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Impact of the international Nosocomial infection control consortium (INICC) multidimensional hand hygiene approach over 13 years in 51 cities of 19 limited-resource countries from Latin America, Asia, the Middle East, and Europe

Show simple item record Rosenthal V.D. Pawar M. Leblebicioglu H. Navoa-Ng J.A. Villamil-Gomez W. Armas-Ruiz A. Cuellar L.E. Medeiros E.A. Mitrev Z. Gikas A. Yang Y. Ahmed A. Kanj S.S. Duenas L. Gurskis V. Mapp T. Guanche-Garcell H. Fernandez-Hidalgo R. Kubler A
dc.contributor.editor Apr-2013 2017-10-05T15:38:18Z 2017-10-05T15:38:18Z 2013
dc.identifier 10.1086/669860
dc.description.abstract objective. To assess the feasibility and effectiveness of the International Nosocomial Infection Control Consortium (INICC) multi- dimensional hand hygiene approach in 19 limited-resource countries and to analyze predictors of poor hand hygiene compliance. design. An observational, prospective, cohort, interventional, before-and-after study from April 1999 through December 2011. The study was divided into 2 periods: a 3-month baseline period and a 7-year follow-up period. setting. Ninety-nine intensive care unit (ICU) members of the INICC in Argentina, Brazil, China, Colombia, Costa Rica, Cuba, El Salvador, Greece, India, Lebanon, Lithuania, Macedonia, Mexico, Pakistan, Panama, Peru, Philippines, Poland, and Turkey. participants. Healthcare workers at 99 ICU members of the INICC. methods. A multidimensional hand hygiene approach was used, including (1) administrative support, (2) supplies availability, (3) education and training, (4) reminders in the workplace, (5) process surveillance, and (6) performance feedback. Observations were made for hand hygiene compliance in each ICU, during randomly selected 30-minute periods. results. A total of 149,727 opportunities for hand hygiene were observed. Overall hand hygiene compliance increased from 48.3percent to 71.4percent (P .01). Univariate analysis indicated that several variables were significantly associated with poor hand hygiene compliance, including males versus females (63percent vs 70percent; P .001), physicians versus nurses (62percent vs 72percent; P .001), and adult versus neonatal ICUs (67percent vs 81percent; P .001), among others. conclusions. Adherence to hand hygiene increased by 48percent with the INICC approach. Specific programs directed to improve hand hygiene for variables found to be predictors of poor hand hygiene compliance should be implemented. © 2013 by The Society for Healthcare Epidemiology of America. All rights reserved.
dc.format.extent Pages: (415-423)
dc.language English
dc.publisher CHICAGO
dc.relation.ispartof Publication Name: Infection Control and Hospital Epidemiology; Publication Year: 2013; Volume: 34; no. 4; Pages: (415-423);
dc.source Scopus
dc.title Impact of the international Nosocomial infection control consortium (INICC) multidimensional hand hygiene approach over 13 years in 51 cities of 19 limited-resource countries from Latin America, Asia, the Middle East, and Europe
dc.type Article
dc.contributor.affiliation Rosenthal, V.D., International Nosocomial Infection Control Consortium, Buenos Aires, Argentina
dc.contributor.affiliation Pawar, M., Pushpanjali Crosslay Hospital, Ghaziabad, India
dc.contributor.affiliation Leblebicioglu, H., Ondokuz Mayis University Medical School, Samsun, Turkey
dc.contributor.affiliation Navoa-Ng, J.A., St. Lukés Medical Center, Quezon City, Philippines
dc.contributor.affiliation Villamil-Gómez, W., Clínica Santa María, Sucre, Colombia
dc.contributor.affiliation Armas-Ruiz, A., Centro Medico La Raza IMSS, Mexico City, Mexico
dc.contributor.affiliation Cuéllar, L.E., Instituto Nacional de Enfermedades Neoplasicas, Lima, Peru
dc.contributor.affiliation Medeiros, E.A., Hospital Sao Paulo, São Paulo, Brazil
dc.contributor.affiliation Mitrev, Z., Special Hospital for Surgical Disease Filip Vtori, Skopje, Macedonia
dc.contributor.affiliation Gikas, A., University Hospital of Heraklion, Heraklion, Greece
dc.contributor.affiliation Yang, Y., Shanxi Dayi Hospital, Tai Yuan, China
dc.contributor.affiliation Ahmed, A., Indus Hospital, Karachi, Pakistan
dc.contributor.affiliation Kanj, S.S., American University of Beirut Medical Center, Beirut, Lebanon
dc.contributor.affiliation Dueñas, L., Hospital Nacional de Niños Benjamin Bloom, San Salvador, El Salvador
dc.contributor.affiliation Gurskis, V., Pediatric Clinic, Lithuanian University of Health Sciences, Kaunas, Lithuania
dc.contributor.affiliation Mapp, T., Clínica Hospital San Fernando, Panama City, Panama
dc.contributor.affiliation Guanche-Garcell, H., Hospital Docente Clínico Quirurgico Joaquín AlbarranDomínguez, Havana, Cuba
dc.contributor.affiliation Fernández-Hidalgo, R., Hospital Clínica Bíblica, San Jose, Costa Rica
dc.contributor.affiliation Kübler, A., University Hospital of Wroclaw, Wroclaw, Poland
dc.contributor.authorAddress Rosenthal, V. D.; International Nosocomial Infection Control Consortium (INICC), Corrientes Ave No. 4580, Floor 12, Apt. D, Buenos Aires 1195, Argentina; email:
dc.contributor.authorCorporate University: American University of Beirut Medical Center; Faculty: Faculty of Medicine; Department: Internal Medicine;
dc.contributor.authorDepartment Internal Medicine
dc.contributor.authorFaculty Faculty of Medicine
dc.contributor.authorInitials Rosenthal, VD
dc.contributor.authorInitials Pawar, M
dc.contributor.authorInitials Leblebicioglu, H
dc.contributor.authorInitials Navoa-Ng, JA
dc.contributor.authorInitials Villamil-Gomez, W
dc.contributor.authorInitials Armas-Ruiz, A
dc.contributor.authorInitials Cuellar, LE
dc.contributor.authorInitials Medeiros, EA
dc.contributor.authorInitials Mitrev, Z
dc.contributor.authorInitials Gikas, A
dc.contributor.authorInitials Yang, Y
dc.contributor.authorInitials Ahmed, A
dc.contributor.authorInitials Kanj, SS
dc.contributor.authorInitials Duenas, L
dc.contributor.authorInitials Gurskis, V
dc.contributor.authorInitials Mapp, T
dc.contributor.authorInitials Guanche-Garcell, H
dc.contributor.authorInitials Fernandez-Hidalgo, R
dc.contributor.authorInitials Kubler, A
dc.contributor.authorReprintAddress Rosenthal, VD (reprint author), INICC, Corrientes Ave 4580,Floor 12,Apt D, RA-1195 Buenos Aires, DF, Argentina.
dc.contributor.authorUniversity American University of Beirut Medical Center
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dc.description.citedCount 4
dc.description.citedTotWOSCount 3
dc.description.citedWOSCount 3
dc.format.extentCount 9
dc.identifier.coden ICEPE
dc.identifier.pubmedID 23466916
dc.identifier.scopusID 84874900207
dc.publisher.address 1427 E 60TH ST, CHICAGO, IL 60637-2954 USA
dc.relation.ispartOfISOAbbr Infect. Control Hosp. Epidemiol.
dc.relation.ispartOfIssue 4
dc.relation.ispartofPubTitle Infection Control and Hospital Epidemiology
dc.relation.ispartofPubTitleAbbr Infect. Control Hosp. Epidemiol.
dc.relation.ispartOfVolume 34
dc.source.ID WOS:000316127700013
dc.type.publication Journal
dc.subject.otherIndex article
dc.subject.otherIndex Asia
dc.subject.otherIndex cohort analysis
dc.subject.otherIndex disease surveillance
dc.subject.otherIndex Europe
dc.subject.otherIndex female
dc.subject.otherIndex follow up
dc.subject.otherIndex hand washing
dc.subject.otherIndex health care personnel
dc.subject.otherIndex health personnel attitude
dc.subject.otherIndex hospital infection
dc.subject.otherIndex human
dc.subject.otherIndex infection control
dc.subject.otherIndex intervention study
dc.subject.otherIndex male
dc.subject.otherIndex Middle East
dc.subject.otherIndex observational study
dc.subject.otherIndex personal hygiene
dc.subject.otherIndex practice guideline
dc.subject.otherIndex prospective study
dc.subject.otherIndex South and Central America
dc.subject.otherIndex Adult
dc.subject.otherIndex Asia
dc.subject.otherIndex Child
dc.subject.otherIndex Cross Infection
dc.subject.otherIndex Developing Countries
dc.subject.otherIndex Europe
dc.subject.otherIndex Feasibility Studies
dc.subject.otherIndex Female
dc.subject.otherIndex Follow-Up Studies
dc.subject.otherIndex Guideline Adherence
dc.subject.otherIndex Hand Hygiene
dc.subject.otherIndex Humans
dc.subject.otherIndex Infant, Newborn
dc.subject.otherIndex Infection Control
dc.subject.otherIndex Intensive Care Units
dc.subject.otherIndex Latin America
dc.subject.otherIndex Logistic Models
dc.subject.otherIndex Male
dc.subject.otherIndex Middle East
dc.subject.otherIndex Multivariate Analysis
dc.subject.otherIndex Personnel, Hospital
dc.subject.otherIndex Practice Guidelines as Topic
dc.subject.otherIndex Prospective Studies
dc.subject.otherKeywordPlus INTENSIVE-CARE UNITS
dc.subject.otherKeywordPlus URINARY-TRACT-INFECTION
dc.subject.otherKeywordPlus HEALTH-CARE
dc.subject.otherKeywordPlus PERFORMANCE FEEDBACK
dc.subject.otherKeywordPlus ARGENTINEAN HOSPITALS
dc.subject.otherKeywordPlus HANDWASHING BEHAVIOR
dc.subject.otherKeywordPlus CONTROL STRATEGY
dc.subject.otherKeywordPlus CONTROL PROGRAM
dc.subject.otherKeywordPlus RATES
dc.subject.otherWOS Public, Environmental and Occupational Health
dc.subject.otherWOS Infectious Diseases

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