The aim of this study was to assess the impact of a multifaceted hand hygiene (HH) program on the infectious risk in nursing homes (NHs).
The use of pocket-sized ABHR containers as a part of a multifaceted hand hygiene promotion strategy was effective to increase adherence and decrease HAIs incidence rates by 40 45 % in LTCFs with an elderly population [ 30– 30].
A 3-year, multifaceted, sequential implementation of hand hygiene enhancement intervention at a US teaching hospital resulted in an increase in hand hygiene compliance from 41%to87%7% (p < 0.01).
The multifaceted intervention consisted of a hand hygiene campaign, antibiotic stewardship (using the WHO Pocket Book of Hospital Care for Children guidelines as standards of antibiotic prescribing for community-acquired infections), and other elementary infection control practices.
In a resource-limited setting, a multifaceted intervention, including a campaign for hand hygiene and antibiotic stewardship reduced HAIs, improved the rational use of antibiotics, and was associated with reduced mortality.
1, 2 Although the provision of water, sanitation, and hygiene interventions (WASH) is complex and multifaceted, safe domestic water is important to effective WASH-related initiatives.
Following the 1st surveillance period (09/2011 to 08/2012) a multifaceted, pragmatic infection control programme, aimed at proper hand hygiene and bundles for the prevention of the four most common HAIs has been implemented.
Following the 1st surveillance period a multifaceted, pragmatic infection control programme, aimed at proper hand hygiene and bundles for the prevention of the four most common HAIs will be implemented.
A multifaceted approach including reinforcement of infection control policies (hand hygiene, contact precautions, isolation and admission/routine rectal screening, clear delineation between handwashing sinks and sinks for other purposes), intensified cleaning of sinks, structural changes to the sinks, and antimicrobial stewardship has reduced but not eliminated transmission of the outbreak strain.
Interventions to establish and maintain good oral hygiene in intubated patients should be part of a multifaceted approach to the prevention VAP.
