Impact of the International Nosocomial Infection Control Consortium (INICC) multidimensional hand hygiene approach in three cities of Colombia
Summary Objective To assess the feasibility and effectiveness of the International Nosocomial Infection Control Consortium (INICC) multidimensional hand hygiene (HH) approach in Colombia, and analyze predictors of poor HH compliance. Methods An observational, prospective, interventional, before-and-...
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| Veröffentlicht in: | International journal of infectious diseases 2014-02, Vol.19, p.67-73 |
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| creator | Barahona-Guzmán, Nayide Rodríguez-Calderón, María Eugenia Rosenthal, Victor D Olarte, Narda Villamil-Gómez, Wilmer Rojas, Catherine Rodríguez-Ferrer, Marena Sarmiento-Villa, Guillermo Lagares-Guzmán, Alfredo Valderrama, Alberto Menco, Antonio Arrieta, Patrick Dajud-Cassas, Luis Enrique Mendoza, Mariela Sabogal, Alejandra Carvajal, Yulieth Silva, Edwin |
| description | Summary Objective To assess the feasibility and effectiveness of the International Nosocomial Infection Control Consortium (INICC) multidimensional hand hygiene (HH) approach in Colombia, and analyze predictors of poor HH compliance. Methods An observational, prospective, interventional, before-and-after study was conducted from May 2003 through September 2010 in 10 intensive care units (ICUs) of six hospitals in three cities. The study was divided into two periods: a baseline and a follow-up period. Observations for HH compliance were done in each ICU during randomly selected 30-min periods. The multidimensional HH approach included: (1) administrative support, (2) supplies availability, (3) education and training, (4) reminders in the workplace, (5) process surveillance, and (6) performance feedback. Results A total of 13 187 opportunities for HH were observed. Overall HH compliance increased from 50% to 77% (relative risk 1.55, 95% confidence interval 1.43–1.68; p = 0.0001). Multivariate and univariate analyses showed that several variables were significantly associated with poor HH compliance: males vs. females (67% vs. 77%; p = 0.0001), physicians vs. nurses (59% vs. 78%; p < 0.0001), and adult vs. pediatric ICUs (76% vs. 42%; p < 0.001), among others. Conclusions Adherence to HH was increased by 55% with the INICC approach. Programs targeted at improving HH in variables found to be predictors of poor compliance should be implemented. |
| doi_str_mv | 10.1016/j.ijid.2013.10.021 |
| format | Article |
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Methods An observational, prospective, interventional, before-and-after study was conducted from May 2003 through September 2010 in 10 intensive care units (ICUs) of six hospitals in three cities. The study was divided into two periods: a baseline and a follow-up period. Observations for HH compliance were done in each ICU during randomly selected 30-min periods. The multidimensional HH approach included: (1) administrative support, (2) supplies availability, (3) education and training, (4) reminders in the workplace, (5) process surveillance, and (6) performance feedback. Results A total of 13 187 opportunities for HH were observed. Overall HH compliance increased from 50% to 77% (relative risk 1.55, 95% confidence interval 1.43–1.68; p = 0.0001). Multivariate and univariate analyses showed that several variables were significantly associated with poor HH compliance: males vs. females (67% vs. 77%; p = 0.0001), physicians vs. nurses (59% vs. 78%; p < 0.0001), and adult vs. pediatric ICUs (76% vs. 42%; p < 0.001), among others. Conclusions Adherence to HH was increased by 55% with the INICC approach. Programs targeted at improving HH in variables found to be predictors of poor compliance should be implemented.</description><identifier>ISSN: 1201-9712</identifier><identifier>EISSN: 1878-3511</identifier><identifier>DOI: 10.1016/j.ijid.2013.10.021</identifier><identifier>PMID: 24326289</identifier><language>eng</language><publisher>Canada: Elsevier Ltd</publisher><subject><![CDATA[Bundle ; Cities ; Cohort Studies ; Colombia ; Cross Infection - prevention & control ; Developing Countries ; Feasibility Studies ; Female ; Follow-Up Studies ; Guideline Adherence - statistics & numerical data ; Hand hygiene ; Hand Hygiene - methods ; Hand Hygiene - organization & administration ; Hand Hygiene - standards ; Hand Hygiene - statistics & numerical data ; Hospitals ; Humans ; Infection Control - methods ; Infection Control - statistics & numerical data ; Infectious Disease ; Intensive care unit ; Intensive Care Units - organization & administration ; Intensive Care Units - standards ; Intensive Care Units - statistics & numerical data ; International Nosocomial Infection Control Consortium ; Logistic Models ; Male ; Multidimensional approach ; Multivariate Analysis ; Personnel, Hospital - standards ; Personnel, Hospital - statistics & numerical data ; Practice Guidelines as Topic ; Prospective Studies ; Pulmonary/Respiratory]]></subject><ispartof>International journal of infectious diseases, 2014-02, Vol.19, p.67-73</ispartof><rights>The Authors</rights><rights>2013 The Authors</rights><rights>Copyright © 2013 The Authors. Published by Elsevier Ltd.. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c411t-143504f9f8624e7fb2465a1c51819b1ff0a0761ad1b1ae4af3ee1340d795c4263</citedby><cites>FETCH-LOGICAL-c411t-143504f9f8624e7fb2465a1c51819b1ff0a0761ad1b1ae4af3ee1340d795c4263</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.ijid.2013.10.021$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,860,3536,27903,27904,45974</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24326289$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Barahona-Guzmán, Nayide</creatorcontrib><creatorcontrib>Rodríguez-Calderón, María Eugenia</creatorcontrib><creatorcontrib>Rosenthal, Victor D</creatorcontrib><creatorcontrib>Olarte, Narda</creatorcontrib><creatorcontrib>Villamil-Gómez, Wilmer</creatorcontrib><creatorcontrib>Rojas, Catherine</creatorcontrib><creatorcontrib>Rodríguez-Ferrer, Marena</creatorcontrib><creatorcontrib>Sarmiento-Villa, Guillermo</creatorcontrib><creatorcontrib>Lagares-Guzmán, Alfredo</creatorcontrib><creatorcontrib>Valderrama, Alberto</creatorcontrib><creatorcontrib>Menco, Antonio</creatorcontrib><creatorcontrib>Arrieta, Patrick</creatorcontrib><creatorcontrib>Dajud-Cassas, Luis Enrique</creatorcontrib><creatorcontrib>Mendoza, Mariela</creatorcontrib><creatorcontrib>Sabogal, Alejandra</creatorcontrib><creatorcontrib>Carvajal, Yulieth</creatorcontrib><creatorcontrib>Silva, Edwin</creatorcontrib><title>Impact of the International Nosocomial Infection Control Consortium (INICC) multidimensional hand hygiene approach in three cities of Colombia</title><title>International journal of infectious diseases</title><addtitle>Int J Infect Dis</addtitle><description>Summary Objective To assess the feasibility and effectiveness of the International Nosocomial Infection Control Consortium (INICC) multidimensional hand hygiene (HH) approach in Colombia, and analyze predictors of poor HH compliance. Methods An observational, prospective, interventional, before-and-after study was conducted from May 2003 through September 2010 in 10 intensive care units (ICUs) of six hospitals in three cities. The study was divided into two periods: a baseline and a follow-up period. Observations for HH compliance were done in each ICU during randomly selected 30-min periods. The multidimensional HH approach included: (1) administrative support, (2) supplies availability, (3) education and training, (4) reminders in the workplace, (5) process surveillance, and (6) performance feedback. Results A total of 13 187 opportunities for HH were observed. Overall HH compliance increased from 50% to 77% (relative risk 1.55, 95% confidence interval 1.43–1.68; p = 0.0001). Multivariate and univariate analyses showed that several variables were significantly associated with poor HH compliance: males vs. females (67% vs. 77%; p = 0.0001), physicians vs. nurses (59% vs. 78%; p < 0.0001), and adult vs. pediatric ICUs (76% vs. 42%; p < 0.001), among others. Conclusions Adherence to HH was increased by 55% with the INICC approach. Programs targeted at improving HH in variables found to be predictors of poor compliance should be implemented.</description><subject>Bundle</subject><subject>Cities</subject><subject>Cohort Studies</subject><subject>Colombia</subject><subject>Cross Infection - prevention & control</subject><subject>Developing Countries</subject><subject>Feasibility Studies</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Guideline Adherence - statistics & numerical data</subject><subject>Hand hygiene</subject><subject>Hand Hygiene - methods</subject><subject>Hand Hygiene - organization & administration</subject><subject>Hand Hygiene - standards</subject><subject>Hand Hygiene - statistics & numerical data</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Infection Control - methods</subject><subject>Infection Control - statistics & numerical data</subject><subject>Infectious Disease</subject><subject>Intensive care unit</subject><subject>Intensive Care Units - organization & administration</subject><subject>Intensive Care Units - standards</subject><subject>Intensive Care Units - statistics & numerical data</subject><subject>International Nosocomial Infection Control Consortium</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Multidimensional approach</subject><subject>Multivariate Analysis</subject><subject>Personnel, Hospital - standards</subject><subject>Personnel, Hospital - statistics & numerical data</subject><subject>Practice Guidelines as Topic</subject><subject>Prospective Studies</subject><subject>Pulmonary/Respiratory</subject><issn>1201-9712</issn><issn>1878-3511</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9Uk2P1DAMrRCI_YA_wAHluBw6xGmaaSWEhCpYKq2WA3CO0tRhUtpkSFKk-RP8ZlLNwoEDJ1vO83P8noviBdAdUBCvp52d7LhjFKpc2FEGj4pLaPZNWdUAj3Oen8p2D-yiuIpxopRyIZqnxQXjFROsaS-LX_1yVDoRb0g6IOldwuBUst6pmdz76LVfbE57Z1BvZdJ5l4Kftxh9SHZdyE1_33fdK7Ksc7KjXdDFM8FBuZEcTt8sOiTqeAxe6QOxLs8KiETbZDFuszs_-2Ww6lnxxKg54vOHeF18_fD-S_exvPt023fv7krNAVIJvKopN61pBOO4NwPjolaga2igHcAYquhegBphAIVcmQoRKk7HfVtrzkR1XdycefOXfqwYk1xs1DjPyqFfowTeMtGIpq4zlJ2hOvgYAxp5DHZR4SSBys0HOcnNB7n5sNWyD7np5QP_Oiw4_m35I3wGvDkDMG_502KQUWeVNI42ZKHl6O3_-d_-065n66xW83c8YZz8ml2c8x4yMknl5-0StkOAitJ8HKz6Ddxor0s</recordid><startdate>20140201</startdate><enddate>20140201</enddate><creator>Barahona-Guzmán, Nayide</creator><creator>Rodríguez-Calderón, María Eugenia</creator><creator>Rosenthal, Victor D</creator><creator>Olarte, Narda</creator><creator>Villamil-Gómez, Wilmer</creator><creator>Rojas, Catherine</creator><creator>Rodríguez-Ferrer, Marena</creator><creator>Sarmiento-Villa, Guillermo</creator><creator>Lagares-Guzmán, Alfredo</creator><creator>Valderrama, Alberto</creator><creator>Menco, Antonio</creator><creator>Arrieta, Patrick</creator><creator>Dajud-Cassas, Luis Enrique</creator><creator>Mendoza, Mariela</creator><creator>Sabogal, Alejandra</creator><creator>Carvajal, Yulieth</creator><creator>Silva, Edwin</creator><general>Elsevier Ltd</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20140201</creationdate><title>Impact of the International Nosocomial Infection Control Consortium (INICC) multidimensional hand hygiene approach in three cities of Colombia</title><author>Barahona-Guzmán, Nayide ; Rodríguez-Calderón, María Eugenia ; Rosenthal, Victor D ; Olarte, Narda ; Villamil-Gómez, Wilmer ; Rojas, Catherine ; Rodríguez-Ferrer, Marena ; Sarmiento-Villa, Guillermo ; Lagares-Guzmán, Alfredo ; Valderrama, Alberto ; Menco, Antonio ; Arrieta, Patrick ; Dajud-Cassas, Luis Enrique ; Mendoza, Mariela ; Sabogal, Alejandra ; Carvajal, Yulieth ; Silva, Edwin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c411t-143504f9f8624e7fb2465a1c51819b1ff0a0761ad1b1ae4af3ee1340d795c4263</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Bundle</topic><topic>Cities</topic><topic>Cohort Studies</topic><topic>Colombia</topic><topic>Cross Infection - prevention & control</topic><topic>Developing Countries</topic><topic>Feasibility Studies</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Guideline Adherence - statistics & numerical data</topic><topic>Hand hygiene</topic><topic>Hand Hygiene - methods</topic><topic>Hand Hygiene - organization & administration</topic><topic>Hand Hygiene - standards</topic><topic>Hand Hygiene - statistics & numerical data</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Infection Control - methods</topic><topic>Infection Control - statistics & numerical data</topic><topic>Infectious Disease</topic><topic>Intensive care unit</topic><topic>Intensive Care Units - organization & administration</topic><topic>Intensive Care Units - standards</topic><topic>Intensive Care Units - statistics & numerical data</topic><topic>International Nosocomial Infection Control Consortium</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Multidimensional approach</topic><topic>Multivariate Analysis</topic><topic>Personnel, Hospital - standards</topic><topic>Personnel, Hospital - statistics & numerical data</topic><topic>Practice Guidelines as Topic</topic><topic>Prospective Studies</topic><topic>Pulmonary/Respiratory</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Barahona-Guzmán, Nayide</creatorcontrib><creatorcontrib>Rodríguez-Calderón, María Eugenia</creatorcontrib><creatorcontrib>Rosenthal, Victor D</creatorcontrib><creatorcontrib>Olarte, Narda</creatorcontrib><creatorcontrib>Villamil-Gómez, Wilmer</creatorcontrib><creatorcontrib>Rojas, Catherine</creatorcontrib><creatorcontrib>Rodríguez-Ferrer, Marena</creatorcontrib><creatorcontrib>Sarmiento-Villa, Guillermo</creatorcontrib><creatorcontrib>Lagares-Guzmán, Alfredo</creatorcontrib><creatorcontrib>Valderrama, Alberto</creatorcontrib><creatorcontrib>Menco, Antonio</creatorcontrib><creatorcontrib>Arrieta, Patrick</creatorcontrib><creatorcontrib>Dajud-Cassas, Luis Enrique</creatorcontrib><creatorcontrib>Mendoza, Mariela</creatorcontrib><creatorcontrib>Sabogal, Alejandra</creatorcontrib><creatorcontrib>Carvajal, Yulieth</creatorcontrib><creatorcontrib>Silva, Edwin</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of infectious diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Barahona-Guzmán, Nayide</au><au>Rodríguez-Calderón, María Eugenia</au><au>Rosenthal, Victor D</au><au>Olarte, Narda</au><au>Villamil-Gómez, Wilmer</au><au>Rojas, Catherine</au><au>Rodríguez-Ferrer, Marena</au><au>Sarmiento-Villa, Guillermo</au><au>Lagares-Guzmán, Alfredo</au><au>Valderrama, Alberto</au><au>Menco, Antonio</au><au>Arrieta, Patrick</au><au>Dajud-Cassas, Luis Enrique</au><au>Mendoza, Mariela</au><au>Sabogal, Alejandra</au><au>Carvajal, Yulieth</au><au>Silva, Edwin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of the International Nosocomial Infection Control Consortium (INICC) multidimensional hand hygiene approach in three cities of Colombia</atitle><jtitle>International journal of infectious diseases</jtitle><addtitle>Int J Infect Dis</addtitle><date>2014-02-01</date><risdate>2014</risdate><volume>19</volume><spage>67</spage><epage>73</epage><pages>67-73</pages><issn>1201-9712</issn><eissn>1878-3511</eissn><abstract>Summary Objective To assess the feasibility and effectiveness of the International Nosocomial Infection Control Consortium (INICC) multidimensional hand hygiene (HH) approach in Colombia, and analyze predictors of poor HH compliance. Methods An observational, prospective, interventional, before-and-after study was conducted from May 2003 through September 2010 in 10 intensive care units (ICUs) of six hospitals in three cities. The study was divided into two periods: a baseline and a follow-up period. Observations for HH compliance were done in each ICU during randomly selected 30-min periods. The multidimensional HH approach included: (1) administrative support, (2) supplies availability, (3) education and training, (4) reminders in the workplace, (5) process surveillance, and (6) performance feedback. Results A total of 13 187 opportunities for HH were observed. Overall HH compliance increased from 50% to 77% (relative risk 1.55, 95% confidence interval 1.43–1.68; p = 0.0001). Multivariate and univariate analyses showed that several variables were significantly associated with poor HH compliance: males vs. females (67% vs. 77%; p = 0.0001), physicians vs. nurses (59% vs. 78%; p < 0.0001), and adult vs. pediatric ICUs (76% vs. 42%; p < 0.001), among others. Conclusions Adherence to HH was increased by 55% with the INICC approach. Programs targeted at improving HH in variables found to be predictors of poor compliance should be implemented.</abstract><cop>Canada</cop><pub>Elsevier Ltd</pub><pmid>24326289</pmid><doi>10.1016/j.ijid.2013.10.021</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | International journal of infectious diseases, 2014-02, Vol.19, p.67-73 |
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| subjects | Bundle Cities Cohort Studies Colombia Cross Infection - prevention & control Developing Countries Feasibility Studies Female Follow-Up Studies Guideline Adherence - statistics & numerical data Hand hygiene Hand Hygiene - methods Hand Hygiene - organization & administration Hand Hygiene - standards Hand Hygiene - statistics & numerical data Hospitals Humans Infection Control - methods Infection Control - statistics & numerical data Infectious Disease Intensive care unit Intensive Care Units - organization & administration Intensive Care Units - standards Intensive Care Units - statistics & numerical data International Nosocomial Infection Control Consortium Logistic Models Male Multidimensional approach Multivariate Analysis Personnel, Hospital - standards Personnel, Hospital - statistics & numerical data Practice Guidelines as Topic Prospective Studies Pulmonary/Respiratory |
| title | Impact of the International Nosocomial Infection Control Consortium (INICC) multidimensional hand hygiene approach in three cities of Colombia |
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