Handwashing frequencies in an intensive care unit


Karabey S., Ay P., Derbentli S., Nakipoglu Y. , Esen F.

JOURNAL OF HOSPITAL INFECTION, cilt.50, ss.36-41, 2002 (SCI İndekslerine Giren Dergi) identifier identifier identifier

  • Cilt numarası: 50 Konu: 1
  • Basım Tarihi: 2002
  • Doi Numarası: 10.1053/jhin.2001.1132
  • Dergi Adı: JOURNAL OF HOSPITAL INFECTION
  • Sayfa Sayıları: ss.36-41

Özet

As most nosocomial infections are thought to be transmitted by the hands of healthcare workers, handwashing is considered the single most important intervention to prevent nosocomial infections. However, previous studies have shown that handwashing practices are poor, especially among medical personnel.

The objective of this study was to assess the rate of handwashing among intensive care unit (ICU) healthcare personnel, and then to propose realistic suggestions so that `hand hygiene' could be performed at an optimal level. To achieve this, each healthcare worker in the ICU of Istanbul Medical Faculty was observed directly, and, a comprehensive microbiological investigation was carried out among personnel and of the inanimate environment.

The frequency of handwashing was low; 12.9% among medical personnel. Moreover, there was a widespread contamination in the ICU and 28.1% of the healthcare workers were carriers for methicillin-resistant Staphylococcus aureus (MRSA). The factors that contributed to low compliance of handwashing protocols were: a low staff to patient ratio, excessive use of gloves and deficiencies in the infra-structure of ICU. In Heavy workload conditions, alcoholic handrub solutions for quick hand decontamination can be considered as an alternative to handwashing. (C) 2002 The Hospital Infection Society.

  • D Arman Türkiye'de hastane infeksiyonu kontrolüne yönelik çalişmalar
  • Hastane İnfeksiyonlari Derg, 1 (1997), pp. 144–152

    • 2 S Ponce-de-Leon Rosales, MS Rangel-Frausto
    • Infection control in developing countries

    • ,in: JV Bennett, PS Brachman (Eds.), Hospital Infections, 4th edn.Lippincott-Raven Publishers, Philadelphia (1998), pp. 291–296

    • 3UNICEF, The Progress of Nations 1999, New York, UNICEF, 1999
    • 4 S Erbaydar, A Akgün, A Eksik, T Erbaydar, O Bilge, A Bulut
    • Estimation of increased hospital stay due to nosocomial infection in surgical patients: Comparison of matched groups

    • J Hosp Infect, 30 (1995), pp. 149–154

    • 5 Centers for Disease Control, Guideline for Handwashing and Hospital Environmental Control, 1985
    •  
    • 6
    • E Larson
    • A causal link between handwashing and risk of infection? Examination of the evidence

    • Infect Control Hosp Epidemiol, 9 (1988), pp. 28–36

    • 7 AC Steere, GF Mallison
    • Handwashing practices for the prevention of nosocomial infections

    • Ann Intern Med, 83 (1975), pp. 683–690

    • 8E Larson, EK Kretzer Sensibly applying the science. Compliance with handwashing and barrier precautions
    • J Hosp Infect, 30 (1995), pp. 88–106

    • 9 APIC APIC guideline for handwashing and hand antisepsis in health care settings
    • Am J Infect Control, 23 (1995), pp. 251–269

    •  
    • 10 LG DonowitzHandwashing technique in a pediatric intensive care unit
    • Am J Dis Child, 141 (1987), pp. 683–685

      • N Engl J Med, 304 (1981), pp. 1465–1469

    • 12D Gould Nurses' hand decontamination practice: results of a local study
    • J Hosp Infect, 28 (1994), pp. 15–30

    • Increasing handwashing in an intensive care unit

    • Infect Control, 7 (1986), pp. 259–262

    •  
    • 16
    • A Voss, AF Widmer
    • No time for handwashing!? Handwashing versus alcoholic rub: can we afford 100% compliance?

    • Infect Control Hosp Epidemiol, 18 (1997), pp. 205–20817

    • 18
    • WC Huskins, EJ O'Rourke, E Rhinehart, DA Goldman
    • Infection control in countries with limited resources

    • ,in: CG Mayhall (Ed.), Hospital Epidemiology and Infection ControlWilliams & Wilkins, Baltimore (1996), pp. 1176–1200

    •  
    • 19 CS Pannuti
    • Hospital environment for high-risk patients

    • ,in: RP Wenzel (Ed.), Prevention and Control of Nosocomial Infections, 3rd edn.Williams & Wilkins, Baltimore (1997), pp. 461–489

    • 20 DJ Weber, WA Rutala Environmental issues and nosocomial infections ,in: RP Wenzel (Ed.), Prevention and Control of Nosocomial Infections, 3rd edn.Williams & Wilkins, Baltimore (1997), pp. 492–514

    •  
    • 21 K Crossley, B Landesman, D Zaske
    • An outbreak of infections caused by strains of Staphylococcus aureus resistant to methicillin and aminoglycosides: II. Epidemiologic studies

    • J Infect Dis, 139 (1979), pp. 280–287

    • |
    • 23 Maki, DG, McCormic, RD, Zilz, MA, et al., An MRSA outbreak in a SICU during universal precautions: new epidemiology for nosocomial MRSA: downside for universal precautions (Ups), Washington, American Society for Microbiology, 1990
    •  
    • 24Ş Derbentli Hastanelerin korkulu rüyasi: Metisiline dirençli Staphylococcus aureus
    • İstanbul Tip Fakültesi Hastane İnfeksiyonu ve Kontrolü Bülteni (1995), pp. 23–24

    • 25 Pittet, D, Harbath, SJ, The intensive care unit, Bennett, JVBrachman, PS, Hospital Infections, 4th edn. Philadelphia, Lippincott-Raven Publishers, 1998, 381, 402