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Effects of the implementation of a hand hygiene education program among ICU professionals: an interrupted time-series analysis

OBJECTIVE: To evaluate the effects that a hand hygiene education program has on the compliance of health professionals in an ICU. METHODS: This was a quasi-experimental study with an interrupted time-series design, conducted over a 12-month period: the 5 months preceding the implementation of a hand...

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Autores principales: Romero, Diana Marcela Prieto, Reboredo, Maycon Moura, Gomes, Edimar Pedrosa, Coelho, Cristina Martins, de Paula, Maria Aparecida Stroppa, de Souza, Luciene Carnevale, Colugnati, Fernando Antonio Basile, Pinheiro, Bruno Valle
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedade Brasileira de Pneumologia e Tisiologia 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6715164/
https://www.ncbi.nlm.nih.gov/pubmed/31188977
http://dx.doi.org/10.1590/1806-3713/e20180152
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author Romero, Diana Marcela Prieto
Reboredo, Maycon Moura
Gomes, Edimar Pedrosa
Coelho, Cristina Martins
de Paula, Maria Aparecida Stroppa
de Souza, Luciene Carnevale
Colugnati, Fernando Antonio Basile
Pinheiro, Bruno Valle
author_facet Romero, Diana Marcela Prieto
Reboredo, Maycon Moura
Gomes, Edimar Pedrosa
Coelho, Cristina Martins
de Paula, Maria Aparecida Stroppa
de Souza, Luciene Carnevale
Colugnati, Fernando Antonio Basile
Pinheiro, Bruno Valle
author_sort Romero, Diana Marcela Prieto
collection PubMed
description OBJECTIVE: To evaluate the effects that a hand hygiene education program has on the compliance of health professionals in an ICU. METHODS: This was a quasi-experimental study with an interrupted time-series design, conducted over a 12-month period: the 5 months preceding the implementation of a hand hygiene education program (baseline period); the 2 months of the intensive (intervention) phase of the program; and the first 5 months thereafter (post-intervention phase). Hand hygiene compliance was monitored by one of the researchers, unbeknownst to the ICU team. The primary outcome measure was the variation in the rate of hand hygiene compliance. We also evaluated the duration of mechanical ventilation (MV), as well as the incidence of ventilator-associated pneumonia (VAP) at 28 days and 60 days, together with mortality at 28 days and 60 days. RESULTS: On the basis of 959 observations, we found a significant increase in hand hygiene compliance rates-from 31.5% at baseline to 65.8% during the intervention phase and 83.8% during the post-intervention phase, corresponding to prevalence ratios of 2.09 and 2.66, respectively, in comparison with the baseline rate (p < 0.001). Despite that improvement, there were no significant changes in duration of MV, VAP incidence (at 28 or 60 days), or mortality (at 28 or 60 days). CONCLUSIONS: Our findings indicate that a hand hygiene education program can increase hand hygiene compliance among ICU professionals, although it appears to have no impact on VAP incidence, duration of MV, or mortality.
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spelling pubmed-67151642019-09-18 Effects of the implementation of a hand hygiene education program among ICU professionals: an interrupted time-series analysis Romero, Diana Marcela Prieto Reboredo, Maycon Moura Gomes, Edimar Pedrosa Coelho, Cristina Martins de Paula, Maria Aparecida Stroppa de Souza, Luciene Carnevale Colugnati, Fernando Antonio Basile Pinheiro, Bruno Valle J Bras Pneumol Original Article OBJECTIVE: To evaluate the effects that a hand hygiene education program has on the compliance of health professionals in an ICU. METHODS: This was a quasi-experimental study with an interrupted time-series design, conducted over a 12-month period: the 5 months preceding the implementation of a hand hygiene education program (baseline period); the 2 months of the intensive (intervention) phase of the program; and the first 5 months thereafter (post-intervention phase). Hand hygiene compliance was monitored by one of the researchers, unbeknownst to the ICU team. The primary outcome measure was the variation in the rate of hand hygiene compliance. We also evaluated the duration of mechanical ventilation (MV), as well as the incidence of ventilator-associated pneumonia (VAP) at 28 days and 60 days, together with mortality at 28 days and 60 days. RESULTS: On the basis of 959 observations, we found a significant increase in hand hygiene compliance rates-from 31.5% at baseline to 65.8% during the intervention phase and 83.8% during the post-intervention phase, corresponding to prevalence ratios of 2.09 and 2.66, respectively, in comparison with the baseline rate (p < 0.001). Despite that improvement, there were no significant changes in duration of MV, VAP incidence (at 28 or 60 days), or mortality (at 28 or 60 days). CONCLUSIONS: Our findings indicate that a hand hygiene education program can increase hand hygiene compliance among ICU professionals, although it appears to have no impact on VAP incidence, duration of MV, or mortality. Sociedade Brasileira de Pneumologia e Tisiologia 2019 /pmc/articles/PMC6715164/ /pubmed/31188977 http://dx.doi.org/10.1590/1806-3713/e20180152 Text en © 2019 Sociedade Brasileira de Pneumologia e Tisiologia https://creativecommons.org/licenses/by-nc/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License
spellingShingle Original Article
Romero, Diana Marcela Prieto
Reboredo, Maycon Moura
Gomes, Edimar Pedrosa
Coelho, Cristina Martins
de Paula, Maria Aparecida Stroppa
de Souza, Luciene Carnevale
Colugnati, Fernando Antonio Basile
Pinheiro, Bruno Valle
Effects of the implementation of a hand hygiene education program among ICU professionals: an interrupted time-series analysis
title Effects of the implementation of a hand hygiene education program among ICU professionals: an interrupted time-series analysis
title_full Effects of the implementation of a hand hygiene education program among ICU professionals: an interrupted time-series analysis
title_fullStr Effects of the implementation of a hand hygiene education program among ICU professionals: an interrupted time-series analysis
title_full_unstemmed Effects of the implementation of a hand hygiene education program among ICU professionals: an interrupted time-series analysis
title_short Effects of the implementation of a hand hygiene education program among ICU professionals: an interrupted time-series analysis
title_sort effects of the implementation of a hand hygiene education program among icu professionals: an interrupted time-series analysis
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6715164/
https://www.ncbi.nlm.nih.gov/pubmed/31188977
http://dx.doi.org/10.1590/1806-3713/e20180152
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