[Implementation of the strategy "Clean Care is Safer Care" in a third level hospital in Medellín, Colombia]. / Implementación de la estrategia "Atención Limpia es Atención Segura" en un hospital de tercer nivel en Medellín, Colombia.
Rev Chilena Infectol
; 31(3): 280-6, 2014 Jun.
Article
en Es
| MEDLINE
| ID: mdl-25146201
ABSTRACT
INTRODUCTION:
Hand hygiene is the most cost-effective and simple measure of preventing healthcare associated infections (HAI). The approach to improve low compliance must be through multimodal interventions such as the "Clean Care is Safer Care" strategy (WHO).AIM:
To estimate the efficacy of a multimodal strategy in improving hand hygiene in five wards of a tertiary care hospital in Medellín, Colombia (2008-2010).METHODS:
Quasi-experimental before-after study.RESULTS:
Hand hygiene compliance significantly increased after the intervention (82 to 89%, p = 0.007). The knowledge score increased from a median of 26 (IQR=22-28) to 30 (IQR=26-32, p = 0.001). Alcohol-based hand rub consumption increased significantly from 10.5 liters to 58.1 liters per 1000 patient-days [incidence ratio (IR) = 2.39, 95% CI = 1.99; 2.88]. Monthly HAI rates showed no significant variations during the same period [IR = 0.90, 95% CI = 0.71; 1.13].DISCUSSION:
This and other recent studies demonstrate that implementing a multimodal strategy for hand hygiene significantly increases compliance with this measure, irrespective of type of health worker or hospital department.CONCLUSIONS:
Implementing a multimodal strategy we achieved significant increases in hand hygiene compliance but mild or no significant variations in monthly HAI rates.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Desinfección de las Manos
/
Infección Hospitalaria
/
Evaluación de Resultado en la Atención de Salud
/
Control de Infecciones
/
Personal de Salud
Tipo de estudio:
Sysrev_observational_studies
Aspecto:
Implementation_research
Límite:
Humans
País/Región como asunto:
America do sul
/
Colombia
Idioma:
Es
Revista:
Rev Chilena Infectol
Año:
2014
Tipo del documento:
Article