Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
5566280 | American Journal of Infection Control | 2016 | 6 Pages |
â¢Improved hand hygiene might reduce nosocomial methicillin-resistant Staphylococcus aureus bacteremia incidence rates.â¢By adopting World Health Organization multimodal strategies, hand hygiene compliance rates increased.â¢The hand hygiene campaign significantly reduced nosocomial methicillin-resistant Staphylococcus aureus bacteremia.â¢Implementation of the hand hygiene campaign was cost saving.
BackgroundHand hygiene (HH) is the most important factor affecting health care-associated infections.MethodsWe introduced a World Health Organization HH campaign in October 2010. The monthly procurement of hand sanitizers per 1,000 patient days was calculated, and the monthly incidence of methicillin-resistant Staphylococcus aureus bacteremia (MRSAB), classified into community- and hospital-onset (HO), was measured from a microbiologic laboratory database. Trends of MRSAB incidence were assessed using Bayesian structural time series models. A cost-benefit analysis was also performed based on the economic burden of HO MRSAB in Korea.ResultsProcurement of hand sanitizers increased 134% after the intervention (95% confidence interval [CI], 120%-149%), compared with the preintervention period (January 2008-September 2010). In the same manner, HH compliance improved from 33.2% in September 2010 to 92.2% after the intervention. The incidence of HO MRSAB per 100,000 patient days decreased 33% (95% CI, â57% to â7.8%) after the intervention. Because there was a calculated reduction of 65 HO MRSAB cases during the intervention period, the benefit outweighed the cost (total benefit [$851,565]/total cost [$167,495]â=â5.08).ConclusionsImplementation of the HH campaign led to increased compliance and significantly reduced HO MRSAB incidence; it was also cost saving.