Does the Architecture of Hospital Facilities Influence Nosocomial Infection Rates? A Systematic Review

Infection Control and Hospital Epidemiology

Volumn 25, Issue 1, 2004, Pages 21-25

  Dettenkofer, M ^a   Seegers, S ^a   Antes, G ^b   Motschall, E ^c   Schumacher, M ^c   Daschner, F D ^a  

^a UNIVERSITY OF FREIBURG   (Germany)

^b Inst Med Biometr/Med Info   (Germany)

^c UNIVERSITY OF FREIBURG   (Germany)

Author keywords

[No Author keywords available]

Indexed keywords

ARCHITECTURE; HOSPITAL; HOSPITAL DEPARTMENT; HOSPITAL INFECTION; HYGIENE; INFECTION RATE; REVIEW; SURGICAL WARD;

ARCHITECTURE; CROSS INFECTION; HOSPITAL DESIGN AND CONSTRUCTION; HUMANS; INFECTION CONTROL; INTENSIVE CARE UNITS; PATIENT ISOLATION; SURGICAL WOUND INFECTION;

EID: 0942298733     PISSN: 0899823X     EISSN: None     Source Type: Journal    
DOI: 10.1086/502286     Document Type: Review

References (38)

1. Ayliffe GAJ, Babb JR, Taylor L, Wise R. A unit for source and protective isolation in a general hospital. BMJ 1979;2:461-465.
2. Garner JS. Guideline for isolation precautions in hospitals. Infect Control Hosp Epidemiol 1996;17:53-80.
3. Noskin GA, Peterson LR. Engineering infection control through facility design. Emerg Infect Dis 2001;7:354-357.
4. Ayliffe GAJ, Babb JR, Taylor LJ. The hospital environment, In: Ayliffe GAJ, Babb JR, Taylor LJ, eds. Hospital-Acquired Infection. Principles and Prevention, ed. 3. Oxford: Butterworth-Heinemann; 1999:109-121.
5. Bundesgesundheitsamt, Kommission "Erkennung, Verhütung und Bekämpfung von Krankenhausinfektionen." Krankenhausinfektionen: Sechs Anlagen aus dem baulich-funktionellen Bereich. [Federal Health Office. Identification, prevention and control of hospital-acquired infections.] Bundesgesbl 1979;22:181-200.
6. Gastmeier P, Daschner F, Rüden H. Guidelines for infection prevention and control in Germany: evidence- or expert-based? J Hosp Infect 1999;43(suppl):301-305.
7. Frank U, Gastmeier P, Rüden H, Daschner FD. The organization of infection control in Germany. J Hosp Infect 2001;49:9-13.
8. Hauer T, Rüden H, Daschner F. Requirements of the German "Gesetzliche Unfaleversicherung (GUV) "for hospitals participating in the treatment of occupational accident victims; a critical commentary with recommendations of the National Center for Hospital Hygiene Standards. Chirurg 1998;69;924-929.
9. Mindorff CM, Cook DJ. Critical review of the hospital epidemiology and infection control literature. In: Mayhall CG, ed. Hospital Epidemiology and Infection Control, ed. 2. Philadelphia: Lippincott Williams and Wilkins; 1999:1273-1281.
10. Agency for Health Care Policy and Research. Publication 92-0032: 100-107. In: Bassler D, Antes G, Forster J. Evidenz-Basierte Medizin und Metaanalysen in der Pädiatrischen Praxis. [Evidence-Based Medicine and Meta-Analyses in Paediatric Practice.] Pädiatrische Praxis 2000;58:569-576.
11. Goldmann DA, Durbin WA, Freeman J. Nosocomial infections in a neonatal intensive care unit. J Infect Dis 1981;144:449-459.
12. Hartenhauer U, Diemer W, Gähler R, Ritzerfeld W. Nosokomiale Infektionen in der Operativen Intensivmedizin: Ergebnisse einer 5-jahrigen prospektiven Erhebung. [Nosocomial infections in surgical intensive medicine: results of a 5-year prospective analysis.] Anasthesiol Intensivmed Notfallmed Schmerzther 1990;25:93-101.
13. Huebner J, Frank U, Kappstein I, et al. Influence of architectural design on nosocomial infections in intensive care units: a prospective 2-year analysis. Intensive Care Med 1989;153:179-183.
14. Larson E, Hargiss CO, Dyk L. Effect of an expanded physical facility on nosocomial infections in a neonatal intensive care unit. Am J Infect Control 1985;13:16-20.
15. Martiny H, von Strempel A, Rüden H. Zwei Intensivpflegestationen mit Einbett-und Vierbettzimmern-baulich-funktionelle und hygienische Untersuchungen. Hygiene & Medizin 1982;7:524-529.
16. Mullin B, Rouget C, Clement C, et al. Association of a private isolation room with ventilator-associated Acinetobacter baumannii pneumonia in a surgical intensive-care unit. Infect Control Hosp Epidemiol 1997;18:499-503.
17. Preston GA, Larson E, Stamm WE. The effect of private isolation rooms on patient care practices, colonization and infection in an intensive care unit. Am J Med 1981;70:641-645.
18. Smith G, Smylie HG, McLauchlan J, Logie JR. Ward design and wound infection due to Staphylococcus pyogenes. J R Coll Surg Edinb 1980;25:76-79.
19. Vincent J, Bihari DJ, Suter PM, et al. The prevalence of nosocomial infection in intensive care units in Europe: results of the European Prevalence of Infection in Intensive Care (EPIC) study. JAMA 1995;274:639-644.
20. Hansis M, Dorau B, Hirner A, et al. Changes in hygienic standard and infection rates in a new surgical unit. Hygiene & Medizin 1997;22:226-238.
21. Leisner H. Postoperative wound infection in 3,200 clean operations. Acta Chirurgica Scandinavia 1976;142:83-90.
22. Millar KJ. The impact of a new operating theatre suite on surgical wound infections. Australian and New Zealand Journal of Surgery 1979;49:437-440.
23. van Griethusen A, Spies-van Rooijen N, Hoogenboom-Verdegaal A. Surveillance of wound infections and a new theatre: unexpected lack of improvement. J Hosp Infect 1996;34:99-106.
24. Chattopadhyay B. Control of infection wards: are they worthwhile? J Hosp Infect 2001;47:88-90.
25. McKendrick GD, Edmond RT. Investigation of cross-infection in isolation ward of different design. Journal of Hygiene 1976;76:23-31.
26. Kibbler CC, Quick A, O'Neill AM. The effect of increased bed numbers on MRSA transmission in acute medical wards. J Hosp Infect 1998;39:213-219.
27. Maki DG, Alvarado CJ, Hassemer CA, Zilz MA. Relation of the inanimate hospital environment to endemic nosocomial infection. N Engl J Med 1982;507:1562-1566.
28. Ben-Abraham R, Keller N, Szold O, et al. Do isolation rooms reduce the rate of nosocomial infections in the pediatric intensive care unit? J Crit Care 2002;17:176-180.
29. Lankford MG, Zembower TR, Trick WE, Hacek DM, Noskin GA, Peterson LR. Influence of role models and hospital design on hand hygiene of healthcare workers. Emerg Infect Dis 2003;9:217-223.
30. Pittet D, Hugonnet S, Habarth S, et al. Effectiveness of a hospital-wide programme to improve compliance with hand hygiene. Lancet 2000;356:1307-1312.
31. Egger M, Zellweger-Zähner T, Schneider M, Junker C, Lengeler C, Antes G. Language bias in randomised controlled trials published in English and German. Lancet 1997;350:326-329.
32. Larson E, Kretzer EK. Compliance with handwashing and barrier precautions. J Hosp Infect 1995;30 (suppl):88-106.
33. Kaplan LM, McGuckin M. Increasing handwashing compliance with more accessible sinks. Infection Control 1986;7:408-410.
34. Schultz JK, Professional Advisory Committee. Does windowless OR environment affect behavior? AORNJ 1979;30:26-28.
35. American Institute of Architects. Guidelines for Design and Construction of Hospital and Health Care Facilities, 1996-97. Washington, DC: American Institute of Architects Press; 1996.
36. Carter CD, Barr BA. Infection control issues in construction and renovation, In: Herwaldt LA, Decker MD, eds. A Practical Handbook for Hospital Epidemiologists. Thorofare, NJ: Slack; 1997:317-330.
37. Harvey MA. Critical-care-unit bedside design and furnishing: impact on nosocomial infections. Infect Control Hosp Epidemiol 1998;19:597-601.
38. Bartley J, Bjerke NB. Infection control considerations in critical care unit design and construction: a systematic risk assessment. Critical Care Nursing Quarterly 2001;24:43-58.