2010, Number 92
<< Back Next >>
Rev Enfer Infec Pediatr 2010; 23.24 (92)
Evaluation of hand hygiene, their impact after a continuous improvement program in the Regional Hospital ISSSTE in Oaxaca
Sánchez CNP, Reyes GU, Reyes HU, Reyes HD, Ramírez PB, Sánchez VH, García LE, Santiago PE
Language: Spanish
References: 19
Page: 116-123
PDF size: 412.48 Kb.
Text Extraction
Background: the hand hygiene (HH) is the more effective and economical universal is known to prevent transmission of infectious diseases.
Objective: understanding the impact of a program of continuous improvement in the process of HH in the health personnel.
Methods: shadow, quantitative, prospective and longitudinal study from February 1 to September 30, 2009 at the Regional Hospital “Presidente Juarez” in Oaxaca of ISSSTE, the HH was assessed in 307 health workers, from a database that was evaluated through Rho correlation test of Spearman, with the aid of SPSS 11.5.
Results: before training and provision of inputs, health personnel performed hand hygiene procedure in 189 cases (61.5%), while 79.8% did so after training and installation of toilets and hand sanitizer dispensers, liquid soap and paper towels, when an assessment was conduced two months later, 68.4% were conducted HH. At the end of the study were able to observe the program’s impact in increasing the percentage of people who applied the HH: in the emergency service increased from 2 to 6%, in the surgery room from 71 to 84% in ICU from 94 to 97%, in pediatric ward from 95 to 99%, in the surgical floor from 4 to 78%, in internal medicine from 44 to 47%, in gynecology from 38 to 49%, in nursery from 89 to 92%, and outpatients from 20 to 29%. The Spearman’s Rho test was significant at the three times evaluation.
Conclusions: in this study, the pediatric service showed great attachment to comply with the HH, as well as ICU. This reveals that to the extent that there is more material equipment for this purpose, the greater the compliance of the measure which amounted in all services.
REFERENCES
Alianza Mundial para la Seguridad del paciente. Directrices de la OMS sobre higiene de las manos en la atención médica: resumen. Organización Mundial de la Salud, 2007.
Proyecto de Norma Oficial Mexicana PROY-NOM-045-SSA2-2004, para la vigilancia epidemiológica, prevención y control de infecciones nosocomiales. Diario Oficial. Septiembre, 2004.
Wenzel R, et al. Guía para el control de infecciones en el hospital. Edición Actualizada. Sociedad Internacional de Enfermedades Infecciosas (ISID). Estados Unidos, 2000.
Herruzo CR, Vizcaino AM. Usefulness of an alcohol solution of N. duopropenide for the surgical antisepsis of the hands compared with hand washing with iodine-provinode and cholorhexidine: clinical essay. J Surg Res 2004;94(1):6-12.
Alianza Mundial para la Seguridad del Paciente. Reto Mundial en pro de la seguridad del paciente 2005-2006. Organización Mundial de la Salud, 2007.
Pittet D, Hugonnet S, Harbarth S, Mourouga P, Sauvan V, Touveneau S, et al. Effectiveness of a hospital-with hand hygiene. Lancet 2004;356(9238):1307-12.
Conly JM, Hill S, Ross J, Lertzman J, Louie. The effects of an educational program and its relations hip to infection rates. Am J Infect Control 2004;17(6):330-9.
Kampf G, Ostermeyer C. Inter-laboratory reproducibility of the hand disinfection reference procedure of en 1500. J Hosp Infect 2004;53(4):304-6.
Stein AD, Makarawo TP, Ahmad MF. A survey of doctors’ and nurses’ knowledge, attitudes and compliance with infection control guidelines in Birmingham teaching hospitals. J Hosp Infect 2003;54(1):68-73.
Harris AD, Samore MH, Nafziger R, DiRosario K, Roghmann MC, Carmeli Y. A survey on hand washing practices and opinions of healthcare workers. J Hosp Infect 2000; 45(4):318-21.
Sánchez CH, Pérez GJ, Reyes GU. López GC. Las manos de los trabajadores de la salud como factor predisponente en las infecciones nosocomiales. Revista de Enfermedades Infecciosas en Pediatría 2000;13(51):353-8.
Kampf G, Kramer A. Epidemiologic background of hand hygiene and evaluation of the most important agents for scrubs and rubs. Clin Microbiol Rev 2004;17(4):863-93.
Alianza Mundial para la Seguridad del Paciente. Reto Mundial en pro de la seguridad del paciente 2005-2006. Organización Mundial de la Salud, 2007.
Mangram AJ, Horan TC, Pearson ML, Silver LC, Jarvis WR. Guideline for prevention of surgical site infection, 1999. Hospital Infection Control Practices Advisory Committee. Infect Control Hosp Epidemiol 1999;20(4):250-78.
Secretaría de Salud. Proyecto de Norma Oficial Mexicana PROY-NOM-045-SSA2-2005, para la vigilancia epidemiológica, prevención y control de las infecciones nosocomiales. Diario Oficial de la Federación, 7 de agosto de 2006.
Instituto Mexicano del Seguro Social. Dirección de Prestaciones Médicas. Norma que establece las disposiciones para la vigilancia prevención y control de las infecciones nosocomiales en las unidades médicas de segundo y tercer nivel de atención del Instituto Mexicano del Seguro Social. Octubre, 2006.
Gutiérrez OB, Cabrales AH, González SN, Ávila FC, Cashat CM, Castañeda NJL, Granja BVM. Infecciones nosocomiales en: González SN, Torales TA, Gómez BD. Infectología Clínica Pediátrica. 7ª edición. Editorial Mc Graw-Hill Interamericana. México, 2006. p.1053-73.
González SN. Guía para la prevención de infecciones nosocomiales en hospitales pediátricos. Editorial Prado. México, 2006.
González ML, Miranda NG. La importancia del comité de prevención y control de infecciones nosocomiales. Rev Enf Inf Microbiol 2006;26(3):82-5.