1. Impact of the International Nosocomial Infection Control Consortium (INICC) multidimensional hand hygiene approach in three cities of Colombia.
- Author
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Barahona-Guzmán N, Rodríguez-Calderón ME, Rosenthal VD, Olarte N, Villamil-Gómez W, Rojas C, Rodríguez-Ferrer M, Sarmiento-Villa G, Lagares-Guzmán A, Valderrama A, Menco A, Arrieta P, Dajud-Cassas LE, Mendoza M, Sabogal A, Carvajal Y, and Silva E
- Subjects
- Cities, Cohort Studies, Colombia, Developing Countries, Feasibility Studies, Female, Follow-Up Studies, Hand Hygiene methods, Hand Hygiene organization & administration, Hand Hygiene statistics & numerical data, Hospitals, Humans, Infection Control statistics & numerical data, Intensive Care Units organization & administration, Intensive Care Units statistics & numerical data, Logistic Models, Male, Multivariate Analysis, Personnel, Hospital statistics & numerical data, Practice Guidelines as Topic, Prospective Studies, Cross Infection prevention & control, Guideline Adherence statistics & numerical data, Hand Hygiene standards, Infection Control methods, Intensive Care Units standards, Personnel, Hospital standards
- Abstract
Objective: To assess the feasibility and effectiveness of the International Nosocomial Infection Control Consortium (INICC) multidimensional hand hygiene (HH) approach in Colombia, and analyze predictors of poor HH compliance., Methods: An observational, prospective, interventional, before-and-after study was conducted from May 2003 through September 2010 in 10 intensive care units (ICUs) of six hospitals in three cities. The study was divided into two periods: a baseline and a follow-up period. Observations for HH compliance were done in each ICU during randomly selected 30-min periods. The multidimensional HH approach included: (1) administrative support, (2) supplies availability, (3) education and training, (4) reminders in the workplace, (5) process surveillance, and (6) performance feedback., Results: A total of 13 187 opportunities for HH were observed. Overall HH compliance increased from 50% to 77% (relative risk 1.55, 95% confidence interval 1.43-1.68; p=0.0001). Multivariate and univariate analyses showed that several variables were significantly associated with poor HH compliance: males vs. females (67% vs. 77%; p=0.0001), physicians vs. nurses (59% vs. 78%; p<0.0001), and adult vs. pediatric ICUs (76% vs. 42%; p<0.001), among others., Conclusions: Adherence to HH was increased by 55% with the INICC approach. Programs targeted at improving HH in variables found to be predictors of poor compliance should be implemented., (Copyright © 2013 The Authors. Published by Elsevier Ltd.. All rights reserved.)
- Published
- 2014
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