RESUMO
An intervention study was undertaken to evaluate the impact of an education program on the incidence of central line-associated bloodstream infection (CLABSI) in 2 intensive care units. There was a nonsignificant reduction in the incidence of CLABSI (odds ratio, 0.46 [95% confidence interval, 0.21-1.02]; P=.04) despite a significant increase in knowledge of CLABSI prevention by the staff of both intensive care units after the education program.
Assuntos
Bacteriemia , Cateterismo Venoso Central/efeitos adversos , Infecção Hospitalar , Capacitação em Serviço/estatística & dados numéricos , Unidades de Terapia Intensiva/estatística & dados numéricos , Bacteriemia/epidemiologia , Bacteriemia/etiologia , Bacteriemia/prevenção & controle , Brasil/epidemiologia , Infecção Hospitalar/epidemiologia , Infecção Hospitalar/etiologia , Infecção Hospitalar/prevenção & controle , Contaminação de Equipamentos , Humanos , IncidênciaRESUMO
We analyzed the impact of introducing an alcohol-based hand gel and an educational program on hand hygiene adherence among healthcare workers in an intensive care unit. Adherence to hand hygiene was significantly higher after the intervention for the night shift work period (P=.001), among nursing assistants (P=.001), among nurses (P=.007) on weekend days (P=.016), and for invasive procedures (P=.012).
Assuntos
Álcoois/administração & dosagem , Anti-Infecciosos Locais/administração & dosagem , Fidelidade a Diretrizes/normas , Desinfecção das Mãos , Unidades de Terapia Intensiva , Recursos Humanos em Hospital/normas , Brasil , Educação Continuada , Mãos/microbiologia , Desinfecção das Mãos/métodos , Desinfecção das Mãos/normas , Hospitais de Ensino , Humanos , Controle de Infecções/métodos , Avaliação de Programas e Projetos de SaúdeRESUMO
Handwashing compliance was compared at two medical- surgical intensive care units (ICUs) of a teaching and a non-teaching hospital. The mean compliance was 22.2% and 42.6%, respectively. Respiratory therapists at the non-teaching hospital had the best handwashing compliance (52.6%). Nursing assistants at the teaching hospital had the worst compliance (11.5%). Nursing assistant was the only health-care worker category with a significant difference between the two ICUs (odds ratio = 6.0; 95% confidence interval = 3.83-9.43; p< 0.001).
Assuntos
Infecção Hospitalar/prevenção & controle , Fidelidade a Diretrizes/estatística & dados numéricos , Desinfecção das Mãos , Unidades de Terapia Intensiva/estatística & dados numéricos , Recursos Humanos em Hospital , Brasil , Hospitais de Ensino , HumanosRESUMO
Handwashing compliance was compared at two medical- surgical intensive care units (ICUs) of a teaching and a non-teaching hospital. The mean compliance was 22.2 percent and 42.6 percent, respectively. Respiratory therapists at the non-teaching hospital had the best handwashing compliance (52.6 percent). Nursing assistants at the teaching hospital had the worst compliance (11.5 percent). Nursing assistant was the only health-care worker category with a significant difference between the two ICUs (odds ratio = 6.0; 95 percent confidence interval = 3.83-9.43; p< 0.001).
