WHO Guidelines on Hand Hygiene in Health Care - Safe Care ...

More documents

Recommendations

Info

<strong>WHO</strong> GUIDELINES ON HAND HYGIENE IN HEALTH CARE Table I.16.2 Hand hygiene adherence by health-care workers (1981–June 2008) Reference Year Setting Before/ after contact Adherence baseline (%) Adherence after intervention (%) Intervention Preston, Larson & 1981 ICU A 16 30 More convenient sink locations Stamm 492 Albert & Condie 660 1981 ICU A 41 — — Preston, Larson & 1981 ICU A 28 — — Stamm 492 Larson 661 1983 All wards A 45 — — Kaplan & 1986 SICU A 51 — — McGuckin 497 Mayer et al. 633 1986 ICU A 63 92 Performance feedback Donowitz 662 1987 PICU A 31 30 Wearing overgown Conly et al. 663 1989 MICU B/A 14/28 * 73/81 Feedback, policy reviews, memo, posters DeCarvalho et al. 734 1989 NICU A/B 75/50 — — Graham 665 1990 ICU A 32 45 Alcohol-based handrub introduced Dubbert et al. 666 1990 ICU A** 81 92 In-service first, then group feedback Simmons et al. 667 1990 ICU B/A** 22 30 — Pettinger & 1991 SICU A 51 — — Nettleman 668 Lohr et al. 669 1991 Pedi OPDs Raju & Kobler 670 1991 Nursery & NICU Larson et al. 671 1992 NICU/ others B 49 49 Signs, feedback, verbal reminders to doctors B/A *** 28 63 Feedback, dissemination of literature, results of environmental cultures A 29 — — Doebbeling et al. 659 1992 ICU NS 40 — — Zimakoff et al. 672 1993 ICUs A 40 — — Meengs et al. 216 1994 Emerg Room A 32 — — Lund et al. 215 1994 All wards A 32 — — Wurtz, Moye & 1994 SICU A 22 38 Automated handwashing machines Jovanovic 637 available Pelke et al. 673 1994 NICU A 62 60 No gowning required Gould 649 1994 ICUs Wards A A 30 29 — — Shay et al. 674 1995 ICU Oncol Ward A 56 — — Berg, Hershow & 1995 ICU NS 5 63 Lectures, feedback, demonstrations Ramirez 675 Tibballs 676 1996 PICU B/A 12/11 13/65 Overt observation, followed by feedback Slaughter et al. 677 1996 MICU A 41 58 Routine wearing of gowns and gloves 68
PART I. REVIEW OF SCIENTIFIC DATA RELATED TO HAND HYGIENE Table I.16.2 Hand hygiene adherence by health-care workers (1981–June 2008) (Cont.) Reference Year Setting Before/ after contact Adherence baseline (%) Adherence after intervention (%) Intervention Dorsey, Cydulka 1996 Emerg Emerman 678 Dept A 54 64 Signs/distributed review paper Larson et al. 684 1997 ICU B/A** 56 83 Lectures based on previous questionnaire on HCWs’ beliefs, feedback, administrative support, Automated handwashing machines available Watanakunakorn, 1998 All wards A 30 — — Wang & Hazy 679 Avila-Aguero et 1998 Paediatric al. 680 wards B/A 52/49 74/69 Feedback, films, posters, brochures Kirkland, 1999 MICU B/A 12/55 — — Weinstein 681 Pittet et al. 60 2000 All wards B/A** and *** 48 67 Posters, feedback, administrative support, alcohol rub Maury et al. 485 2000 MICU A 42 61 Alcohol handrub made available Bischoff et al. 486 2000 MICU CTICU B/A B/A 10 / 22 4 / 13 23 / 48 7 / 14 Education, feedback, alcohol gel made available Muto, Sistrom & 2000 Medical Farr 682 wards A*** 60 52 Education, reminders, alcohol gel made available Girard, Amazian & 2001 All wards B/A 62 67 Education, alcohol gel made available Fabry 613 Karabey et al 685 2002 ICU B/A** 15 — — Hugonnet, Perneger 2002 MICU/ & Pittet 334 SICU NICU Harbarth et al. 686 2002 PICU / NICU B/A** and *** B/A** and *** 38 55 Posters, feedback, administrative support, alcohol rub 33 37 Posters, feedback, alcohol rub Rosenthal et al. 651 2003 All wards 3 hospitals B/A 17 58 Education, reminders, more sinks made available Brown et al. 687 2003 NICU B/A** and *** Pittet et al. 652 2003 PACU B/A** and *** 44 48 Education, feedback, alcohol gel made available 19.6 — — Ng et al. 735 2004 NICU B/A*** 40 53 Education, reminders Pittet et al. 335 2004 Doctors in all wards B/A** and *** 57 — — Kuzu et al. 683 2005 All wards B/A** and *** 39 — — Arenas et al. 689 2005 Haemodialysis units B/A and *** B 13.8 Ar 35.6 — — Saba et al. 690 2005 Haemodialysis units* B/A 26 — — 69
Page 1 and 2:
WHO Guidel
Page 3 and 4:
WHO Guidel
Page 5 and 6:
WHO GUIDELINES ON
Page 7 and 8:
WHO GUIDELINES ON
Page 9 and 10:
PART I. REVIEW OF SCIENTIFIC DATA R
Page 11 and 12:
Page 13 and 14:
Page 15 and 16:
Page 17 and 18:
Page 19 and 20:
Page 21 and 22:
Page 23 and 24:
Page 25 and 26: PART I. REVIEW OF SCIENTIFIC DATA R
Page 75: PART I. REVIEW OF SCIENTIFIC DATA R
Page 127 and 128:
Page 129 and 130:
Page 131 and 132:
Page 133 and 134:
Page 135 and 136:
Page 137 and 138:
Page 139 and 140:
Page 141 and 142:
Page 143 and 144:
Page 145 and 146:
Page 147 and 148:
Page 149 and 150:
Page 151 and 152:
Page 153 and 154:
Page 155 and 156:
Page 157 and 158:
Page 159 and 160:
PART II. CONSENSUS RECOMMENDATIONS
Page 161 and 162:
Page 163 and 164:
Page 165 and 166:
PART III. PROCESS AND OUTCOME MEASU
Page 167 and 168:
Page 169 and 170:
Page 171 and 172:
Page 173 and 174:
Page 175 and 176:
Page 177 and 178:
Page 179 and 180:
Page 181 and 182:
Page 183 and 184:
PART IV. TOWARDS A GENERAL MODEL OF
Page 185 and 186:
Page 187 and 188:
Page 189 and 190:
Page 191 and 192:
Page 193 and 194:
Page 195 and 196:
Page 197 and 198:
PART V. PATIENT INVOLVEMENT IN HAND
Page 199 and 200:
Page 201 and 202:
Page 203 and 204:
Page 205 and 206:
Page 207 and 208:
PART VI. COMPARISON OF NATIONAL AND
Page 209 and 210:
Page 211 and 212:
Page 213 and 214:
Page 215 and 216:
REFERENCES 35. Jroundi I et al. Pre
Page 217 and 218:
REFERENCES 109. Boyce JM et al. Out
Page 219 and 220:
REFERENCES 177. McBryde ES, Pettitt
Page 221 and 222:
REFERENCES 250. Squier C, Yu VL, St
Page 223 and 224:
REFERENCES 327. Rotter ML, Koller W
Page 225 and 226:
REFERENCES 400. McMurry LM, McDermo
Page 227 and 228:
REFERENCES 468. Martin LS, McDougal
Page 229 and 230:
REFERENCES 542. Wheelock SM, Lookin
Page 231 and 232:
REFERENCES 615. Voss A, Widmer AF.
Page 233 and 234:
REFERENCES 690. Saba R et al. Hand
Page 235 and 236:
REFERENCES 765. Lee B, Newberg A. R
Page 237 and 238:
REFERENCES 841. Gillet P. Construir
Page 239 and 240:
REFERENCES 915. De Groot-Kosolcharo
Page 241 and 242:
REFERENCES 986. Kinsella G, Thomas
Page 243 and 244:
REFERENCES 1062. Runciman WB, Molle
Page 245 and 246:
REFERENCES 1138. Chen YC, Chiang LC
Page 247 and 248:
WHO GUIDELINES ON
Page 249 and 250:
WHO GUIDELINES ON
Page 251 and 252:
WHO GUIDELINES ON
Page 253 and 254:
WHO GUIDELINES ON
Page 255 and 256:
WHO GUIDELINES ON
Page 257 and 258:
WHO GUIDELINES ON
Page 259 and 260:
WHO GUIDELINES ON
Page 261 and 262:
WHO GUIDELINES ON
Page 263 and 264:
WHO GUIDELINES ON
Page 265 and 266:
WHO GUIDELINES ON
Page 267 and 268:
WHO GUIDELINES ON
Page 269 and 270:
WHO GUIDELINES ON
show all

WHO Guidelines on Hand Hygiene in Health Care - Safe Care ...

Create successful ePaper yourself

Delete template?

Save as template?