Effect of an Evidence-Based Hand Washing Policy on Hand Washing Rates and False-Positive Coagulase Negative Staphylococcus Blood and Cerebrospinal Fluid Culture Rates in a Level III NICU
Journal of PerinatologyPublished 27 February 2002
Paul J. Sharek, W.E. Benitz, Nancy J Abel, Mary Jane Freeburn, Michelle L. Mayer, David A. Bergman
Citations55
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SJR score0.98
SNIP1.23
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TL;DR
Implementation of an evidence-based hand washing policy resulted in a significant increase in hand washing compliance and a significant decrease in false-positive coagulase negative staphylococcal blood and CSF culture rates.
Abstract
Implementation of an evidence-based hand washing policy resulted in a significant increase in hand washing compliance and a significant decrease in false-positive coagulase negative staphylococcal blood and CSF culture rates. Exploratory data analysis revealed a possible effect on true-positive coagulase negative staphylococcal blood and CSF culture rates, but these results need to be confirmed in future studies.
Keywords
Immunology and MicrobiologyMedicineHealth Professions
American Journal of Infection ControlCDC definitions for nosocomial infections, 1988
5,776 Citations1988Julia S. Garner, William R. Jarvis +3 more
The Centers for Disease Control (CDC) has developed a new set of definitions for surveillance of nosocomial infections that combine specific clinical findings with results of laboratory and other tests that include recent advances in diagnostic technology.
PubMedNo magic bullets: a systematic review of 102 trials of interventions to improve professional practice.
1,870 Citations1995AD Oxman, M. Thomson +2 more
There are no "magic bullets" for improving the quality of health care, but there are a wide range of interventions available that, if used appropriately, could lead to important improvements in professional practice and patient outcomes.
Annals of Internal MedicineCompliance with Handwashing in a Teaching Hospital
996 Citations1999Didier Pittet, Philippe Mourouga +2 more
Variation across hospital ward and type of health care worker suggests that targeted educational programs may be useful and the association between noncompliance and intensity of care suggests that understaffing may decrease quality of patient care.
American Journal of Infection ControlAPIC guidelines for handwashing and hand antisepsis in health care settings
766 Citations1995Elaine Larson
Annals of Internal MedicineReminders to Physicians from an Introspective Computer Medical Record
641 Citations1984Clement J. McDonald, Siu L. Hui +5 more
A computer-stored medical record system containing a limited set of the total clinical data base--primarily diagnostic studies and treatments responds to its own content according to physician-authored reminder rules according to 1490 rules on physician behavior.
PEDIATRICSSerial Serum C-Reactive Protein Levels in the Diagnosis of Neonatal Infection
435 Citations1998W.E. Benitz, Michael Han +2 more
Serial normal CRP levels were associated with a markedly reduced likelihood of infection as compared with that in the entire population before testing, with likelihood ratios ranging from 0.03 to 0.16 for the various subgroups.
PubMedNosocomial infections among neonates in high-risk nurseries in the United States. National Nosocomial Infections Surveillance System.
398 Citations1996Robert P. Gaynes, Jonathan R. Edwards +4 more
PEDIATRICSNosocomial Infections Among Neonates in High-risk Nurseries in the United States
378 Citations1996Robert P. Gaynes, Jonathan R. Edwards +5 more
Bloodstream infections, the most frequent nosocomial infections in all birth weight groups, should be a major focus of surveillance and prevention efforts in HRNs and stratification of surveillance data by maternal acquisition will help focus prevention efforts for group B streptococci outside the HRN.
Infection ControlCDC Guideline for Handwashing and Hospital Environmental Control, 1985
378 Citations1986Julia S. Garner, Martin S. Favero
Infection Control and Hospital EpidemiologyNo Time for Handwashing!? Handwashing Versus Alcoholic Rub Can We Afford 100% Compliance?
368 Citations1997Andreas Voß, Andreas F. Widmer
The Journal of Infectious DiseasesSelective Intrapartum Chemoprophylaxis of Neonatal Group B Streptococcal Early-Onset Disease. I. Epidemiologic Rationale
344 Citations1983K. M. Boyer, C. A. Gadzala +4 more
Findings provide a compelling epidemiologic rationale for trials of selective intrapartum chemoprophylaxis of neonatal group B streptococcal early-onset disease.
The Journal of Infectious DiseasesThe Role of Understaffing and Overcrowding in Recurrent Outbreaks of Staphylococcal Infection in a Neonatal Special-Care Unit
283 Citations1982Robert W. Haley, D. A. Bregman
The contention that staphylococcal outbreaks periodically resulted when, in the presence of overcrowding, serious understaffing made frequent handwashing between infant contacts difficult is supported.
American Journal of Infection ControlHandwashing practices in an intensive care unit: The effects of an educational program and its relationship to infection rates
280 Citations1989J. Conly, S. Hill +3 more
An educational and enforcement program designed to improve handwashing procedures can significantly reduce endemic nosocomial infection rates.
American Journal of Infection ControlA multifaceted approach to changing handwashing behavior
239 Citations1997Elaine Larson, Jacalyn L. Bryan +2 more
Intensive intervention, including feedback, education, and increased sink automation, had minimal long-term effect on handwashing frequency.
American Journal of Infection ControlFactors influencing handwashing behavior of patient care personnel
227 Citations1982Elaine Larson, Marcia Killien
It appears that more emphasis should be placed on minimizing deterrents (especially detrimental effects on skin and peer pressure) rather than on emphasizing the importance of HW.
Infection Control and Hospital EpidemiologyIncreasing ICU Staff Handwashing: Effects of Education and Group Feedback
226 Citations1990Patricia M. Dubbert, Jeffrey J. Dolce +3 more
Improvement in HW compliance following specified critical procedures was also observed following interventions, and an immediate increase in HW was produced that was followed by a decline to baseline rates over four weeks.
Infection Control and Hospital EpidemiologyThe Role of Handwashing in Prevention of Endemic Intensive Care Unit Infections
206 Citations1990Bryan Simmons, Jerri K. Bryant +3 more
It is concluded that handwashing rates, when measured against arbitrary but reasonable standards, are suboptimal, difficult to change and not closely related to evidence of cross-infection.
The Pediatric Infectious Disease JournalRisk factors associated with candidemia in the neonatal intensive care unit
198 Citations1987Debra E. Weese‐Mayer, Diane Wheeler Fondriest +2 more
Development of candidemia in neonates is associated with, and possible caused by, prolonged exposure to antibiotics, hyperalimentation, intravenous fat emulsion and tracheal intubation and to the greatest extent possible consistent with good clinical care, exposure to these risk factors should be minimized in high risk neonates.
PEDIATRICSCoagulase-Negative Staphylococcal Bacteremia Among Very Low Birth Weight Infants: Relation to Admission Illness Severity, Resource Use, and Outcome
163 Citations1995James E. Gray, Douglas K. Richardson +2 more
Assessment of illness severity with SNAP provides information regarding nosocomial infection risk beyond that available from birth weight alone, especially among very low birth weight infants.
Infection ControlIncreasing Handwashing Compliance With More Accessible Sinks
153 Citations1986Lois M. Kaplan, Maryanne McGuckin
The nurses in the unit with one sink per bed had a significantly greater number of handwashes than those in the units with fewer sinks, indicating a greater frequency of handwashing by nurses.
American Journal of Public HealthCounseling medical and dental patients about cigarette smoking: the impact of nicotine gum and chart reminders.
146 Citations1987Stuart J. Cohen, A G Christen +5 more
Exit interviews of 1,091 medical and 647 dental patients indicated that the presence of chart reminders and/or the availability of nicotine gum increased the time spent counseling and altered the nature of the smoking cessation counseling provided by both physicians and dentists.
Infection ControlIncreasing Handwashing in an Intensive Care Unit
146 Citations1986Joni A. Mayer, Patricia M. Dubbert +3 more
The first systematic evaluation of strategies for increasing handwashing of hospital staff was provided, and when feedback was provided on the experimental ICU, handwashing following completed patient contacts increased to 92%, and was significantly higher than handwashing on the control unit.
PEDIATRICSANTIBACTERIAL EFFECTIVENESS OF ROUTINE HAND WASHING
141 Citations1973Katherine Sprunt, Winifred Redman +1 more
The data show that the routine-type quick hand wash usually employed by busy aides and nurses is effective in removing patient-acquired organisms and provide additional emphasis on the importance of the hand wash procedure in prevention of spread of bacteria from patient to patient.
PEDIATRICSPeripheral Intravenous Catheter Complications in Critically Ill Children: A Prospective Study
134 Citations1992Jeffery S. Garland, Peter L. Havens +6 more
Six hundred fifty-four peripheral Teflon catheters in 303 pediatric intensive care unit patients were examined to determine complication rates and associated risk factors, and phlebitis, extravasation, and bacterial colonization occurred at rates of 13%, 28%, and 11%, respectively.
Infection Control and Hospital EpidemiologyIncreasing ICU Staff Handwashing: Effects of Education and Group Feedback
129 Citations1990Patricia M. Dubbert, Jeffrey J. Dolce +3 more
Improvement in HW compliance following specified critical procedures was also observed following interventions, and an immediate increase in HW was produced that was followed by a decline to baseline rates over four weeks.
Journal of Hospital InfectionAn evaluation of five protocols for surgical handwashing in relation to skin condition and microbial counts
125 Citations1997LESLEY J. PEREIRA, Gary M. Lee +1 more
The proposition that a scrub protocol using alcohol-based antiseptics is as effective and no more damaging to skin than more time-consuming, conventional methods using detergent-based Antiseptic protocols is supported.
New England Journal of MedicinePurulent Meningitis of Newborn Infants
124 Citations1961Robert V. Groover, James M. Sutherland +1 more
In the present study the experience with neonatal meningitis at the Children's Hospital of Cincinnati and the Cincinnati General Hospital over eleven years of is studied.
Clinical Infectious DiseasesBacteremia Due to Staphylococcus epldermidis: Microbiologic, Epidemiologic, Clinical, and Prognostic Features
115 Citations1990S. Fidalgo, Fernando Vázquez +3 more
The main clinical features of SEB were high frequency in male patients greater than 40 years of age, fever, leukocytosis, anemia, and phlebitis, and several potentially toxic exoproteins were detected.
American journal of diseases of childrenSepticemia in Premature Infants
105 Citations1965Kathleen Carney Buetow
The present report was designed to elucidate the incidence and significance of septicemia among a population of newborn infants of low birth weight over a sufficiently long time period so that the principal characteristics of the disease could be delineated and the efficacy of the treatment outlined.
American Journal of Infection ControlA multicenter questionnaire investigation of attitudes toward hand hygiene, assessed by the staff in fifteen hospitals in Denmark and Norway
102 Citations1992J Zimakoff, A B Kjelsberg +2 more
Goal-specific strategies to improve HH practices would probably be more effective if more were done to minimize the factors that health care workers find detrimental to HH.
Journal of Obstetric, Gynecologic & Neonatal NursingNeonatal Skin Care: The Scientific Basis for Practice
98 Citations1999Carolyn Lund, Joanne McManus Kuller +3 more
A review of the literature addressing the care of neonatal skin generated evidence with which to create a new and comprehensive practice guideline for clinicians.
PubMedUse of reminders for preventive procedures in family medicine.
97 Citations1991W W Rosser, Ian McDowell +1 more
Computerized reminder systems do improve the delivery of preventive services in family practice and the use of a letter was more cost- effective than the telephone system, but the physician reminder system was the most cost-effective.
American Journal of Infection ControlDevelopment and evaluation of a new alcohol-based surgical hand scrub formulation with persistent antimicrobial characteristics and brushless application
92 Citations1998Denise Hobson, Wolfgang Wöller +2 more
The suitability of this alcohol-based formulation for use as a surgical hand scrub and for brushless application is demonstrated, with statistically significant improvement over current CHG and PVPI formulations.
American Journal of Infection ControlDuration of handwashing in intensive care units: A descriptive study
88 Citations1984Z. Ahmed Quraishi, Michael A. McGuckin +1 more
The data indicate that the duration of handwashing among health care personnel is below the standard recommended by authorities in hospital infection control, and may be an important factor in the transmission and persistence of nosocomial infection in critical care units.
Archives of Family MedicinePrescribe for Health: Improving Cancer Screening in Physician Practices Serving Low-Income and Minority Populations
68 Citations1998Clara Manfredi
Implementation of an HMO-mediated, multicomponent intervention to improve cancer screening was feasible and effective for the Papanicolaou smear, fecal occult blood slide test, and the clinical breast examination, but not for mammography.
Intensive Care MedicineInfection control and prevention strategies in the ICU
67 Citations1994Andreas F. Widmer
Today, the major infectious threat to ICU patients is the increase in multiply-resistant microor-ganisms: methicillin-resistantStaphylococcus aureus, enterococci andCandida spp.
Archives of Disease in ChildhoodSkin disinfection in preterm infants.
44 Citations1993I Malathi, Michael Millar +3 more
It is demonstrated that a brief exposure with a premoistened disinfectant swab is not sufficient for complete elimination of resident skin flora of newborn infants, and the use of two consecutive cleanings, or a longer duration of cleansing is recommended for more effective skin sterilisation.
Dermatologic ClinicsNEONATAL SKIN AND SKIN CARE
37 Citations1998Elaine C. Siegfried
A better understanding of the principles of infant skin care and a more uniform approach to skin care in the neonatal nursery can minimize risks and costs to this special population of patients.
Acta PaediatricaClinical and molecular biological analysis of a nosocomial outbreak of vancomycin‐resistant enterococci in a neonatal intensive care unit
37 Citations1999Hye‐Kyung Lee, WG Lee +1 more
Clinical and molecular biological analysis of a nosocomial outbreak of vancomycin‐resistant enterococci in a neonatal intensive care unit and its implications for diagnosis and treatment are described.
Infection Control and Hospital EpidemiologyHandwashing Quality: Impact of a Special Program
34 Citations1998B. Coignard, Bruno Grandbastien +5 more
The proportion of BHW that satisfied this checklist increased significantly, from 4.2% before the program to 18.6% after, but these low proportions suggest that simpler alternatives to BHw should be studied.
Military MedicineA Comparison of 5-Minute Povidone-Iodine Scrub and 1-Minute Povidone-iodine Scrub followed by Alcohol Foam
33 Citations1998Narayan Deshmukh, James William Kramer +1 more
The results show that there was no significant difference between the number of colonies cultured for the 1-minute scrub compared with the 5-minute Scrub with povidone-iodine for either the1-hour or the 2-hour study, and the total number of bacterial colonies was less than after the standard 5-hour scrub.
American Journal of Infection ControlNosocomial toxic-shock syndrome in two patients after knee surgery
21 Citations1983Mark A. Moyer, Larry D. Edwards +1 more
This work has modeled the redundancy resolution (RR) on the parameter spaces that quantify uncertainties of the task, and found that SA-based models of redundancy resolution in the 2D parameter spaces are highly efficient.
Transfusion Clinique et Biologiqueévaluation bactériologique quantitative d'une méthode de désinfection cutanée chez les donneurs de sang
19 Citations1997Gilles Folléa, P. Saint-Laurent +4 more
Qualitative analysis of bacteria present in the antecubital fossae before and after skin disinfection showed that disinfection suppressed the transitory flora in all cases but left part of the resident flora in 12/16 cases, comparable to those of other studies carried out to evaluate this kind of technique for the disinfection of operation sites.
PubMed[Comparison of efficacy of 14 procedures for the hygienic disinfection of hands (author's transl)].
11 Citations1977G. Wewalka, M. Rotter +2 more
The efficacy of 14 procedures for the hygienic disinfection of hands mostly with commerical preparations was tested by a new experimental model developed at the Institute of Hygiene of the university Vienna (1,3).
PubMedProblems with resistance in pediatric intensive care.
7 Citations1996Philip Toltzis, Jeffrey L. Blumer
It appears that these organisms are largely imported into the ICU from the community and are not a result of antibiotic practices within the unit itself, which requires that strategies to control these organisms in the PICU be reassessed.