Hand hygiene intervention to reduce healthcare-associated infection rate in an intensive care unit
10.3969/j.issn.1671-9638.2014.10.009
- VernacularTitle:手卫生干预对降低重症监护室医院感染率的影响
- Author:
Huiying YANG
;
Hong YU
;
Yinmei LIU
- Publication Type:Journal Article
- Keywords:
intensive care unit;
hand hygiene;
compliance;
health care worker;
moment for hand hygiene;
health-care-associated infection
- From:
Chinese Journal of Infection Control
2014;(10):612-615
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the influence of health care workers’(HCWs)hand hygiene intervention in healthcare-associated infection(HAI)in an intensive care unit(ICU).Methods Intervention measures of hand hygiene were adopted,effective supervision and management systems were established,hand hygiene compliance and HAI rate be-fore intervention(January-December 2012)and after intervention (the first stage:January-June 2013;the second stage:Ju-ly-December 2013)were compared.Results A total of 4 066 patients were surveyed,HCWs’hand hygiene compliance rate before intervention was 50.03%,the first and second stage after intervention was 61.80% and 64.57% respectively,there was increasing trend (rs=1.00,P<0.001).HAI before intervention was 5.48%,the first and second stage after inter-vention was 3.86% and 3.30% respectively,there was decreasing trend (rs=-1.00,P<0.001).Significant decreasing trends were found in rates of catheter-related bloodstream infection(CRBSI),catheter-associated urinary tract infection (CAUTI)and ventilator-associated pneumonia(VAP)(rs=-1.00,P<0.001).There were negative correlations between hand hygiene compliance rate and the infection rate of ICU,infection rate of CRBSI,CAUTI and VAP (P<0.05 ). Conclusion The improvement of hand hygiene compliance can effectively reduce the incidence of HAI in ICU ward.
