The impact of the International Nosocomial Infection Control Consortium (INICC) multicenter, multidimensional hand hygiene approach in two cities of India
Summary: The fundamental tool for preventing and controlling healthcare-acquired infections is hand hygiene (HH). Nonetheless, adherence to HH guidelines is often low. Our goal was to assess the effect of the International Nosocomial Infection Control Consortium (INICC) Multidimensional Hand Hygiene...
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2015-03-01
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| Series: | Journal of Infection and Public Health |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1876034114001427 |
| _version_ | 1818133263438315520 |
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| author | Murali Chakravarthy Sheila Nainan Myatra Victor D. Rosenthal F.E. Udwadia B.N. Gokul J.V. Divatia Aruna Poojary R. Sukanya Rohini Kelkar Geeta Koppikar Leema Pushparaj Sanjay Biswas Lata Bhandarkar Sandhya Raut Shital Jadhav Sulochana Sampat Neeraj Chavan Shweta Bahirune Shilpa Durgad |
| author_facet | Murali Chakravarthy Sheila Nainan Myatra Victor D. Rosenthal F.E. Udwadia B.N. Gokul J.V. Divatia Aruna Poojary R. Sukanya Rohini Kelkar Geeta Koppikar Leema Pushparaj Sanjay Biswas Lata Bhandarkar Sandhya Raut Shital Jadhav Sulochana Sampat Neeraj Chavan Shweta Bahirune Shilpa Durgad |
| author_sort | Murali Chakravarthy |
| collection | DOAJ |
| description | Summary: The fundamental tool for preventing and controlling healthcare-acquired infections is hand hygiene (HH). Nonetheless, adherence to HH guidelines is often low. Our goal was to assess the effect of the International Nosocomial Infection Control Consortium (INICC) Multidimensional Hand Hygiene Approach (IMHHA) in three intensive care units of three INICC member hospitals in two cities of India and to analyze the predictors of compliance with HH. From August 2004 to July 2011, we carried out an observational, prospective, interventional study to evaluate the implementation of the IMHHA, which included the following elements: (1) administrative support, (2) supplies availability, (3) education and training, (4) reminders in the workplace, (5) process surveillance and (6) performance feedback. The practices of health care workers were monitored during randomly selected 30-min periods. We observed 3612 opportunities for HH. Overall adherence to HH increased from 36.9% to 82% (95% CI 79.3–84.5; P = 0.0001). Multivariate analysis indicated that certain variables were significantly associated with poor HH adherence: nurses vs. physicians (70.5% vs. 74%; 95% CI 0.62–0.96; P = 0.018), ancillary staff vs. physicians (43.6% vs. 74.0%; 95% CI 0.48–0.72; P < 0.001), ancillary staff vs. nurses (43.6% vs. 70.5%; 95% CI 0.51–0.75; P < 0.001) and private vs. academic hospitals (74.2% vs. 66.3%; 95% CI 0.83–0.97; P < 0.001). It is worth noticing that in India, the HH compliance of physicians is higher than in nurses. Adherence to HH was significantly increased by implementing the IMHHA. Programs targeted at improving HH are warranted to identify predictors of poor compliance. Keywords: Care, Developing countries, Hand hygiene, Hand washing, Healthcare workers, India, Infection control, Intensive care units, International Nosocomial Infection Control Consortium, Multidimensional approach |
| first_indexed | 2024-12-11T08:49:57Z |
| format | Article |
| id | doaj.art-0d07edcb09d04db19fdeba3824764875 |
| institution | Directory Open Access Journal |
| issn | 1876-0341 |
| language | English |
| last_indexed | 2024-12-11T08:49:57Z |
| publishDate | 2015-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Infection and Public Health |
| spelling | doaj.art-0d07edcb09d04db19fdeba38247648752022-12-22T01:14:02ZengElsevierJournal of Infection and Public Health1876-03412015-03-0182177186The impact of the International Nosocomial Infection Control Consortium (INICC) multicenter, multidimensional hand hygiene approach in two cities of IndiaMurali Chakravarthy0Sheila Nainan Myatra1Victor D. Rosenthal2F.E. Udwadia3B.N. Gokul4J.V. Divatia5Aruna Poojary6R. Sukanya7Rohini Kelkar8Geeta Koppikar9Leema Pushparaj10Sanjay Biswas11Lata Bhandarkar12Sandhya Raut13Shital Jadhav14Sulochana Sampat15Neeraj Chavan16Shweta Bahirune17Shilpa Durgad18Fortis Hospitals, Bangalore, IndiaTata Memorial Hospital, Mumbai, IndiaInternational Nosocomial Infection Control Consortium (INICC), Buenos Aires, Argentina1; Corresponding author at: International Nosocomial Infection Control Consortium (INICC), Corrientes Ave. # 4580, Floor 12, Apt D, Buenos Aires 1195, Argentina. Tel.: +54 11 4861 5826; fax: +54 11 4861 5826.Breach Candy Hospital Trust, Mumbai, IndiaFortis Hospitals, Bangalore, IndiaTata Memorial Hospital, Mumbai, IndiaBreach Candy Hospital Trust, Mumbai, IndiaFortis Hospitals, Bangalore, IndiaTata Memorial Hospital, Mumbai, IndiaBreach Candy Hospital Trust, Mumbai, IndiaFortis Hospitals, Bangalore, IndiaTata Memorial Hospital, Mumbai, IndiaBreach Candy Hospital Trust, Mumbai, IndiaTata Memorial Hospital, Mumbai, IndiaBreach Candy Hospital Trust, Mumbai, IndiaTata Memorial Hospital, Mumbai, IndiaBreach Candy Hospital Trust, Mumbai, IndiaBreach Candy Hospital Trust, Mumbai, IndiaBreach Candy Hospital Trust, Mumbai, IndiaSummary: The fundamental tool for preventing and controlling healthcare-acquired infections is hand hygiene (HH). Nonetheless, adherence to HH guidelines is often low. Our goal was to assess the effect of the International Nosocomial Infection Control Consortium (INICC) Multidimensional Hand Hygiene Approach (IMHHA) in three intensive care units of three INICC member hospitals in two cities of India and to analyze the predictors of compliance with HH. From August 2004 to July 2011, we carried out an observational, prospective, interventional study to evaluate the implementation of the IMHHA, which included the following elements: (1) administrative support, (2) supplies availability, (3) education and training, (4) reminders in the workplace, (5) process surveillance and (6) performance feedback. The practices of health care workers were monitored during randomly selected 30-min periods. We observed 3612 opportunities for HH. Overall adherence to HH increased from 36.9% to 82% (95% CI 79.3–84.5; P = 0.0001). Multivariate analysis indicated that certain variables were significantly associated with poor HH adherence: nurses vs. physicians (70.5% vs. 74%; 95% CI 0.62–0.96; P = 0.018), ancillary staff vs. physicians (43.6% vs. 74.0%; 95% CI 0.48–0.72; P < 0.001), ancillary staff vs. nurses (43.6% vs. 70.5%; 95% CI 0.51–0.75; P < 0.001) and private vs. academic hospitals (74.2% vs. 66.3%; 95% CI 0.83–0.97; P < 0.001). It is worth noticing that in India, the HH compliance of physicians is higher than in nurses. Adherence to HH was significantly increased by implementing the IMHHA. Programs targeted at improving HH are warranted to identify predictors of poor compliance. Keywords: Care, Developing countries, Hand hygiene, Hand washing, Healthcare workers, India, Infection control, Intensive care units, International Nosocomial Infection Control Consortium, Multidimensional approachhttp://www.sciencedirect.com/science/article/pii/S1876034114001427 |
| spellingShingle | Murali Chakravarthy Sheila Nainan Myatra Victor D. Rosenthal F.E. Udwadia B.N. Gokul J.V. Divatia Aruna Poojary R. Sukanya Rohini Kelkar Geeta Koppikar Leema Pushparaj Sanjay Biswas Lata Bhandarkar Sandhya Raut Shital Jadhav Sulochana Sampat Neeraj Chavan Shweta Bahirune Shilpa Durgad The impact of the International Nosocomial Infection Control Consortium (INICC) multicenter, multidimensional hand hygiene approach in two cities of India Journal of Infection and Public Health |
| title | The impact of the International Nosocomial Infection Control Consortium (INICC) multicenter, multidimensional hand hygiene approach in two cities of India |
| title_full | The impact of the International Nosocomial Infection Control Consortium (INICC) multicenter, multidimensional hand hygiene approach in two cities of India |
| title_fullStr | The impact of the International Nosocomial Infection Control Consortium (INICC) multicenter, multidimensional hand hygiene approach in two cities of India |
| title_full_unstemmed | The impact of the International Nosocomial Infection Control Consortium (INICC) multicenter, multidimensional hand hygiene approach in two cities of India |
| title_short | The impact of the International Nosocomial Infection Control Consortium (INICC) multicenter, multidimensional hand hygiene approach in two cities of India |
| title_sort | impact of the international nosocomial infection control consortium inicc multicenter multidimensional hand hygiene approach in two cities of india |
| url | http://www.sciencedirect.com/science/article/pii/S1876034114001427 |
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