کد مقاله کد نشریه سال انتشار مقاله انگلیسی ترجمه فارسی نسخه تمام متن
2638061 1563477 2015 6 صفحه PDF سفارش دهید دانلود کنید
عنوان انگلیسی مقاله ISI
Impact of the International Nosocomial Infection Control Consortium (INICC) multidimensional hand hygiene approach in 3 cities in Brazil
ترجمه فارسی عنوان
تاثیر رویکرد بهداشت چندمنظوره دست کنگره بین المللی کنترل عفونت های بیمارستانی بین المللی (INICC) در 3 شهر در برزیل
کلمات کلیدی
موضوعات مرتبط
علوم زیستی و بیوفناوری ایمنی شناسی و میکروب شناسی میکروب شناسی
چکیده انگلیسی


• A multidimensional approach to improve hand hygiene compliance was implemented in Brazil.
• Overall hand hygiene compliance in intensive care units increased from 27% to 58%.
• Adherence to hand hygiene was increased significantly with the International Nosocomial Infection Control Consortium multidimensional hand hygiene approach.

BackgroundHand hygiene (HH) is the main tool for cross-infection prevention, but adherence to guidelines is low in limited-resource countries, and there are not available published data from Brazil.MethodsThis is an observational, prospective, interventional, before-and-after study conducted in 4 intensive care units in 4 hospitals, which are members of the International Nosocomial Infection Control Consortium (INICC), from June 2006-April 2008. The study was divided into a 3-month baseline period and a follow-up period. A multidimensional HH approach was introduced, which included administrative support, supplies availability, education and training, reminders in the workplace, process surveillance, and performance feedback. Health care workers were observed for HH practices in each intensive care unit during randomly selected 30-minute periods.ResultsWe recorded 4,837 opportunities for HH, with an overall HH compliance that increased from 27%-58% (P < .01). Multivariate analysis showed that some variables were associated with poor HH compliance: men versus women (49% vs 38%, P < .001), nurses versus doctors (55% vs 48%, P < .02), among others.ConclusionsWith the implementation of the INICC approach, adherence to HH was significantly increased. Programs should be aimed at improving HH in variables found to be predictors of poor HH compliance.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: American Journal of Infection Control - Volume 43, Issue 1, 1 January 2015, Pages 10–15
نویسندگان
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