpose of this study was to conduct a nationwide survey to determine the number of master's-prepared infection control practitioners (ICPs) and those eligible for admission to graduate programs. Continuing education needs also were assessed to determine whether they might best be met through formal education or i...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/0196-6553(90)90087-9

    authors: Turner JG,Booth WC,Brown KC,Williamson KM

    更新日期:1990-04-01 00:00:00

  • Detection of vancomycin-resistant enterococci colonization in a children's hospital.

    abstract:BACKGROUND:Vancomycin-resistant enterococci (VRE) are important nosocomial pathogens in many hospitals. The true prevalence of VRE in pediatric hospitals is not known. METHODS:A surveillance study was performed at a pediatric tertiary care medical center by using vancomycin-containing screening media. RESULTS:Six chi...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1053/ic.1998.v26.a93115

    authors: Christenson JC,Korgenski EK,Jenkins E,Daly JA

    更新日期:1998-12-01 00:00:00

  • Outbreaks in neonatal intensive care units - they are not like others.

    abstract:BACKGROUND:Outbreaks of health care-associated infections in neonatal intensive care units (NICUs) are frequent and have received more attention in medical literature than outbreaks from other types of intensive care units (ICUs). The objective of this systematic review was to identify differences between outbreaks of ...

    journal_title:American journal of infection control

    pub_type: 杂志文章,评审

    doi:10.1016/j.ajic.2006.07.007

    authors: Gastmeier P,Loui A,Stamm-Balderjahn S,Hansen S,Zuschneid I,Sohr D,Behnke M,Obladen M,Vonberg RP,Rüden H

    更新日期:2007-04-01 00:00:00

  • Infection prevention and enhanced recovery after surgery: A partnership for implementation of an evidence-based bundle to reduce colorectal surgical site infections.

    abstract::To reduce surgical site infections (SSIs) in colorectal surgeries we introduced a bundle of care elements in partnership with the Enhanced Recovery after Surgery (ERAS) multidisciplinary team. We measured the incidence of National Healthcare Safety Network-defined SSIs, along with adherence to bundle care elements. De...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2018.11.004

    authors: Albert H,Bataller W,Masroor N,Doll M,Cooper K,Spencer P,Winborne D,Zierden EM,Stevens MP,Scott M,Bearman G

    更新日期:2019-06-01 00:00:00

  • A comprehensive vascular access service can reduce catheter-associated bloodstream infections and promote the appropriate use of vascular access devices.

    abstract::This study describes the role of a novel vascular access service in the reduction and prevention of central line-associated bloodstream infections (CLABSIs). We conducted a retrospective analysis of data obtained over a span of 24 months after implementation of our vascular access service. We identified a progressive ...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2019.08.019

    authors: Martillo M,Zarbiv S,Gupta R,Brito A,Shittu A,Kohli-Seth R

    更新日期:2020-04-01 00:00:00

  • Simulated-use testing of bedpan and urinal washer disinfectors: evaluation of Clostridium difficile spore survival and cleaning efficacy.

    abstract:BACKGROUND:Reusable bedpans and urinals are frequently cleaned and decontaminated using washer-disinfectors (WDs) that may be located in the central processing department (CPD) or on the ward. The objective of this study was to determine how efficiently the WDs provided cleaning and to evaluate the ability of such WDs ...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2007.04.277

    authors: Alfa MJ,Olson N,Buelow-Smith L

    更新日期:2008-02-01 00:00:00

  • Uncontrolled nosocomial rotavirus transmission during a community outbreak.

    abstract::Between Jan. 11 and March 31, 1983, 60 pediatric patients were diagnosed with rotavirus gastroenteritis. Of these cases 24 were community acquired, 29 were nosocomial, and 7 were of undetermined origin. Despite intensive infection control efforts, nosocomial transmission continued as long as patients with community-ac...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/0196-6553(90)90207-9

    authors: Raad II,Sherertz RJ,Russell BA,Reuman PD

    更新日期:1990-02-01 00:00:00

  • Effectiveness of improved hydrogen peroxide in decontaminating privacy curtains contaminated with multidrug-resistant pathogens.

    abstract::We tested the ability of an improved hydrogen peroxide solution to decontaminate privacy curtains in inpatient and outpatient areas. The microbial contamination of the curtains was assessed before and after the curtains were sprayed with improved hydrogen peroxide. The disinfectant reduced the microbial load on the pr...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2013.11.022

    authors: Rutala WA,Gergen MF,Sickbert-Bennett EE,Williams DA,Weber DJ

    更新日期:2014-04-01 00:00:00

  • Barrier protection with examination gloves: double versus single.

    abstract::In a series of experiments, the barrier integrity of single and double vinyl and latex examination gloves were tested for dye and water leaks after being placed under stress. A total of 886 examination gloves (385 vinyl: single, 199; double, 186; and 501 latex: single, 290; double, 211) were tested with a standardized...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/0196-6553(94)90085-x

    authors: Korniewicz DM,Kirwin M,Cresci K,Sing T,Choo TE,Wool M,Larson E

    更新日期:1994-02-01 00:00:00

  • Microbiology, infection control, immunizations, and infectious disease exposure: education and practices in United States nursing schools.

    abstract:BACKGROUND:Previous data suggest that nursing students in the United States are inadequately protected against hepatitis B. This survey focused on the immunization and education practices, infection control knowledge, and follow-up to infectious disease exposure by U.S. nursing schools. METHODS:To ascertain education ...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/s0196-6553(05)80175-0

    authors: Goetz A,Yu CM,Muder RR

    更新日期:1992-06-01 00:00:00

  • Moving beyond hand hygiene monitoring as a marker of infection prevention performance: Development of a tailored infection control continuous quality improvement tool.

    abstract:BACKGROUND:Infection control practice compliance is commonly monitored by measuring hand hygiene compliance. The limitations of this approach were recognized in 1 acute health care organization that led to the development of an Infection Control Continuous Quality Improvement tool. METHODS:The Pronovost cycle, Barrier...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2019.06.014

    authors: Jeanes A,Coen PG,Drey NS,Gould DJ

    更新日期:2020-01-01 00:00:00

  • Association of hospital-area deprivation with hospital performance on health care associated infection rates in 2018.

    abstract:BACKGROUND AND OBJECTIVE:Healthcare-associated infections (HAIs) are common and often preventable complications of care, with reduction emphasized in national policy. The Centers for Medicare and Medicaid Services introduced an HAI-focused Hospital Acquired Condition Reduction Program in 2015 to penalize poor-performin...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2020.05.038

    authors: Wiemken TL,Wright MO,Johnston KJ

    更新日期:2020-12-01 00:00:00

  • Chlorhexidine impregnated surgical scrubs and whole-body wash for reducing colonization of health care personnel.

    abstract:BACKGROUND:The use of chlorhexidine as a strategy to reduce nosocomial infections in patients has been proven useful. Bacterial contamination of health care worker's uniforms during routine patient care has been demonstrated to have potential for horizontal transmission of pathogens. METHODS:We performed a prospective...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2020.01.004

    authors: Salazar-Vargas K,Padilla-Orozco M,Garza-González E,Camacho-Ortiz A

    更新日期:2020-10-01 00:00:00

  • A 5-year experience with influenza prevention and containment in a program of all-inclusive care for elderly adults.

    abstract:BACKGROUND:Influenza causes mortality and morbidity in the frail elderly population. Influenza prevention and mitigation models need to be developed for this population. METHODS:An observational study at a Program for All-Inclusive Care for the Elderly (PACE) during years 1999-2004. Participants were frail elderly adu...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2005.02.001

    authors: Desbiens NA

    更新日期:2005-05-01 00:00:00

  • Contact precautions in the intensive care unit setting: 12 years of surveillance.

    abstract::The utilization of isolation precautions has increased in tertiary care hospitals due to the increase in colonization with multidrug-resistant organisms over time. We assessed the frequency of multidrug-resistant microorganisms responsible for implementation of contact precautions in the ICU of a tertiary care hospita...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2012.03.031

    authors: de Toledo Piza FM,Marra AR,Silva M Jr,Sampaio Camargo TZ,de Oliveira Figueiredo RA,Edmond MB

    更新日期:2013-04-01 00:00:00

  • Laboratory-based surveillance of hospital-acquired respiratory virus infection in a tertiary care hospital.

    abstract::Of 7,772 laboratory-confirmed cases of respiratory viral infection among hospitalized patients, 22.8% were categorized as having hospital-acquired infection. The overall incidence of hospital-acquired respiratory viral infection was 3.9 (95% confidence interval, 3.7-4.1) cases per 1,000 admitted patients. Rhinovirus w...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2017.01.009

    authors: Choi HS,Kim MN,Sung H,Lee JY,Park HY,Kwak SH,Lim YJ,Hong MJ,Kim SK,Park SY,Kim HJ,Kim KR,Choi HR,Jeong JS,Choi SH

    更新日期:2017-05-01 00:00:00

  • Comparison of the antibacterial efficacy of 4% chlorhexidine gluconate and 1% triclosan handwash products in an acute clinical ward.

    abstract::The antibacterial efficacy of 4% chlorhexidine gluconate (CHG) and 1% triclosan as handwash antiseptics is well established. Few published studies have identified hand bacteria found in glove juice samples, and most studies have used nonclinical study subjects. We report a longitudinal comparative study to determine t...

    journal_title:American journal of infection control

    pub_type: 临床试验,杂志文章

    doi:10.1016/s0196-6553(99)70051-9

    authors: Faoagali JL,George N,Fong J,Davy J,Dowser M

    更新日期:1999-08-01 00:00:00

  • Epidemiology of burn unit infections in children.

    abstract:OBJECTIVE:The aim of this study was to determine the epidemiology of burn unit infections, the effect of these infections on the mortality rate, and antibiotic resistance pattern of the predominant bacteria isolated from children. Patients and method Epidemiologic data for 610 children, aged 0 to 15 years, admitted to ...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/s0196-6553(02)48226-0

    authors: Geyik MF,Aldemir M,Hosoglu S,Tacyildiz HI

    更新日期:2003-10-01 00:00:00

  • Occupational exposures in emergency medical service providers and knowledge of and compliance with universal precautions.

    abstract:BACKGROUND:Little is known about compliance with universal precautions (CUP) or occupational exposures to blood and body fluids among Emergency Medical Services (EMS) providers. The objective of this study was to obtain estimates of CUP and knowledge of universal precautions (KUP), occupational exposures, and needle an...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2009.05.012

    authors: Harris SA,Nicolai LA

    更新日期:2010-03-01 00:00:00

  • Comparison of antimicrobial resistance in neonatal and adult intensive care units in a tertiary teaching hospital.

    abstract::Intrahospital variations in antimicrobial profiles may be related to many factors. This study compared causative agents of nosocomial bloodstream infections between a neonatal intensive care unit (NICU) that adopted a ward-tailored antibiotic policy and adult intensive care units (ICUs). Data on organisms from blood c...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2012.02.032

    authors: Ariffin N,Hasan H,Ramli N,Ibrahim NR,Taib F,Rahman AA,Mohamed Z,Wahab S,Isaacs D,Van Rostenberghe H

    更新日期:2012-08-01 00:00:00

  • A descriptive review of malpractice claims for health care-acquired infections in Philadelphia.

    abstract:BACKGROUND:Philadelphia's rate of malpractice filings per population is just over double the national median. Plaintiffs prevail in 44% of verdicts in Philadelphia compared with 20% for all US jury verdicts, with 24% of awarded verdicts in excess of $1 million. OBJECTIVE:To determine patient and procedure demographic ...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2005.03.005

    authors: Guinan JL,McGuckin M,Shubin A,Tighe J

    更新日期:2005-06-01 00:00:00

  • Implementing the comprehensive unit-based safety program model to improve the management of mechanically ventilated patients in Saudi Arabia.

    abstract:BACKGROUND:Ventilator-associated events are common in mechanically ventilated patients. They are associated with more days on mechanical ventilation, longer intensive care unit (ICU) stay, and increased risk of mortality. Theoretically, interventions that prevent ventilator-associated events should also reduce associat...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2018.06.022

    authors: Khan RM,Al-Juaid M,Al-Mutairi H,Bibin G,Alchin J,Matroud A,Burrows V,Tan I,Zayer S,Naidv B,Kalantan B,Arabi YM

    更新日期:2019-01-01 00:00:00

  • HIV-associated comorbidities as mediators of the association between people living with HIV and hospital-acquired infections.

    abstract:BACKGROUND:Hospital-acquired infections (HAIs) lead to poor health outcomes in hospitalized patients and may be disproportionately affecting the aging population of people living with HIV (PLWH). This study determined the association between HIV and HAIs, and analyzed the potential mediating effects of comorbidities. ...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2019.05.028

    authors: Rojas D,Wendell D,Ferguson PhD TF,Robinson WT,Trepka MJ,Straif-Bourgeois SC

    更新日期:2019-12-01 00:00:00