دورية أكاديمية
Hand hygiene practices for prevention of health care-associated infections associated with admitted infectious patients in the emergency department: a systematic review.
| العنوان: | Hand hygiene practices for prevention of health care-associated infections associated with admitted infectious patients in the emergency department: a systematic review. |
|---|---|
| المؤلفون: | Issa M; School of Medicine, University of Limerick, Master's in Public Health Programme, Limerick, Ireland., Dunne SS; Centre for Interventions in Infection, Inflammation & Immunity (4I) and School of Medicine, University of Limerick, Limerick, Ireland., Dunne CP; Centre for Interventions in Infection, Inflammation & Immunity (4I) and School of Medicine, University of Limerick, Limerick, Ireland. colum.dunne@ul.ie. |
| المصدر: | Irish journal of medical science [Ir J Med Sci] 2023 Apr; Vol. 192 (2), pp. 871-899. Date of Electronic Publication: 2022 Apr 18. |
| نوع المنشور: | Systematic Review; Journal Article; Review |
| اللغة: | English |
| بيانات الدورية: | Publisher: Royal Academy of Medicine of Ireland Country of Publication: Ireland NLM ID: 7806864 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1863-4362 (Electronic) Linking ISSN: 00211265 NLM ISO Abbreviation: Ir J Med Sci Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Dublin : Royal Academy of Medicine of Ireland |
| مواضيع طبية MeSH: | Hand Hygiene* , Cross Infection*/prevention & control, Humans ; Critical Illness ; Guideline Adherence ; Health Personnel ; Emergency Service, Hospital ; Inpatients ; Delivery of Health Care |
| مستخلص: | Background: In most high-income countries, emergency departments (ED) represent the principal point of access forcer by critically ill or injured patients. Unlike inpatient units, ED healthcare workers (ED HCWs) have demonstrated relative lack of adherence to hand hygiene (HH) guidelines, commonly citing frequency of intervention and high rates of admission, which reflect severity of cases encountered. Aim: Assessment of studies on hand hygiene compliance (HHC) by ED HCWs conducted between 2010 and 2020, seeking to estimate HHC rates and intervention strategies utilised to improve HHC in EDs. Methods: Searches conducted in Web of Science, EBSCO HOST (CINHAL & Medline), PubMed, Embase, and Cochrane for full studies published between 2010 and 2020 on the topic of HHC in the ED. Results: One hundred twenty-nine eligible articles were identified of which 79 were excluded. Fifty-one underwent full-text screening before 20 studies were deemed relevant. Of the eligible studies, fifteen (75%) had, as the primary outcome, HHC according to the WHO-recommended 5-moments. Twelve studies (60%) implemented multimodal or single intervention strategies. Eight studies were ambiguous regarding the nature of the approach adopted. In the nine observational studies where HHC was documented, an overall post-intervention median HHC rate of 45% (range 8-89.7%). Conclusion: Multimodal approaches appear to have enhanced HHC moderately among ED HCWs. Elevated complexity associated with critically ill patients, and ED overcrowding, are contributing factors to relatively low compliance rates observed. Strategies to improve HHC rates may need to acknowledge, and cater for, the context of an unpredictable environment. (© 2022. The Author(s).) |
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| فهرسة مساهمة: | Keywords: Emergency department; HAI; HCAI; Hand hygiene; Hand hygiene compliance; Hand washing; Health care-associated infection; Hospital-acquired infection; Systematic review |
| تواريخ الأحداث: | Date Created: 20220418 Date Completed: 20230404 Latest Revision: 20230404 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC10066077 |
| DOI: | 10.1007/s11845-022-03004-y |
| PMID: | 35435564 |
| قاعدة البيانات: | MEDLINE |
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