Luciana Reis Guastelli

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OBJECTIVE To evaluate the effectiveness of a positive deviance strategy for the improvement of hand hygiene compliance in 2 adult step-down units. DESIGN A 9-month, controlled trial comparing the effect of positive deviance on compliance with hand hygiene. SETTING Two 20-bed step-down units at a tertiary care private hospital. METHODS The first phase(More)
BACKGROUND Central line-associated bloodstream infection (CLABSI) is one of the most important health care-associated infections in the critical care setting. METHODS A quasiexperimental study involving multiple interventions to reduce the incidence of CLABSI was conducted in a medical-surgical intensive care unit (ICU) and in 2 step-down units (SDUs).(More)
OBJECTIVE To evaluate hand hygiene compliance in 2 adult step-down units (SDUs). DESIGN A 6-month (from March to September 2007), controlled trial comparing 2 SDUs, one with a feedback intervention program (ie, the intervention unit) and one without (ie, the control unit). SETTING Two 20-bed SDUs at a tertiary care private hospital. METHODS Hand(More)
BACKGROUND Catheter-associated urinary tract infection (CAUTI) is one of the most common health care‒associated infections in the critical care setting. METHODS A quasi-experimental study involving multiple interventions to reduce the incidence of CAUTI was conducted in a medical-surgical intensive care unit (ICU) and in 2 step-down units (SDUs). Between(More)
BACKGROUND There is a paucity of data evaluating whether positive deviance (PD) can sustain improvement in hand hygiene compliance. METHODS An observational study comparing the effect of PD on compliance with hand hygiene was conducted in two 20-bed step-down units (SDUs) at a private tertiary care hospital. In a 3-month baseline period (April-June 2008),(More)
BACKGROUND Hand hygiene (HH) is widely regarded as the most effective preventive measure for health care-associated infection. However, there is little robust evidence on the best interventions to improve HH compliance or whether a sustained increase in compliance can reduce rates of health care-associated infection. METHODS To evaluate the effectiveness(More)
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