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Compliance with hyg...
Compliance with hygiene guidelines : The effect of a multimodal hygiene intervention and validation of direct observations
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- Mernelius, Sara (author)
- Division of Medical Services, Jönköping, Sweden
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- Svensson, Per-Olof (author)
- Unit for Health Care Hygiene, Jönköping, Sweden
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- Rensfeldt, Gunhild (author)
- Unit for Health Care Hygiene, Jönköping, Sweden
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- Davidsson, Ewa (author)
- Östergötlands Läns Landsting,Infektionskliniken i Östergötland
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- Isaksson, Barbro (author)
- Östergötlands Läns Landsting,Linköpings universitet,Klinisk mikrobiologi,Hälsouniversitetet
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- Lofgren, Sture (author)
- Division of Medical Services, Jönköping, Sweden
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- Matussek, Andreas (author)
- Division of Medical Services, Jönköping, Sweden
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(creator_code:org_t)
- Elsevier, 2013
- 2013
- English.
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In: American Journal of Infection Control. - : Elsevier. - 0196-6553 .- 1527-3296. ; 41:5, s. E45-E48
- Related links:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Subject headings
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- BackgroundGood compliance with hygiene guidelines is essential to prevent bacterial transmission and health care-associated infections. However, the compliance is usually <50%.MethodsA multimodal and multidisciplinary hygiene intervention was launched once the baseline compliance was determined through direct observations in 4 departments of obstetrics and gynecology. Detailed evaluations of the compliance rates were performed at point of stability (at 80%) and follow-up (3 years after hygiene intervention). Validation of direct observations was performed using blinded double appraisal and multiappraisal.ResultsAt baseline, the compliance with barrier precautions and the dress code at the 4 departments were 39% to 47% and 79% to 98%, respectively. Point of stability was reached approximately 1 year after the hygiene intervention was launched. The compliance with barrier precautions was significantly higher at follow-up compared with baseline in 3 departments. In the validation by double appraisal, 471 of 483 components were judged identical between observers. In the multiappraisal, 95% to 100% of the observers correctly judged the 7 components.ConclusionIt is possible to improve compliance with hygiene guidelines, but, to ensure a long-lasting effect, a continuous focus on barrier precautions is required. Observation is a valid method to monitor compliance.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine (hsv//eng)
Keyword
- Multidisciplinary
- Adherence
- Double appraisal
- Multiappraisal
- Self-reporting
- Hand hygiene
- Barrier precautions
- Dress code
- MEDICINE
- MEDICIN
Publication and Content Type
- ref (subject category)
- art (subject category)
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