Cluster randomized trial to evaluate the effect of a multimodal hand hygiene improvement strategy in primary care

Infection Control and Hospital Epidemiology

Volumn 33, Issue 7, 2012, Pages 681-688

  Martín Madrazo, Carmen ^a   Soto Díaz, Sonia ^b   Caíáńada Dorado, Asuncion ^c   Salinero Fort, Miguel Angel ^d   Medina Fernández, Manuela ^e   de Santa Pau, Enrique Carrillo ^f   Gómez Campelo, Paloma ^d   Abánades Herranz, Juan Carlos ^g  

^a Centro de Salud Monó var   (Spain)

^b Unidad de Apoyo Técnico a la Investigación   (Spain)

^c Dirección Técnica de Procesos y Calidad   (Spain)

^d HOSPITAL UNIVERSITARIO LA PAZ   (Spain)

^e Centro de Salud Miraflores   (Spain)

^f Unidad de Apoyo a la Investigacion   (Spain)

^g Unidad de Docencia e Investigación   (Spain)

Author keywords

[No Author keywords available]

Indexed keywords

ADVERTIZING; ARTICLE; CONTROLLED STUDY; DENTAL ASSISTANT; FEMALE; GENERAL PRACTITIONER; HAND HYGIENE; HEALTH CARE PERSONNEL; HUMAN; HYGIENE; HYGIENE PRODUCT; MALE; MIDWIFE; NURSE; PARAMEDICAL EDUCATION; PEDIATRICIAN; PRIMARY MEDICAL CARE; SPAIN; WORLD HEALTH ORGANIZATION;

CLUSTER ANALYSIS; FEMALE; GUIDELINE ADHERENCE; HANDWASHING; HEALTH FACILITIES; HEALTH PERSONNEL; HUMANS; HYGIENE; MALE; PRIMARY HEALTH CARE; REMINDER SYSTEMS; SPAIN; WORLD HEALTH ORGANIZATION;

EID: 84863216757     PISSN: 0899823X     EISSN: None     Source Type: Journal    
DOI: 10.1086/666343     Document Type: Article

References (50)

1. Pittet D, Donaldson L. Clean care is safer care: a worldwide priority. Lancet 2005;366:1246-1247.
2. Klevens RM, Edwards JR, Richards CL, et al. Estimating health care-associated infections and deaths in U.S. hospitals, 2002. Public Health Rep 2007;122:160-166.
3. European Centre for Disease Prevention and Control (ECDC). Healthcare-Associated Infections. Stockholm: ECDC, 2010. http: //ecdc.europa.eu/en/healthtopics/Healthcare-associated _infections/Pages/index.aspx. Accessed January 15, 2010.
4. Sociedad Española de Medicina Preventiva Salud Pú blica e Higiene (SEMPSPH). Estudio de Prevalencia de las Infecciones Nosocomiales 2010: Informe Global de España. http://www.sempsph.com/sempsph/attachments/327_Informe%20EPINE-2010%20ESPA%C3%91A.pdf. SEMPSPH, 2010. Accessed January 15, 2010.
5. Informe Sobre Infección Hospitalaria: Subdirección General de Prestaciones y Evaluación de Tecnologi{dotless}́as Sanitarias. Dirección General de Aseguramiento y Planificación Sanitaria. Ministerio de Sanidad y Consumo. Madrid. Med Clin (Barc) 1994;102:20-24.
6. Jarvis WR. Handwashing: the Semmelweis lesson forgotten? Lancet 1994;344:1311-1312.
7. Larson EI. A causal link between handwashing and risk of infection? examination of the evidence. Infect Control Hosp Epidemiol 1988;9:28-36.
8. Malone N, Larson E. Factors associated with a significant reduction in hospital-wide infection rates. Am J Infect Control 1996;24:180-185.
9. Pittet D, Mourouga P, Perneger TV. Effectiveness of a hospitalwide programme to improve compliance with hand hygiene. Lancet 2000;356:1307-1312.
10. Hugonnet S, Pittet D. Hand hygiene-beliefs or science? Clin Microbiol Infect 2000;6:350-356.
11. Pittet D, Boyce JM. Hand hygiene and patient care: pursuing the Semmelweis legacy. Lancet Infect Dis 2001;1(suppl 1):9-20.
12. Luby SP, Agboatwalla M, Feikin DR, et al. Effect of handwashing on child health: a randomised controlled trial. Lancet 2005;366: 225-233.
13. Pittet D, Allegranzi B, Sax H, et al. Evidence-based model for hand transmission during patient care and the role of improved practices. Lancet Infect Dis 2006;6:641-652.
14. Larson El. APIC guideline for handwashing and hand antisepsis in health care settings. Am J Infect Control 1995;23:251-269.
15. World Health Organization (WHO). WHO Guidelines on Hand Hygiene in Health Care (Advance Draft). Geneva: WHO, 2006. http://www.who.int/patientsafety/challenge/en/. Accessed January 15, 2010.
16. Larson El, Kretzer EK. Compliance with handwashing and barrier precautions. J Hosp Infect 1995;30(suppl):88-106.
17. Pittet D, Mourouga P, Perneger TV. Compliance with handwashing in a teaching hospital. Ann Intern Med 1999;130: 126-130.
18. Thompson BL, Dwyer DM, Ussery XT, Denman S, Vacek P, Schwartz B. Handwashing and glove use in a long-term care facility. Infect Control Hosp Epidemiol 1997;18:97-103.
19. Pittet D, Mourouga P, Perneger TV. Compliance with handwashing in a teaching hospital. Ann Intern Med 1999;130: 126-130.
20. Erasmus V, Daha TJ, Brug H, Richardus JH, Behrendt MD, Vos MC, van Beeck EF. Systematic review of studies on compliance with hand hygiene guidelines in hospital care. Infect Control Hosp Epidemiol 2010;31:283-294.
21. Teare EL, Cookson B, French GL, et al. UK handwashing initiative. J Hosp Infect 1999;43:1-3.
22. Centers for Disease Control and Prevention. Guideline for hand hygiene in health-care settings: recommendations of the Healthcare Infection Control Practices Advisory Committee and the HIPAC/SHEA/APIC/IDSA Hand Hygiene Task Force. MMWR Morb Mortal Wkly Rep 2002;51:1-45.
23. World Health Organization (WHO). Alianza Mundial para la Seguridad del Paciente: Reto Mundial en Pro de la Seguridad del Paciente 2005-2006. Geneva: WHO, 2005. http://www.who.int/ gpsc/background/en/index.html. Accessed January 15, 2010.
24. World Health Organization (WHO). A Guide to the Implementation of the WHO Multimodal Hand Hygiene Improvement Strategy. Geneva: WHO, 2009. http://whqlibdoc.who.int/hq/2009/ WHO_IER_PSP_2009.02_eng.pdf. Accessed January 15, 2010.
25. National Institute for Health and Clinical Excellence (NICE). Infection Control: Prevention of Healthcare-Associated Infections in Primary and Community Care. London: NICE, 2010. http:// www.nice.org.uk/guidance/index.jsp?actionpdownload&op 29119. Accessed January 15, 2010.
26. Allegranzi B. Hand Hygiene in Primary Care: A Collaborative Project between WHO Patient Safety, Spain Ministry of Health, and Geneva WCC on Patient Safety. http://www.seguridaddelpaciente.es/recursos/documentos/VI_Conferencia/ 03allegranzi.pdf. Accessed January 15, 2010.
27. Smith S. A review of hand-washing techniques in primary care and community settings. J Clin Nurs 2009;18:786-790.
28. Gould DJ, Moralejo D, Drey N, Chudleigh JH. Interventions to improve hand hygiene compliance in patient care. Cochrane Database Syst Rev 2010;8:CD005186. http://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD005186/frame.html. Accessed January 15, 2010.
29. Sánchez J, Fuster M, Garci{dotless}́a C, et al. Evaluación de un programa de actualización de las recomendaciones sobre la higiene de manos. An Sist Sanit Navar 2007;30:343-352.
30. Gould D, Chamberlain A. The use of a ward-based educational teaching package to enhance nurses' compliance with infection control procedures. J Clin Nurs 1997;6:55-67.
31. Marti{dotless}́n-Madrazo C, Cañada-Dorado A, Salinero-Fort MA, et al. Effectiveness of a training programme to improve hand hygiene compliance in primary healthcare. BMC Public Health 2009;9:469.
32. World Health Organization (WHO). WHO Guidelines on HH in Health Care (Advanced Draft): A Summary. http://www.who.int/entity/patientsafety/events/05/HH_en.pdf. Geneva: WHO, 2010. Accessed January 15, 2010.
33. Rosenthal V, Guzman S, Safdar N. Reduction in nosocomial infection with improved hand hygiene in intensive care units of a tertiary care hospital in Argentina. Am J Inf Control 2006;34: 392-397.
34. Zerr DM, Allpress AL, Heath J, Bornemann R, Bennett E. Decreasing hospital-associated rotavirus infection: a multidisciplinary hand hygiene campaign in a children's hospital. Pediatr Infect Dis J 2005;24:397-403.
35. Grayson ML, Jarvie LJ, Martin R, et al. Significant reductions in methicillin-resistant Staphylococcus aureus bacteraemia and clinical isolates associated with a multisite, hand hygiene culturechange program and subsequent successful statewide roll-out. Med J Aust 2008;188:633-640.
36. Erasmus V, Kuperus, MN, Richardus JH, Vos MC, Oenema A, van Beek EF. Improving hand hygiene of nurses using action planning: pilot study in the intensive care unit and surgical ward. J Hosp Infect 2010;76:161-164.
37. Hugo S. The World Health Organization hand hygiene observation method. Am J Infect Control 2009;37:827-834.
38. Fuller C, Besser S, Cookson BD, et al. Assessment of blinding of hand hygiene observers in randomized controlled trials of hand hygiene interventions. Am J Infect Control 2010;38:332-334.
39. Braun BI, Kusek L, Larson E. Measuring adherence to hand hygiene guidelines: a field survey for examples of effective practices. Am J Infect Control 2009;37:282-288.
40. Stout A, Ritchie K, Macpherson K. Clinical effectiveness of alcohol-based products in increasing hand hygiene compliance and reducing infection rates: a systematic review. J Hosp Infect 2007;66:308-312.
41. DeLeo FR, Otto M, Kreiswirth BN, Chambers HF. Communityassociated meticillin-resistant Staphylococcus aureus. Lancet 2010;375:1557-1568.
42. Henderson DK. Managing methicillin-resistant staphylococci: a paradigm for preventing nosocomial transmission of resistant organisms. Am J Infect Control 2006;34(suppl 1):S46-S54.
43. McConnell J. Lancet conference on healthcare-associated infections. Lancet Infect Dis 2009;9:78.
44. Ramos D, Marrero P. Un mes en una consulta de AP. Semergen 2004;30(suppl 1):70-115.
45. Pan A, Mondello P, Posfay-Barbe K, et al. Hand hygiene and glove use behavior in an Italian hospital. Infect Control Hosp Epidemiol 2007;28:1099-1102.
46. Harbarth S, Pittet D, Grady L, et al. Interventional study to evaluate the impact of an alcohol-based hand gel in improving hand hygiene compliance. Pediatr Infect Dis J 2002;21:489-495.
47. Fuentes-Ferrer ME, Peláez-Ros B, Andrade-Lobato R, del Prado-González N, Cano-Escudero S, Fereres-Castiel J. Efectividad de una intervención para la mejora del cumplimiento en la higiene de manos en un hospital de tercer nivel. Rev Cald Asist 2012;27:3-10.
48. Sánchez-Payá J, Galicia-Garci{dotless}́a MD, Gracia-Rodri{dotless}́guez RM, et al. Grado de cumplimiento y determinantes de las recomendaciones sobre la higiene de manos. Enferm Infecc Microbiol Clin 2007;25:369-375.
49. Maury E, Alzieu M, Baudel JL, et al. Availability of an alcohol solution can improve hand disinfection compliance in an intensive care unit. Am J Respir Crit Care Med 2000;162:324-327.
50. Sobrequés J, Cebrià J, Segura J, Rodri{dotless}́guez C, Garci{dotless}́a M, Juncosa S. La satisfacción laboral y el desgaste profesional de los médicos de atención primaria. Aten Primaria 2003;31:227-233.