Original scientific paper
Impact of hand hygiene campaign on the rate of nosocomial bloodstream infections
Iva Butić
; Klinika za infektivne bolesti "Dr. Fran Mihaljević", Zagreb, Hrvatska
Marija Čulo
; Klinika za infektivne bolesti "Dr. Fran Mihaljević", Zagreb, Hrvatska
Anđa Novokmet
; Klinika za infektivne bolesti "Dr. Fran Mihaljević", Zagreb, Hrvatska
Bruno Baršić
; Klinika za infektivne bolesti "Dr. Fran Mihaljević", Zagreb, Hrvatska
Arjana Tambić Andrašević
; Klinika za infektivne bolesti "Dr. Fran Mihaljević", Zagreb, Hrvatska
Abstract
WHO has issued recommendations on hand hygiene (HH) campaign. The aim of the study was to analyse the impact of HH campaign on the nosocomial bacteremia rate in the adult intensive care unit (ICU). Adult ICU has 18 beds. Education in small groups during September and October 2010 and again in September 2011 covered 77% of the ward staff. Compliance evaluation was performed in November 2011. Episodes of nosocomial bacteremia (NB) in ICU patients were analysed for the first trimester of 2010, 2011 and 2012. During the one month observation period a total of 435 opportunities were recorded. HH compliance was high for both doctors (87%) and nurses (80 %). NB rates per 100 bed days in the observed periods were 11.5, 15.1 and 7.3, respectively. The number of infections caused by Acinetobacter baumannii were 6.3, 4.1 and 2.0, respectively. The incidence of nosocomial bacteremia, especially those caused by Acinetobacter baumannii, decreased after staff education and compliance evaluation but the difference did not reach statistical significance.
Keywords
Hand hygiene; campaign; education; compliance; incidence; nosocomial bacteremia
Hrčak ID:
98099
URI
Publication date:
30.9.2012.
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