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Impact of the International Nosocomial Infection Control Consortium (INICC) Multidimensional Hand Hygiene Approach During 3 Years in 6 Hospitals in 3 Mexican Cities.
J Patient Saf. 2015 Jun 10;
Authors: Miranda-Novales MG, Sobreyra-Oropeza M, Rosenthal VD, Higuera F, Armas-Ruiz A, Pérez-Serrato I, Torres-Hernández H, Zamudio-Lugo I, Flores-Ruiz EM, Campuzano R, Mena-Brito J, Sánchez-López M, Chávez-Gómez A, Rivera-Morales J, Valero-Rodríguez JE
Abstract
OBJECTIVES: To evaluate the impact of the International Nosocomial Infection Control Consortium (INICC) multidimensional hand hygiene (HH) approach in Mexico, and analyze predictors of poor HH compliance.
METHODS: From June 2002 to April 2006, we conducted a prospective, observational, before-and-after study in 8 intensive care units (ICUs) from 6 hospitals in 3 cities of Mexico. The approach included administrative support, availability of supplies, education and training, reminders in the workplace, process surveillance, and performance feedback.
RESULTS: A total of 13,201 observations for HH opportunities were done in each ICU, during randomly selected 30-minute periods. Overall, HH compliance increased from 45% to 79% (95% confidence interval [CI], 69.1-86.5; P = 0.01). Univariate and multivariate analyses showed that several variables were significantly associated with poor HH compliance: males versus females (61% versus 66%; 95% CI, 0.91-0.96; P = 0.0001), physicians versus nurses (62% versus 67%; 95% CI, 0.91-0.97; P = 0.0001), and adult versus neonatal ICUs (67% versus 54%; 95% CI, 0.79-0.84; P = 0.0001), among others.
CONCLUSIONS: Hand hygiene programs should focus on variables found to be predictors of poor HH compliance.
PMID: 26067748 [PubMed - as supplied by publisher]