ABSTRACT
An intervention study was undertaken to evaluate the impact of an education program on the incidence of central line-associated bloodstream infection (CLABSI) in 2 intensive care units. There was a nonsignificant reduction in the incidence of CLABSI (odds ratio, 0.46 [95% confidence interval, 0.21-1.02]; P=.04) despite a significant increase in knowledge of CLABSI prevention by the staff of both intensive care units after the education program.
Subject(s)
Bacteremia , Catheterization, Central Venous/adverse effects , Cross Infection , Inservice Training/statistics & numerical data , Intensive Care Units/statistics & numerical data , Bacteremia/epidemiology , Bacteremia/etiology , Bacteremia/prevention & control , Brazil/epidemiology , Cross Infection/epidemiology , Cross Infection/etiology , Cross Infection/prevention & control , Equipment Contamination , Humans , IncidenceABSTRACT
We analyzed the impact of introducing an alcohol-based hand gel and an educational program on hand hygiene adherence among healthcare workers in an intensive care unit. Adherence to hand hygiene was significantly higher after the intervention for the night shift work period (P=.001), among nursing assistants (P=.001), among nurses (P=.007) on weekend days (P=.016), and for invasive procedures (P=.012).
Subject(s)
Alcohols/administration & dosage , Anti-Infective Agents, Local/administration & dosage , Guideline Adherence/standards , Hand Disinfection , Intensive Care Units , Personnel, Hospital/standards , Brazil , Education, Continuing , Hand/microbiology , Hand Disinfection/methods , Hand Disinfection/standards , Hospitals, Teaching , Humans , Infection Control/methods , Program EvaluationABSTRACT
Handwashing compliance was compared at two medical- surgical intensive care units (ICUs) of a teaching and a non-teaching hospital. The mean compliance was 22.2% and 42.6%, respectively. Respiratory therapists at the non-teaching hospital had the best handwashing compliance (52.6%). Nursing assistants at the teaching hospital had the worst compliance (11.5%). Nursing assistant was the only health-care worker category with a significant difference between the two ICUs (odds ratio = 6.0; 95% confidence interval = 3.83-9.43; p< 0.001).
Subject(s)
Cross Infection/prevention & control , Guideline Adherence/statistics & numerical data , Hand Disinfection , Intensive Care Units/statistics & numerical data , Personnel, Hospital , Brazil , Hospitals, Teaching , HumansABSTRACT
Handwashing compliance was compared at two medical- surgical intensive care units (ICUs) of a teaching and a non-teaching hospital. The mean compliance was 22.2 percent and 42.6 percent, respectively. Respiratory therapists at the non-teaching hospital had the best handwashing compliance (52.6 percent). Nursing assistants at the teaching hospital had the worst compliance (11.5 percent). Nursing assistant was the only health-care worker category with a significant difference between the two ICUs (odds ratio = 6.0; 95 percent confidence interval = 3.83-9.43; p< 0.001).
