Impact of implementation of the World Health Organization multimodal hand hygiene improvement strategy in a teaching hospital in Taiwan

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• 作者：Jui-Kuang Chen ; MD^a ; Kuan-Sheng Wu ; MD^a ; Susan Shin-Jung Lee ; MD ; PhD^a ; ^b ; Huey-Shyan Lin ; PhD^c ; ^d ; Hung-Chin Tsai ; MD ; PhD^a ; ^e ; Ching-Hsien Li ; RN ; ICN^f ; Hsueh-Lan Chao ; RN ; ICN^f ; Hsueh-Chih Chou ; RN^g ; Yueh-Ju Chen ; RN ; ICN^f ; Yu-Hsiu Huang ; RN ; ICN^f ; Chin-Mei Ke ; RN ; ICN^f ; Cheng Len Sy ; MD^a ; Yu-Ting Tseng ; MD^a ; Yao-Shen Chen ; MD^a ; ^{yschen@vghks.gov.tw" class="auth_mail" title="E-mail the corresponding author}
• 关键词：Multimodal hand hygiene promotion ; Cost-savings ; Health care&ndash ; associated infection
• 刊名：American Journal of Infection Control
• 出版年：2016
• 出版时间：1 February 2016
• 年：2016
• 卷：44
• 期：2
• 页码：222-227
• 全文大小：278 K

文摘

Hand hygiene (HH) is considered to be the most simple, rapid, and economic way to prevent health care–associated infection (HAI). However, poor HH compliance has been repeatedly reported. Our objective was to evaluate the impact of implementing the updated World Health Organization (WHO) multimodal HH guidelines on HH compliance and HAI in a tertiary hospital in Taiwan.

Methods

We conducted a before-and-after interventional study during 2010-2011. A multimodal HH promotion campaign was initiated. Key strategies included providing alcohol-based handrub dispensers at points of care, designing educational programs tailored to the needs of different health care workers, placement of general and individual reminders in the workplace, and establishment of evaluation and feedback for HH compliance and infection rates.

Results

Overall HH compliance increased from 62.3% to 73.3% after 1 year of intervention (P < .001). The rate of overall HAI decreased from 3.7% to 3.1% (P < .05), urinary tract infection rate decreased from 1.5% to 1.2% (P < .05), and respiratory tract infection rate decreased from 0.53% to 0.35% (P < .05). This campaign saved an estimated $940,000 and 3,564 admission patient days per year.

Conclusion

The WHO multimodal HH guidelines are feasible and effective for the promotion of HH compliance and are associated with the reduction of HAIs.