Abstract：
INTRODUCTION:The hand hygiene technique that the World Health Organization recommends for cleansing hands with soap and water or alcohol-based handrub consists of 7 poses. We used an automated training system to improve clinicians' hand hygiene technique and test whether this affected hospitalwide hand hygiene compliance. METHODS:Seven hundred eighty-nine medical and nursing staff volunteered to participate in a self-directed training session using the automated training system. The proportion of successful first attempts was reported for each of the 7 poses. Hand hygiene compliance was collected according to the national requirement and rates for 2011-2014 were used to determine the effect of the training system on compliance. RESULTS:The highest pass rate was for pose 1 (palm to palm) at 77% (606 out of 789), whereas pose 6 (clean thumbs) had the lowest pass rate at 27% (216 out of 789). One hundred volunteers provided feedback to 8 items related to satisfaction with the automated training system and most (86%) expressed a high degree of satisfaction and all reported that this method was time-efficient. There was no significant change in compliance rates after the introduction of the automated training system. Observed compliance during the posttraining period declined but increased to 82% in response to other strategies. CONCLUSIONS:Technology for training clinicians in the 7 poses played an important education role but did not affect compliance rates.
journal_name
Am J Infect Controljournal_title
American journal of infection controlauthors
Kwok YL,Callard M,McLaws MLdoi
10.1016/j.ajic.2015.04.201subject
Has Abstractpub_date
2015-08-01 00:00:00pages
821-5issue
8eissn
0196-6553issn
1527-3296pii
S0196-6553(15)00467-8journal_volume
43pub_type
杂志文章abstract：BACKGROUND:Higher requirement is put forward in the measurement of hand hygiene (HH) during a pandemic. This study aimed to describe HH compliance measurement and explore observed influencing factors with respect to coronavirus disease 2019 (COVID-19) guidelines in China. METHODS:Compliance was measured as the percent...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2020.05.043
更新日期：2020-09-01 00:00:00
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
更新日期：2016-11-01 00:00:00
abstract：BACKGROUND:To gain further insights into health care workers (HCWs) attitudes toward influenza vaccination to guide future interventions to increase vaccination rates. METHODS:A standardized anonymous questionnaire was sent to all employees of the University Hospital Basel, Switzerland following the influenza season 2...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2020.02.004
更新日期：2020-10-01 00:00:00
abstract：BACKGROUND:The Centers for Disease Control and Prevention recently introduced the concept of mucosal barrier injury (MBI) in an attempt to recognize the possibility of a gastrointestinal source for certain bloodstream infections. This could underestimate the central venous catheter (CVC) as the source of central line-a...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2016.03.011
更新日期：2016-08-01 00:00:00
abstract：OBJECTIVE:This systematic review had two aims. First to identify the incidence of urinary tract infection (UTI) and bacteriuria in people undertaking intermittent catheterisation (IC), second to determine the effectiveness of antiseptic cleaning of the meatal area prior to IC in reducing the incidence of UTI and bacter...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2021.01.009
更新日期：2021-01-21 00:00:00
abstract：BACKGROUND:Surgical site infections (SSIs) contribute significantly to patient morbidity and mortality and exhaust health care system resources. The main objectives of the study were to describe the incidence rates of SSIs among patients undergoing urologic or cardiothoracic surgeries, the associated risk factors, and ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2011.07.001
更新日期：2012-06-01 00:00:00
abstract：OBJECTIVE:This study describes the organization of infection control committees in a Brazilian multihospital system, identifying their major problems. Our goal is to discuss the main deficiencies in infection control and to target some interventions that can improve the efficiency of these actions in Brazilian hospital...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1053/ic.1999.v27.a98520
更新日期：1999-06-01 00:00:00
abstract：:Infection control professionals have traditionally relied on didacticism to promote behavior change among health care workers, but this approach yields disappointing results in a postmodern era of social fragmentation and intellectual ambiguity. We define a socioethical approach to behavior change and propose its impl...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2005.09.004
更新日期：2006-03-01 00:00:00
abstract：:Six hundred twenty-two isolates from 554 samples taken from hands of 103 hospital personnel and 50 controls were obtained over a mean period of 35 days. Eighty-five were obtained immediately before and after handwashing (HW), the remainder after HW only. The relationship of HW agent used, clinical area and job, and fr...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/0196-6553(84)90020-8
更新日期：1984-04-01 00:00:00
abstract：BACKGROUND:Urinary tract infections (UTIs) are the most common nosocomial infection experienced by patients in United States hospitals and are responsible for significant morbidity and excess hospital costs. The purpose of this study was to determine the efficacy of a silver alloy, hydrogel-coated, urinary catheter in ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2004.05.002
更新日期：2004-12-01 00:00:00
abstract：BACKGROUND:Debate remains over the core activities of infection control (IC) programs. Differences in stakeholder opinions must be considered if consensus panel guidelines and recommendations are to be broadly applied. This article describes a survey of administrators and clinicians employed in hospitals in New South W...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1067/mic.2001.117037
更新日期：2001-08-01 00:00:00
abstract：BACKGROUND:Catheter-related bloodstream infections are costly and associated with substantial morbidity and mortality. Trials suggest that central venous catheters impregnated with minocycline/rifampin, although more expensive, are clinically superior to chlorhexidine/silver sulfadiazine impregnated catheters. It remai...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1067/mic.2003.35
更新日期：2003-02-01 00:00:00
abstract：BACKGROUND:In the industrial setting, employee perceptions regarding their organization's commitment to safety (i.e., safety climate) have been shown to be important correlates to both the adoption and maintenance of safe work practices and to workplace injury rates. However, safety climate measures specific to the hos...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1067/mic.2000.105288
更新日期：2000-06-01 00:00:00
abstract：:Using a standardized methodology by the National Nosocomial Infection Surveillance System, a continuous health care-associated infections (HAIs) surveillance was conducted in our mixed intensive care unit at a Chinese teaching hospital. During the study period (2010-2014), 4,013 patients were hospitalized for 32,924 b...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2015.07.023
更新日期：2015-12-01 00:00:00
abstract：BACKGROUND:Healthcare associated infections are associated with indwelling devices. Yet, data regarding prevalence of indwelling devices in noncritically ill hospitalized patients remains scant. METHODS:Adult, noncritically ill patients on general care, telemetry, and surgical floors at our quaternary care hospital we...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2020.06.205
更新日期：2021-02-01 00:00:00
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
更新日期：2012-08-01 00:00:00
abstract：:The concept of nosocomial versus community-acquired infection is an important one in terms of hospital surveillance and infection control. Risk factors, time of onset, and type of organism are presented in tabular form to assist in classifying infection in the newborn. ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/s0196-6553(80)80001-0
更新日期：1980-11-01 00:00:00
abstract：:In a simultaneous assessment of 250 environmental surfaces after terminal cleaning using aerobic cultures as a gold standard, both fluorescent marker and an adenosine triphosphate bioluminescence assay system demonstrated better diagnosticity compared with subjective visual inspection. These results support the use of...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2012.09.019
更新日期：2013-08-01 00:00:00
abstract：BACKGROUND:The Centers for Disease Control and Prevention put forth the recommendation to clean areas considered high touch more frequently than minimal touch surfaces. The operating room was not included in these recommendations. The purpose of this study was to determine the most frequently touched surfaces in the op...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2016.03.013
更新日期：2016-11-01 00:00:00
abstract：BACKGROUND:Handwashing with soap or another antisepsis disinfectant solution is a common practice in Vietnam, but the availability and quality of tap water is unpredictable. We assessed the risk for hand contamination and compared the efficacy of 5 hand hygiene methods in a tertiary Vietnamese hospital. METHODS:Five f...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2013.07.013
更新日期：2014-02-01 00:00:00
abstract：:From 1988 through 1992, we conducted a prospective study of postdischarge surgical wound infection surveillance in our institution. A total of 6604 patients were seen after discharge in a centralized outpatient clinic, supervised by the infection control commission. Wounds were inspected, stitches were removed, and dr...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/0196-6553(95)90059-4
更新日期：1995-10-01 00:00:00
abstract：BACKGROUND:Medical devices that are used on patients in fields containing potentially infectious body fluids can become contaminated and transmit infectious agents to other sites on the patient or to other patients if the devices are not properly cleaned and decontaminated after use on each patient treatment site. One ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/s0196-6553(98)70043-4
更新日期：1998-08-01 00:00:00
abstract：:There are no standard guidelines for infection prevention and control practices among solid organ transplantation centers. To characterize the differences in infection prevention and control strategies, an electronic survey was performed in 2015 among members of American Society of Transplantation Infectious Diseases ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2018.06.020
更新日期：2019-01-01 00:00:00
abstract：:In pediatric bloodstream infections with fluoroquinolone (FQ)-resistant Escherichia coli and Klebsielia species, we noted an association between FQ resistance and extended-spectrum beta-lactamase (ESBL) production (OR, 12; 95% CI: 2.28-83.8). A case control study revealed no significant risk factors (including prior a...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2007.01.012
更新日期：2008-02-01 00:00:00
abstract：BACKGROUND:Control chart methodology has been widely touted for monitoring and improving quality in the health care setting. P charts and U charts are frequently recommended for rate and ratio statistics, but their practical value in infection control may be limited because they (1) are not risk-adjusted, and (2) perfo...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1067/mic.2000.109883
更新日期：2000-12-01 00:00:00
abstract：BACKGROUND:Mobile phones may be contaminated with nosocomial pathogens such as methicillin-resistant Staphylococcus aureus (MRSA). The aim of this study was to investigate the MRSA contamination rate on doctors' hospital-use-only mobile phones and the efficacy of 222-nm ultraviolet light (UV) disinfection. METHODS:We ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2020.11.011
更新日期：2020-11-10 00:00:00
abstract：BACKGROUND:Enterobacter cloacae has become a common cause of nosocomial infections. This study was designed to investigate the pattern of spread of E cloacae during an outbreak in a neonatal intensive care unit. METHODS:Enterobacterial repetitive intergenic consensus polymerase chain reaction was used to examine 111 E...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：
更新日期：2000-04-01 00:00:00
abstract：BACKGROUND:Health care-associated infections (HAIs) can be associated with increased health care costs. We examined extra length of hospital stay (LOS) and associated per diem costs attributable to HAIs in a large academic medical center. METHODS:Data for analysis were acquired in a preinterventional phase of a prospe...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2015.09.005
更新日期：2016-02-01 00:00:00
abstract：BACKGROUND:Contamination of bronchoalveolar lavage fluid is a major problem in the world. Although 2% glutaraldehyde (GA) is widely used as a disinfectant for bronchoscope cleaning, recently, GA-tolerant mycobacteria have been isolated, which makes this problem more complicated. METHODS:We studied the susceptibility t...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2003.07.007
更新日期：2004-06-01 00:00:00
abstract：:Sample-size determination is a crucial component of study design. Estimates of sample size are influenced by the amount of change that must occur between study groups and the degree of risk that the investigator is willing to accept in evaluating the null hypothesis. A complete understanding of the impact of sample si...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/0196-6553(93)90007-q
更新日期：1993-06-01 00:00:00
