Hand Washing Literature review Example | Topics and Well Written Essays - 2000 words

lead Washing - Literature review ExamplePetersburg, Russia. ?METHODS.Prospective surveillance of HH compliance, nosocomial colonization, and antibiotic drug administration was performed from January until June 2000. In February 2000, alcohol? base kick the bucket rub was provided for routine HH use. Eight weeks later, a fictional character overture intervention was implemented, consisting of review of interim data, identification of opinion leaders, posting of colonization incidence rates, and steady feedback. Means of compliance, colonization, and antibiotic use were compared for periods before and after all(prenominal) intervention. ?RESULTS.A total of 1,027 events requiring HH were observed. Compliance was 44.2% before the front intervention, 42.3% between interventions, and 48% after the twinkling intervention. Use of alcohol rose from 15.2% of HH indications to 25.2% between interventions and 41.5% after the second intervention. The incidence of nosocomial colonization (per 1,000 diligent?days) with Klebsiella pneumoniae was initially 21.5, decreased to 4.7, and then was 3.2 in the final period. place of antibiotic and device use also decreased. ?CONCLUSIONS.HH may claim increased slightly, but the largest effect was a switch from soap and water to alcohol, which may have been associated with decreased cross?transmission of Klebsiella, although this may have been confounded by lower device use. Alcohol?based antiseptic may be an improvement over current practices, but further research is required. Girou, E., Loyeau, S., Legrand, P., Opein, F., & Brun-Buisson, C. (2002). Efficacy of handrubbing with alcohol based resolvent versus measure handwashing with antiseptic soap randomised clinical trial. BMJ, mountain 325, p. 362 Objective To compare the efficacy of handrubbing with an alcohol based solution versus conventional handwashing with antiseptic soap in reducing hand contamination during routine patient care. Design Randomised controlled tri al during daily nursing sessions of 2 to 3 hours Setting Three intensive care units in a French university hospital Participants 23 healthcare workers Interventions Handrubbing with alcohol based solution (n=12) or handwashing with antiseptic soap (n=11) when hand hygiene was indicated before and after patient care. Imprints taken of fingertips and laurel of dominant hand before and after hand hygiene procedure. Bacterial counts quantified blindly Main consequence measures Bacterial step-down of hand contamination. Results With handrubbing the median percentage reduction in bacterial contamination was importantly higher than with handwashing (83% v 58%, P=0.012), with a median difference in the percentage reduction of 26% (95% confidence interval 8% to 44%). The medianduration of hand hygiene was 30 seconds in each group. Conclusions During routine patient care handrubbing with an alcohol based solution is significantly more efficient in reducing hand contamination than handwashin g with antiseptic soap. Mody, L., McNeil, S., Sun, R., Bradley, S. & Kauffman, C. (2003). Introduction of a Waterless Alcohol?Based Hand Rub in a Long?TermCare Facility. Infection Control and Hospital Epidemiology, volume 24, number 3, pp. pp. 165-171 ?OBJECTIVE.To examine the impact of introduction of an alcohol?based hand rub on hand hygiene knowledge and compliance and hand colonization of healthcare workers (HCWs) in a long? terminalcare facility (LTCF). ?METHODS.Two floors of an LTCF participated. Ward A used the hand rub as an adjunct to