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dc.contributor.author
Rodriguez, Viviana
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Giuffre, Carolina
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Villa, Silvia
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Almada, Griselda
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Prasopa Plaizier, Nittita
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Gogna, Monica Laura
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Gibbons, Luz
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Garcia Elorrio, Ezequiel
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Argentinian Group Hand Hygiene Improvement
dc.date.available
2018-04-20T20:25:22Z
dc.date.issued
2015-10
dc.identifier.citation
Rodriguez, Viviana; Giuffre, Carolina; Villa, Silvia; Almada, Griselda; Prasopa Plaizier, Nittita; et al.; A multimodal intervention to improve hand hygiene in ICUs in Buenos Aires, Argentina: a stepped wedge trial; Oxford University Press; International Journal For Quality In Health Care; 27; 5; 10-2015; 405-411
dc.identifier.issn
1353-4505
dc.identifier.uri
http://hdl.handle.net/11336/42947
dc.description.abstract
Issue: Hand hygiene is a cost-effective measure to reduce microbial transmission (Teare EL, Cookson B, French GL, et al. UK handwashing initiative. J Hosp Infect. 1999;43:1–3.) and is considered to be the most important measure to prevent healthcare-associated infections (Pittet D, Allegranzi B, Sax H, Evidence-based model for hand transmission during patient care and the role of improved practices. Lancet Infect Dis 2006;6:641–52). Unfortunately, the compliance rate of healthcare workers (HCWs) with recommended hand hygiene procedures is less than expected.
Initial assessment: In order to estimate the effect of a multimodal intervention on improving healthcare workers’ compliance with hand hygiene in eleven intensive care units (ICUs) from 11 hospitals of Buenos Aires, a randomized cluster-stepped wedge trial was designed.
Choice of solution and implementation: A multimodal intervention was designed based on practices characterized by being evidence-based, low cost and suggested by qualitative research: (i) leadership commitment, (ii) surveillance of materials needed to comply with hand hygiene and alcohol consumption, (iii) utilization of reminders, (iv) a storyboard of the project and (v) feedback (hand hygiene compliance rate).
Evaluation: The study enrolled 705 participants, comprising nurses (66.4%), physicians (25.8%) and other HCW (7.8%) along 9 months of observation. Compliance with hand hygiene in the control group was 66.0% (2354/3565) vs. 75.6% (5190/6864) in the intervention group. Univariate analysis showed an association between the intervention and hand hygiene compliance (odds ratio, OR 1.17; 95% confidence interval (CI), 1.13–1.22). The effect was still present after adjustment by calendar’s time and providers’ characteristics-age, gender and profession (OR 1.08; 95% CI, 1.03–1.14).
Lessons learned: His study supports that a multimodal intervention was effective to improve compliance with hand hygiene in ICUs.
dc.format
application/pdf
dc.language.iso
eng
dc.publisher
Oxford University Press
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dc.rights
info:eu-repo/semantics/openAccess
dc.rights.uri
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.subject
Hand Hygiene
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Multimodal Intervention
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Argentina
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Infection Control
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Who
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Intensive Care Unit
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Salud Ocupacional
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Ciencias de la Salud
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CIENCIAS MÉDICAS Y DE LA SALUD
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dc.title
A multimodal intervention to improve hand hygiene in ICUs in Buenos Aires, Argentina: a stepped wedge trial
dc.type
info:eu-repo/semantics/article
dc.type
info:ar-repo/semantics/artículo
dc.type
info:eu-repo/semantics/publishedVersion
dc.date.updated
2018-04-12T14:29:18Z
dc.journal.volume
27
dc.journal.number
5
dc.journal.pagination
405-411
dc.journal.pais
Reino Unido
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dc.journal.ciudad
Oxford
dc.description.fil
Fil: Rodriguez, Viviana. Instituto de Efectividad Clínica y Sanitaria; Argentina
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Fil: Giuffre, Carolina. Instituto de Efectividad Clínica y Sanitaria; Argentina. Asociación Argentina de Enfermeros en Control de Infecciones; Argentina
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Fil: Villa, Silvia. Instituto de Efectividad Clínica y Sanitaria; Argentina. Asociación Argentina de Enfermeros en Control de Infecciones; Argentina
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Fil: Almada, Griselda. Instituto de Efectividad Clínica y Sanitaria; Argentina. Asociación Argentina de Enfermeros en Control de Infecciones; Argentina
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Fil: Prasopa Plaizier, Nittita. Instituto de Efectividad Clínica y Sanitaria; Argentina. World Health Organization; Suiza
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Fil: Gogna, Monica Laura. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Instituto de Efectividad Clínica y Sanitaria; Argentina. Centro de Estudios de Estado y Sociedad; Argentina
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Fil: Gibbons, Luz. Instituto de Efectividad Clínica y Sanitaria; Argentina
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Fil: Garcia Elorrio, Ezequiel. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Instituto de Efectividad Clínica y Sanitaria; Argentina
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Fil: Argentinian Group Hand Hygiene Improvement. No especifica;
dc.journal.title
International Journal For Quality In Health Care
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dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/doi/http://dx.doi.org/10.1093/intqhc/mzv065
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/url/https://academic.oup.com/intqhc/article/27/5/405/2357434
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