Hand hygiene: improved standards and practice for hospital care

@article{Pittet2003HandHI,
  title={Hand hygiene: improved standards and practice for hospital care},
  author={Didier Pittet},
  journal={Current Opinion in Infectious Diseases},
  year={2003},
  volume={16},
  pages={327-335}
}
  • D. Pittet
  • Published 1 August 2003
  • Medicine
  • Current Opinion in Infectious Diseases
Purpose of review To review the most recently published literature on hand hygiene practices in healthcare settings. Recent findings Adherence with recommendations for hand hygiene remains low, but key factors of noncompliance have been identified and corrective actions proposed. Current guidelines recommend the use of alcohol-based handrub formulations as the new standard of care, thus requiring a system change in most hospitals. In addition, healthcare worker education and motivation are… 
Hand hygiene: promoting compliance among nurses and health workers.
TLDR
It is suggested that the problem has to be managed through cultural change, making it easier for HCWs to comply by improving hand-cleansing facilities and materials and providing feedback to personnel on local infection rates so that high-priority areas can be targeted.
Patients’ safety in your hands.
TLDR
Perceived barriers to adherence with hand hygiene practice recommendations include skin irritation caused by hand hygiene agents, inaccessible hand hygiene supplies, interference with healthcare worker patient relationships, patient needs perceived as a priority over hand hygiene, wearing og gloves, forgetfulness, and the lack of scientific information showing a definitive impact of improved hand hygiene on healthcare associated infections rates.
Effectiveness of a comprehensive hand hygiene program for reduction of infection rates in a long-term care facility.
TLDR
It is demonstrated that the use of alcohol-based hand rubs, as part of a comprehensive hand hygiene program for HCP and residents, can decrease infection rates in LTCFs.
Assessing Hand Hygiene Compliance in Healthcare Workers to Reduce Infectious Disease
TLDR
Multi-statistical measurements are developed to assess hand hygiene compliance of the medical and nursing groups at the inpatient wards, 5B, 6B and ICU at the Providence Veterans Affairs Medical Center to identify whether the few cases or rare incidents of HAI that have been reported in the past few years was caused by or linked to poor hand hygiene practices.
An Observational and Trend Analysis Study of HandHygiene Practices of Healthcare Workers at A PrivateNigerian Tertiary Hospital
TLDR
Measuring hand hygiene Compliance is a veritable tool in hand hygiene compliance and sustained educational programs and reminders serve to improve hand hygiene.
Determinants of hand hygiene noncompliance in intensive care units.
TLDR
Overall HH noncompliance was high in ICUs of this hospital, and the demanding ICU work setting was an important factor associated with noncompliance.
Hand hygiene non-compliance among intensive care unit health care workers in Aseer Central Hospital, south-western Saudi Arabia.
  • A. Mahfouz, M. E. El Gamal, T. Al-Azraqi
  • Medicine
    International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases
  • 2013
TLDR
The observed high figures of hand hygiene non-compliance warrant intensifying education to promote local hand hygiene and training programs to help embed efficient and effective hand hygiene into all elements of care delivery in the intensive care units of ACH.
Application of the Health Belief Model -Based Educational Intervention on Hand Hygiene Performance of Intensive Care Units' Nurses
TLDR
periodic and refreshment educational intervention related to hand hygiene is recommended for adult and pediatric ICUs nurses to improve their hand hygiene performance and further study for barriers in other ICUs is recommended.
Improvement of hand hygiene compliance among health care workers in intensive care units
TLDR
The interventional educational program improved the HH compliance among ICUs-HCWs at Beni-Suef university hospital and the hospital should conduct monthly observational monitoring for the ICUs units sharing the findings to spread best practices.
Dissemination of the CDC's Hand Hygiene Guideline and impact on infection rates.
TLDR
Evaluation of implementation and compliance with clinical practices recommended in the new CDC Hand Hygiene Guideline found wide dissemination was not sufficient to change practice; practice change is unlikely without such multidisciplinary efforts and explicit administrative support.
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 81 REFERENCES
Improving Compliance With Hand Hygiene in Hospitals
  • D. Pittet
  • Medicine
    Infection Control & Hospital Epidemiology
  • 2000
Hand hygiene prevents cross-infection in hospitals, but compliance with recommended instructions often is poor among healthcare workers. Although some previous interventions to improve compliance
Alcohol-based handrub improves compliance with hand hygiene in intensive care units.
TLDR
In intensive care units, less time-consuming handrubbing might replace standard handwashing and overcome the barrier of time constraints and induce a marked and sustained increase in compliance with hand hygiene.
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
TLDR
The Guideline for Hand Hygiene in Health-Care Settings provides health-care workers (HCWs) with a review of data regarding handwashing and hand antisepsis and provides specific recommendations to promote improved hand-hygiene practices and reduce transmission of pathogenic microorganisms to patients and personnel in health- Care settings.
Hand hygiene and patient care: pursuing the Semmelweis legacy
TLDR
Promoting hand cleansing with an alcohol-based handrub solution seems to be the most practical means of improving compliance in high-demand situations and was used in the only programme that reported a sustained improvement in hand-hygiene compliance associated with decreased infection rates.
Compliance with hand disinfection and its impact on hospital-acquired infections.
  • D. Pittet
  • Medicine
    The Journal of hospital infection
  • 2001
TLDR
The results of the first successful experience of sustained hand hygiene promotion and its effectiveness on hospital-acquired infection are described and alcohol-based hand-rub is described as superior to traditional handwashing.
Effectiveness of a hospital-wide programme to improve compliance with hand hygiene
TLDR
The campaign produced a sustained improvement in compliance with hand hygiene, coinciding with a reduction of nosocomial infections and MRSA transmission, and the promotion of bedside, antiseptic handrubs largely contributed to the increase in compliance.
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. Society for Healthcare Epidemiology of America/Association for Professionals in Infection Control/Infectious Dis
  • J. Boyce, D. Pittet
  • Medicine
    MMWR. Recommendations and reports : Morbidity and mortality weekly report. Recommendations and reports
  • 2002
TLDR
The Guideline for Hand Hygiene in Health-Care Settings provides health-care workers (HCWs) with a review of data regarding handwashing and hand antisepsis and provides specific recommendations to promote improved hand-hygiene practices and reduce transmission ofpathogenic microorganisms to patients and personnel in health- care settings.
Improving adherence to hand hygiene practice: a multidisciplinary approach.
  • D. Pittet
  • Medicine
    Emerging infectious diseases
  • 2001
TLDR
Alcohol- based hand rubs may be better than traditional handwashing as they require less time, act faster, are less irritating, and contribute to sustained improvement in compliance associated with decreased infection rates.
Assessment of alternative hand hygiene regimens to improve skin health among neonatal intensive care unit nurses.
TLDR
Use of a mild soap for cleaning and an alcohol-based product for degerming may offer an acceptable alternative to the traditional antiseptic handwash and may reduce skin damage to health care professionals' hands.
Hand hygiene rates unaffected by installation of dispensers of a rapidly acting hand antiseptic.
TLDR
An educational campaign and installation of dispensers containing a rapidly acting hand hygiene product near hospital rooms did not affect hand hygiene compliance and the behavior of attending physicians was predictive of handwashing rates for all others in the attending's retinue.
...
1
2
3
4
5
...