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The incidence of MRSA infection in the ICU was monitored during 3 different phases: the baseline period (phase 1); after ICU renovation (phase 2) and after implementation of a hand hygiene campaign with alcohol-based hand rub (phase 3).
The implementation of a hand hygiene campaign resulted in significant decreased prevalence of infected patients: 17.7% (95% CI: 17.1-18.3) before versus 15.1% (95% CI: 14.4-15.7) in the 4-years after the implementation.
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The results indicate that smaller hospitals are able to focus on the practical implementation of a national hand hygiene policy.
The purpose of this study was to examine the reach, dose, fidelity, acceptability, and sustainability of the implementation of an educational hand washing intervention in primary schools, and to explore views regarding acceptability and sustainability of the intervention.
Therefore, implementation of an effective hand-disinfection system should be required in ICUs.
There was a significant increase in hand hygiene adherence among HCWs following implementation of a WHO multimodal hand hygiene program.
There was a significant increase in hand hygiene adherence among Ethiopian HCWs following the implementation of a WHO-recommended multimodal hand hygiene campaign.
As a result, we recommend implementation of standardized hand hygiene policies to ensure access to materials/facilities and regular instruction in use.
We prospectively studied CR-BSI incidence in an ICU following the implementation of MBP (hand washing before line placement, sterile site preparation, draping the entire patient in sterile fashion, use of hat, mask, gloves and gown, maintenance of a sterile field, assistants following the same precautions, and sterile dressing application).
It was implemented in three phases: 1) baseline evaluation of hand hygiene adherence and hospital infrastructure; 2) intervention (distribution of commercial hand sanitizer and implementation of an abbreviated WHO-recommended multimodal hand hygiene campaign); and 3) post-intervention evaluation of HCW hand hygiene adherence.
To standardize the best implementation of hand hygiene practices, a user-centered approach to understand, train, monitor and report hand hygiene compliance was introduced [ 6].
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