Reduction of Healthcare-Associated Infections by Exceeding High Compliance with Hand Hygiene Practices

Emily E Sickbert-Bennett, Lauren M DiBiase, Tina M Schade Willis, Eric S Wolak, David J Weber, William A Rutala, Emily E Sickbert-Bennett, Lauren M DiBiase, Tina M Schade Willis, Eric S Wolak, David J Weber, William A Rutala

Abstract

Improving hand hygiene from high to very high compliance has not been documented to decrease healthcare-associated infections. We conducted longitudinal analyses during 2013-2015 in an 853-bed hospital and observed a significantly increased hand hygiene compliance rate (p<0.001) and a significantly decreased healthcare-associated infection rate (p = 0.0066).

Keywords: Clostridium difficile; bacteria; compliance; enteric infections; hand hygiene; healthcare-associated infections; nosocomial infections.

Figures

Figure
Figure
Overall healthcare-associated infection (HAI) rate and hand hygiene compliance by month, October 2013­–February 2015. Numbers above data bar indicate monthly compliance percentages. Error bars indicate 95% CIs.

References

    1. Boyce JM, Pittet D; Healthcare Infection Control Practices Advisory Committee. HICPAC/SHEA/APIC/IDSA Hand Hygiene Task Force; Society for Healthcare Epidemiology of America/Association for Professionals in Infection Control/Infectious Diseases Society of America. Guideline for hand hygiene in health-care settings. Recommendations of the Healthcare Infection Control Practices Advisory Committee and the HICPAC/SHEA/APIC/IDSA Hand Hygiene Task Force. MMWR Recomm Rep. 2002;51(RR-16):1–45, quiz CE1–4.
    1. Harris BD, Hanson C, Christy C, Adams T, Banks A, Willis TS, et al. Strict hand hygiene and other practices shortened stays and cut costs and mortality in a pediatric intensive care unit. Health Aff (Millwood). 2011;30:1751–61. 10.1377/hlthaff.2010.1282
    1. Sickbert-Bennett EE, DiBiase LM, Schade Willis TM, Wolak ES, Weber DJ, Rutala WA. Reducing health care-associated infections by implementing a novel all hands on deck approach for hand hygiene compliance. Am J Infect Control. 2016;44(Suppl):e13–6. 10.1016/j.ajic.2015.11.016
    1. Magill SS, Edwards JR, Bamberg W, Beldavs ZG, Dumyati G, Kainer MA, et al.; Emerging Infections Program Healthcare-Associated Infections and Antimicrobial Use Prevalence Survey Team. Multistate point-prevalence survey of health care-associated infections. N Engl J Med. 2014;370:1198–208. 10.1056/NEJMoa1306801
    1. Zimlichman E, Henderson D, Tamir O, Franz C, Song P, Yamin CK, et al. Health care-associated infections: a meta-analysis of costs and financial impact on the US health care system. JAMA Intern Med. 2013;173:2039–46. 10.1001/jamainternmed.2013.9763
    1. Pittet D, Hugonnet S, Harbarth S, Mourouga P, Sauvan V, Touveneau S, et al. Effectiveness of a hospital-wide programme to improve compliance with hand hygiene. Lancet. 2000;356:1307–12. 10.1016/S0140-6736(00)02814-2
    1. Talbot TR, Johnson JG, Fergus C, Domenico JH, Schaffner W, Daniels TL, et al. Sustained improvement in hand hygiene adherence: utilizing shared accountability and financial incentives. Infect Control Hosp Epidemiol. 2013;34:1129–36. 10.1086/673445
    1. Rupp ME, Fitzgerald T, Puumala S, Anderson JR, Craig R, Iwen PC, et al. Prospective, controlled, cross-over trial of alcohol-based hand gel in critical care units. Infect Control Hosp Epidemiol. 2008;29:8–15. 10.1086/524333
    1. Chen LF, Carriker C, Staheli R, Isaacs P, Elliott B, Miller BA, et al. Observing and improving hand hygiene compliance: implementation and refinement of an electronic-assisted direct-observer hand hygiene audit program. Infect Control Hosp Epidemiol. 2013;34:207–10. 10.1086/669084
    1. Diller T, Kelly JW, Blackhurst D, Steed C, Boeker S, McElveen DC. Estimation of hand hygiene opportunities on an adult medical ward using 24-hour camera surveillance: validation of the HOW2 Benchmark Study. Am J Infect Control. 2014;42:602–7. 10.1016/j.ajic.2014.02.020

Source: PubMed

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