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1.
Infect Control Hosp Epidemiol ; 37(6): 707-10, 2016 06.
Artigo em Inglês | MEDLINE | ID: mdl-27021950

RESUMO

We assessed handrub consumption as a surrogate marker for hand hygiene compliance from 2007 to 2014. Handrub consumption varied substantially between departments but correlated in a mixed effects regression model with the number of patient-days and the observed hand hygiene compliance. Handrub consumption may supplement traditional hand hygiene observations. Infect Control Hosp Epidemiol 2016;37:707-710.


Assuntos
Fidelidade a Diretrizes/estatística & dados numéricos , Higiene das Mãos/estatística & dados numéricos , Higienizadores de Mão/uso terapêutico , Humanos , Recursos Humanos em Hospital/estatística & dados numéricos , Centros de Atenção Terciária/estatística & dados numéricos
2.
Am J Infect Control ; 43(9): 922-7, 2015 09 01.
Artigo em Inglês | MEDLINE | ID: mdl-26122873

RESUMO

BACKGROUND: Guidelines recommend that health care personnel (HCP) wear gloves for all interactions with patients on contact precautions. We aimed to assess hand hygiene (HH) compliance during contact precautions before and after eliminating mandatory glove use. METHODS: We assessed HH compliance of HCP in the care of patients on contact precautions in 50 series before (2009) and 6 months after (2012) eliminating mandatory glove use and compared these results with the hospital-wide HH compliance. RESULTS: We assessed 426 HH indications before and 492 indications after the policy change. Compared with 2009, we observed a significantly higher HH compliance in patients on contact precautions in 2012 (52%; 95% confidence interval [95% CI], 47-57) vs 85%; 95% CI, 82-88; P < .001). During the same period, hospital-wide HH compliance also increased from 63% (95% CI, 61-65) to 81% (95% CI 80-83) (P < .001). However, the relative improvement (RI) of HH compliance during contact precautions was significantly higher than the hospital-wide relative improvement (RI, 1.6; 95% CI, 1.49-1.81 vs 1.29; 95% CI, 1.25-1.34), with a relative improvement ratio of 1.27 (95% CI, 1.15-1.41). CONCLUSION: Eliminating mandatory glove use in the care of patients on contact precautions increased HH compliance in our institution, particularly before invasive procedures and before patient contacts. Further studies on the effect on pathogen transmission are needed before revisiting the current official guidelines on the topic.


Assuntos
Infecção Hospitalar/prevenção & controle , Luvas Protetoras , Fidelidade a Diretrizes , Higiene das Mãos/normas , Desinfecção das Mãos/normas , Pessoal de Saúde , Hospitais , Humanos
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