Hostname: page-component-586b7cd67f-g8jcs Total loading time: 0 Render date: 2024-12-01T02:40:33.570Z Has data issue: false hasContentIssue false
  • English
  • Français

A Randomized Trial to Determine the Impact of an Educational Patient Hand-Hygiene Intervention on Contamination of Hospitalized Patient’s Hands with Healthcare-Associated Pathogens

Published online by Cambridge University Press:  05 January 2017

Venkata C. K. Sunkesula ,
Sirisha Kundrapu ,
Shanina Knighton ,
Jennifer L. Cadnum  and
Curtis J. Donskey
Venkata C. K. Sunkesula
Affiliation:
Division of Infectious Diseases, Department of Medicine, Case Western Reserve University School of Medicine, Cleveland, Ohio
Sirisha Kundrapu
Affiliation:
Division of Infectious Diseases, Department of Medicine, Case Western Reserve University School of Medicine, Cleveland, Ohio University Hospitals, Case Medical Center, Cleveland, Ohio
Shanina Knighton
Affiliation:
Department of Nursing, Louis Stokes Veterans’ Affairs Medical Center, Cleveland, Ohio Case Western Reserve University, School of Nursing, Cleveland, Ohio
Jennifer L. Cadnum
Affiliation:
Research Service, Louis Stokes Veterans’ Affairs Medical Center, Cleveland, Ohio
Curtis J. Donskey*
Affiliation:
Division of Infectious Diseases, Department of Medicine, Case Western Reserve University School of Medicine, Cleveland, Ohio Geriatric Research Education and Clinical Center, Louis Stokes Veterans’ Affairs Medical Center, Cleveland, Ohio
*
Address correspondence to Curtis J. Donskey, MD, Geriatric Research, Education, and Clinical Center, Cleveland Veterans’ Affairs Medical Center, 10701 East Boulevard, Cleveland, Ohio 44106 ([email protected]).
Get access Rights & Permissions [Opens in a new window]

Abstract

We conducted a non-blinded randomized trial to determine the impact of a patient hand-hygiene intervention on contamination of hospitalized patients’ hands with healthcare-associated pathogens. Among patients with negative hand cultures on admission, recovery of pathogens from hands was significantly reduced in those receiving the intervention versus those receiving standard care.

Infect Control Hosp Epidemiol 2017;38:595–597

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 38 , Issue 5 , May 2017 , pp. 595 - 597
Copyright
© 2017 by The Society for Healthcare Epidemiology of America. All rights reserved 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

1. Istenes, N, Bingham, J, Hazelett, S, Fleming, E, Kirk, J. Patients’ potential role in the transmission of health care-associated infections: prevalence of contamination with bacterial pathogens and patient attitudes toward hand hygiene. Am J Infect Control 2013;41:793–798.CrossRefGoogle ScholarPubMed
2. Sunkesula, V, Kundrapu, S, Macinga, DR, Donskey, CJ. Efficacy of alcohol gel for removal of methicillin-resistant Staphylococcus aureus from hands of colonized patients. Infect Control Hosp Epidemiol 2015;36:229–231.Google Scholar
3. Cao, J, Min, L, Lansing, B, Foxman, B, Mody, L. Multidrug-resistant organisms on patients’ hands: a missed opportunity. JAMA Intern Med 2016;176:705–706.CrossRefGoogle Scholar
4. Landers, T, Abusalem, S, Coty, MB, Bingham, J. Patient-centered hand hygiene: the next step in infection prevention. Am J Infect Control 2012;40:S11–S17.Google Scholar
5. O’Donnell, M, Harris, T, Horn, T, et al. Sustained increase in resident meal time hand hygiene through an interdisciplinary intervention engaging long-term care facility residents and staff. Am J Infect Control 2015;43:162–164.Google Scholar
6. Ardizzone, LL, Smolowitz, J, Kline, NK, Thom, B, Larson, EL. Patient hand hygiene practices in surgical patients. Am J Infect Control 2013;41:487–491.Google Scholar
7. Sunkesula, VC, Knighton, S, Zabarsky, TF, Kundrapu, S, Higgins, P, Donskey, CJ. Four moments for patient hand hygiene: a patient-centered, provider-facilitated model to improve patient hand hygiene. Infect Control Hosp Epidemiol 2015;36:986–989.Google Scholar
8. Donskey, CJ, Eckstein, BC. Images in clinical medicine. The hands give it away. N Engl J Med 2009;360:e3.Google Scholar
9. Nerandzic, MM, Thota, P, Sankar, T, et al. Evaluation of a pulsed xenon ultraviolet disinfection system for reduction of healthcare-associated pathogens in hospital rooms. Infect Control Hosp Epidemiol 2015;36:192–197.Google Scholar
10. Vernon, MO, Hayden, MK, Trick, WE, Hayes, RA, Blom, DW, Weinstein, RA. Chlorhexidine gluconate to cleanse patients in a medical intensive care unit: the effectiveness of source control to reduce the bioburden of vancomycin-resistant enterococci. Arch Intern Med 2006;166:306–312.Google Scholar
Supplementary material: File

Sunkesula supplementary material S1

Supplementary Figure

Download Sunkesula supplementary material S1(File)
File 163.8 KB
Supplementary material: File

Sunkesula supplementary material S2

Sunkesula supplementary material

Download Sunkesula supplementary material S2(File)
File 15.4 KB
Supplementary material: File

Sunkesula supplementary material S3

Supplementary Table

Download Sunkesula supplementary material S3(File)
File 13.4 KB
Supplementary material: File

Sunkesula supplementary material S4

Supplementary Table

Download Sunkesula supplementary material S4(File)
File 16.4 KB
Supplementary material: File

Sunkesula supplementary material S5

Supplementary Figure

Download Sunkesula supplementary material S5(File)
File 3.1 MB
Supplementary material: PDF

Sunkesula supplementary material S6

Supplementary Figure

Download Sunkesula supplementary material S6(PDF)
PDF 185.9 KB