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Handwashing Program for the Prevention of Nosocomial Infections in a Neonatal Intensive Care Unit
Sau‐Pin Won , MD, Hung‐Chieh Chou , MD, Wu‐Shiun Hsieh , MD, Chien‐Yi Chen , MD, Shio‐Min Huang , HN, Kuo‐Inn Tsou , MD and Po‐Nien Tsao , MD, PhD
Infection Control and Hospital Epidemiology
Vol. 25, No. 9 (September 2004), pp. 742-746
Published by: Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America
Stable URL: http://www.jstor.org/stable/10.1086/502470
Page Count: 5
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OBJECTIVE. To evaluate the effects of a hand hygiene program on compliance with hand hygiene and the rate of nosocomial infections in a neonatal intensive care unit (NICU). DESIGN. Open trial. SETTING. A level‐III NICU in a teaching hospital. PARTICIPANTS. Nurses, physicians, and other healthcare workers in the NICU. INTERVENTIONS. A multimodal campaign for hand hygiene promotion was conducted beginning in September 1998. This program consisted of formal lectures, written instructions and posted reminders regarding hand hygiene and proper handwashing techniques, covert observation, financial incentives, and regular group feedback on compliance. Surveillance of handwashing compliance and nosocomial infections before and during the program was analyzed. RESULTS. Overall compliance with hand hygiene improved from 43% at baseline to 80% during the promotion program. The rate of nosocomial infections decreased from 15.13 to 10.69 per 1,000 patient‐days (P = .003) with improved handwashing compliance. In particular, respiratory tract infections decreased from 3.35 to 1.06 per 1,000 patient‐days during the handwashing campaign (P = .002). Furthermore, the correlation between nosocomial infection of the respiratory tract and handwashing compliance also reached statistical significance (r = ‐0.385; P = .014). CONCLUSIONS. Improved compliance with handwashing was associated with a significant decrease in overall rates of nosocomial infection and respiratory infections in particular. Washing hands is a simple, economical, and effective method for preventing nosocomial infections in the NICU.
© 2004 by The Society for Healthcare Epidemiology of America. All rights reserved.