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Médecine du travail du personnel hospitalier

Decreasing hospital-associated rotavirus infection: a multidisciplinary hand hygiene campaign in a children's hospital.

Pediatr Infect Dis J. 2005 May;24(5):397-403.
Decreasing hospital-associated rotavirus infection: a multidisciplinary hand hygiene campaign in a children’s hospital.
‘Zerr DM, Allpress AL, Heath J, Bornemann R, Bennett E.
Department of Pediatrics, University of Washington, and the Children’s Hospital and Regional Medical Center, Seattle WA, USA.’

OBJECTIVE: Hand hygiene is an effective means of preventing hospital-associated infection, but compliance among health care workers is poor. Few studies aimed at increasing hand hygiene in the hospital setting have shown sustained improvement and concurrent decreases in hospital-associated infections, and even fewer have been performed in the pediatric setting. METHODS: We implemented a hand hygiene program with the hopes of improving hand hygiene and decreasing hospital-associated rotavirus infection rates. A multidisciplinary group developed a hospital supported, house-wide campaign. Opportunities for hand hygiene were observed during 5 periods. The frequency of hospital-associated rotavirus infection was tracked over time by review of laboratory records. Correlates of hand hygiene were investigated with the use of multivariate logistic regression. RESULTS: Overall hand hygiene compliance improved from 62% in period 1 to 81% in period 5 (P < 0.001). Soap and water was the most common method for practicing hand hygiene, and alcohol hand gel use increased from 4% to 29% between the first and last observation periods (P < 0.001). The rate of hospital-associated rotavirus infection decreased from 5.9 episodes per 1000 discharged patients in 2001 to 2.2 episodes per 1000 discharged patients in 2004 (P = 0.01). Period of observation, hospital ward, type of care provider and type of care performed were all independently associated with hand hygiene (adjusted P < or = 0.02 for all). CONCLUSION: Improving hand hygiene is an important goal for health care institutions. These data can be useful for development of interventions aimed at improving hand hygiene.
MeSH Terms: Age Distribution – Analysis of Variance – Child – Child, Preschool – Cohort Studies – Communicable Disease Control/organization & administration* – Cross Infection/epidemiology – Cross Infection/prevention & control* – Female – Handwashing/sta

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