scholarly journals Effect of Glove Decontamination on Bacterial Contamination of Healthcare Personnel Hands

2019 ◽  
Vol 69 (Supplement_3) ◽  
pp. S224-S227 ◽  
Author(s):  
Zegbeh Kpadeh-Rogers ◽  
Gwen L Robinson ◽  
Haleema Alserehi ◽  
Daniel J Morgan ◽  
Anthony D Harris ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Simulation Study ◽  
Bacterial Contamination ◽  
Laboratory Simulation ◽  
Healthcare Personnel

Abstract We examined the effect of glove decontamination prior to removal on bacterial contamination of healthcare personnel hands in a laboratory simulation study. Glove decontamination reduced bacterial contamination of hands following removal. However, hand contamination still occurred with all decontamination methods, reinforcing the need for hand hygiene following glove removal.

scholarly journals Rate of Compliance with Hand Hygiene by Dental Healthcare Personnel (DHCP) within a Dentistry Healthcare First Aid Facility

2010 ◽  
Vol 04 (03) ◽  
pp. 233-237 ◽  
Author(s):  
Marcília Batista de Amorim-Finzi ◽  
Mauro Vieira Cezar Cury ◽  
Cláudio Rodrigues R. Costa ◽  
Angelis Costa dos Santos ◽  
Geraldo Batista de Melo
Keyword(s):  
Hand Hygiene ◽  
Healthcare Professionals ◽  
Maxillofacial Surgery ◽  
First Aid ◽  
Healthcare Personnel ◽  
Oral And Maxillofacial Surgery ◽  
Healthcare Team ◽  
Daily Care ◽  
Hygiene Compliance ◽  
Significant Data

Objectives: To evaluate the compliance with the opportunities of hand hygiene by dentistry school healthcare professionals, as well as the higher choice products.Methods: Through direct observation, the oral healthcare team-professors, oral and maxillofacial surgery residents, graduation students-for daily care were monitored: before performing the first treatment of the shift, after snacks and meals, and after going to the bathroom (initial opportunities) as well as between patients’ care, and after ending the shift (following opportunities).Results: The professors’ category profited 78.4% of all opportunities while residents and graduation students did not reach 50.0% of compliance. Statistically significant data (P≤.05) were seen between categories: professors and residents, professors and graduation students, and between genders within the residents’ category. When opportunities were profited, the preferred choice for hand hygiene was water and soap (82.2%), followed by 70% alcohol (10.2%), and both (7.6%).Conclusions: Although gloves were worn in all procedures, we concluded that the hygiene compliance by these professionals was under the expectation. (Eur J Dent 2010;4:233-237)

scholarly journals Sleep inertia associated with a 10-min nap before the commute home following a night shift: A laboratory simulation study

2017 ◽  
Vol 99 ◽  
pp. 411-415 ◽  
Author(s):  
Cassie J. Hilditch ◽  
Jillian Dorrian ◽  
Stephanie A. Centofanti ◽  
Hans P. Van Dongen ◽  
Siobhan Banks
Keyword(s):  
Simulation Study ◽  
Night Shift ◽  
Laboratory Simulation ◽  
Sleep Inertia

Interventional Strategies to Contain Colonization and Infections Caused By Carbapenemase Producing Klebsiella Pneumonia in Haematological Malignancies

Blood ◽  
2014 ◽  
Vol 124 (21) ◽  
pp. 2647-2647
Author(s):  
Alessandra Malato ◽  
Francesco Acquaviva ◽  
Rosaria Felice ◽  
Silvana Magrin ◽  
Maria Grazia Donà ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Conflicts Of Interest ◽  
Hematologic Malignancies ◽  
Healthcare Personnel ◽  
Klebsiella Pneumonia ◽  
Multiresistant Pathogens ◽  
Control Effort ◽  
Patient Reported ◽  
Plan B ◽  
The Impact

Abstract Background and Aim: The emergence and dissemination of Carbapenemase producing Klebsiella pneumoniae (KPC) represent a serious threat to public health and is associated with high mortality rates in patients with hematologic malignancies. Several risk factors (prior exposure to or current use of antibiotics, extended stay in hospital, neutropenia, sharing a room with a know carrier etc) have been identified for colonization in hematological patients. However, data on how to contain their spread in haematological setting are still surprisingly limited. We carried out a prospective investigation to assess the prevalence of KPC colonization among hematologic patients, the impact of a strategy control to limit the spread and to evaluate the efficacy of an implementation of more extensive active surveillance. Methods: Infections caused by multiresistant pathogens have been recorded in our Unit from January 2012 through June 2014. From January 2012 to July 2013, we developed an intensive control infection program, (Plan A): 1. Weekly colonization screening for KPC; 2. Educate healthcare personnel about KPC; 3. Promotion of hand hygiene 4. Physical separation of carriers from non-carriers 5. A double-carbapenem plus colistin therapeutic empiric regimen was given for blood stream infections. Since July 2013, we decided to implement additional measures, including (Plan B): 1. Drastic reduction in the number of beds. 2. 2% chlorhexidine body washing for colonized patients. 3. Ensure access to adequate hand hygiene stations (i.e., clean sinks and/or alcohol) and ensure they are well stocked with supplies (e.g. towels, soap, etc.) 4. Donning gown and gloves before entering the affected patient’s room and removing the gown and gloves and performing hand hygiene prior to exiting the affected patient’s room. Results: Since January 2012 perianal swabs were detected weekly from 607 consecutive patients affected by hematologic malignancies, for a total of 1079 admissions and 12.284 days of hospital stay.KPC colonization was present in 47 out of 607 (7.7%) screened patients at some time during their (often multiple hospitalizations); 11 bloodstream infections were reported in 9 patients (23%). Three deaths (3/11, 27%) due to KPC were reported before implementation screening (overall mortality rate was 6.3 % of colonized patients). KPC-decolonisation was achieved in 13/47 pts (28 %) after a median duration of 88 days (range 20-118).Most patients who recovered from KPC infection or were just colonized by KPC went on to receive additional chemotherapy without any life threatening KPC infection occurring (only one patient reported two septic episodes). Since screening cultures or further clinical cultures identified a progressive increase KPCcolonized or -infected patients, we decided to implement additional measures (Plan B). Therefore, from fourth trimester 2013 of study, we have observed a progressive decrease in rate of new colonization: 2 patients (4.17%) vs 15 patients (30%) in the third trimester, and a very low rate was maintained until the second trimester of 2014( 3 patients -4%). Conclusions: The prevalence of KPC colonization in our hospital is high among patients with hematologic diseases.An implementation of additional measures, sharing the patients in single bed-rooms and consequently limiting transfer of cases from other wards, was able to contain KPC colonization and infection.However, the success of our preliminary interventions should be monitored constantly; besides, to prevent the emergence and further spread of CRE, a coordinated regional control effort among healthcare facilities should be recommended. Figure 1 Figure 1. Disclosures No relevant conflicts of interest to declare.

Hand Hygiene With Alcohol-Based Hand Rub: How Long Is Long Enough?

2017 ◽  
Vol 38 (5) ◽  
pp. 547-552 ◽  
Author(s):  
Daniela Pires ◽  
Hervé Soule ◽  
Fernando Bellissimo-Rodrigues ◽  
Angèle Gayet-Ageron ◽  
Didier Pittet
Keyword(s):  
Hand Hygiene ◽  
Mixed Model ◽  
Linear Mixed Model ◽  
Random Effect ◽  
Healthcare Personnel ◽  
Infection Prevention And Control ◽  
Bacterial Reduction ◽  
Experimental Conditions ◽  
Bacterial Counts ◽  
Hand Rubbing

BACKGROUNDHand hygiene is the core element of infection prevention and control. The optimal hand-hygiene gesture, however, remains poorly defined.OBJECTIVEWe aimed to evaluate the influence of hand-rubbing duration on the reduction of bacterial counts on the hands of healthcare personnel (HCP).METHODSWe performed an experimental study based on the European Norm 1500. Hand rubbing was performed for 10, 15, 20, 30, 45, or 60 seconds, according to the WHO technique using 3 mL alcohol-based hand rub. Hand contamination with E. coli ATCC 10536 was followed by hand rubbing and sampling. A generalized linear mixed model with a random effect on the subject adjusted for hand size and gender was used to analyze the reduction in bacterial counts after each hand-rubbing action. In addition, hand-rubbing durations of 15 and 30 seconds were compared to assert non-inferiority (0.6 log10).RESULTSIn total, 32 HCP performed 123 trials. All durations of hand rubbing led to significant reductions in bacterial counts (P<.001). Reductions achieved after 10, 15, or 20 seconds of hand rubbing were not significantly different from those obtained after 30 seconds. The mean bacterial reduction after 15 seconds of hand rubbing was 0.11 log10 lower (95% CI, −0.46 to 0.24) than after 30 seconds, demonstrating non-inferiority.CONCLUSIONSHand rubbing for 15 seconds was not inferior to 30 seconds in reducing bacterial counts on hands under the described experimental conditions. There was no gain in reducing bacterial counts from hand rubbing longer than 30 seconds. Further studies are needed to assess the clinical significance of our findings.Infect Control Hosp Epidemiol 2017;38:547–552

scholarly journals Dynamics of Bacterial Hand Contamination During Routine Neonatal Care

2004 ◽  
Vol 25 (3) ◽  
pp. 192-197 ◽  
Author(s):  
Carmem Lúcia Pessoa-Silva ◽  
Sasi Dharan ◽  
Stéphane Hugonnet ◽  
Sylvie Touveneau ◽  
Klara Posfay-Barbe ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Bacterial Contamination ◽  
Standard Procedure ◽  
Bacterial Count ◽  
Neonatal Care ◽  
Dominant Hand ◽  
Commensal Flora ◽  
Skin Contact ◽  
Skin Flora ◽  
Before And After

AbstractObjective:To evaluate the dynamics of bacterial contamination of healthcare workers' (HCWs) hands during neonatal care.Setting:The 20-bed neonatal unit of a large acute care teaching hospital in Geneva, Switzerland.Methods:Structured observation sessions were conducted. A sequence of care began when the HCW performed hand hygiene and ended when the activity changed or hand hygiene was performed again. Alcohol-based handrub was the standard procedure for hand hygiene. An imprint of the five fingertips of the dominant hand was obtained before and after hand hygiene and at the end of a sequence of care. Regression methods were used to model the final bacterial count according to the type and duration of care and the use of gloves.Results:One hundred forty-nine sequences of care were observed. Commensal skin flora comprised 72.4% of all culture-positive specimens (n = 360). Other microorganisms identified were Enterobacteriaceae (n = 55, 13.8%); Staphylococcus aureus (n = 10, 2.5%); and fungi (n = 7,1.8%). Skin contact, respiratory care, and diaper change were independently associated with an increased bacterial count; the use of gloves did not fully protect HCWs' hands from bacterial contamination.Conclusions:These data confirm that hands become progressively contaminated with commensal flora and potential pathogens during neonatal care, and identify activities at higher risk for hand contamination. They also reinforce the need for hand hygiene after a sequence of care, before starting a different task, and after glove removal.

Field and Laboratory Simulation Study of Hot Spots in Stockpiled Bituminous Coal

2012 ◽  
Vol 26 (12) ◽  
pp. 7230-7235 ◽  
Author(s):  
Uri Green ◽  
Zeev Aizenshtat ◽  
Lionel Metzger ◽  
Haim Cohen
Keyword(s):  
Simulation Study ◽  
Hot Spots ◽  
Bituminous Coal ◽  
Laboratory Simulation
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