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BACKGROUND Hand hygiene prevents cross infection in hospitals, but compliance with recommended instructions is commonly poor. We attempted to promote hand hygiene by implementing a hospital-wide programme, with special emphasis on bedside, alcohol-based hand disinfection. We measured nosocomial infections in parallel. METHODS We monitored the overall(More)
BACKGROUND Physician adherence to hand hygiene remains low in most hospitals. OBJECTIVES To identify risk factors for nonadherence and assess beliefs and perceptions associated with hand hygiene among physicians. DESIGN Cross-sectional survey of physician practices, beliefs, and attitudes toward hand hygiene. SETTING Large university hospital. (More)
BACKGROUND Cross-transmission of microorganisms by the hands of health care workers is considered the main route of spread of nosocomial infections. OBJECTIVE To study the process of bacterial contamination of health care workers' hands during routine patient care in a large teaching hospital. METHODS Structured observations of 417 episodes of care were(More)
The role of asymptomatic carriers of toxigenic Clostridium difficile (TCD) in nosocomial cross-transmission remains debatable. Moreover, its relevance in the elderly has been sparsely studied. To assess asymptomatic TCD carriage in an acute care geriatric population. We performed a prospective cohort study at the 296-bed geriatric hospital of the Geneva(More)
Nosocomial infections are a major challenge for modern medicine and contribute to increased resource use in health care systems. The first hospital-wide prevalence survey of nosocomial infections was conducted at the University of Geneva Hospitals in 1994. At the time of the study, 16.9% of admitted patients had nosocomial infections (168/994). Leading(More)
OBJECTIVES To investigate a nosocomial outbreak of influenza. DESIGN Prospective outbreak investigation with active case finding and molecular typing. SETTING A large academic geriatric hospital in Switzerland. PARTICIPANTS Elderly hospitalized adults. MEASUREMENTS Based on syndromic surveillance, a nosocomial influenza outbreak was suspected in(More)
Objectives Surveillance of epidemiologically important pathogens and measurement of related indicators are key tasks of Infection Control staff (ICS). Active surveillance is carried out by ICS in a 300-bed geriatric hospital in Swit-zerland to improve safety of hospitalized elderly patients. Methods The following surveillance activities are currently(More)