Sequential hand hygiene promotion contributes to a reduced nosocomial bloodstream infection rate among very low-birth weight infants: An interrupted time series over a 10-year period
Sequential hand hygiene promotion contributes to a reduced nosocomial bloodstream infection rate among very low-birth weight infants: An interrupted time series over a 10-year period
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DOI：
10.1016/j.ajic.2014.04.005
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发表时间：
2014-07-01
影响因子：
4.9
通讯作者：
Kornelisse, Rene F.
中科院分区：
文献类型：
--
作者：
Helder, Onno K.;Brug, Johannes;Kornelisse, Rene F.
背景：需要持续高度遵守手部卫生（HH）以减少院内血液感染（nbsi）。然而，随着时间的推移，经常会出现冲洗效应。我们研究了一系列促进健康的干预措施的长期效果。方法：对极低出生体重（VLBW）婴儿进行了一项观察性研究，对NBSI的发生进行了中断时间序列分析。干预措施包括教育计划、增益框屏幕保护信息和感染预防周，并介绍如何始终如一地使用手套。结果：对2002年1月1日至2011年12月31日收治的1964例VLBW患儿进行了研究。>= 1 NBSI患儿比例由47.6%下降至21.2% (P
Background: Sustained high compliance with hand hygiene (HH) is needed to reduce nosocomial bloodstream infections (NBSIs). However, over time, a wash out effect often occurs. We studied the long-term effect of sequential HH-promoting interventions.Methods: An observational study with an interrupted time series analysis of the occurrence of NBSI was performed in very low-birth weight (VLBW) infants. Interventions consisted of an education program, gain-framed screen saver messages, and an infection prevention week with an introduction on consistent glove use.Results: A total of 1,964 VLBW infants admitted between January 1, 2002, and December 31, 2011, were studied. The proportion of infants with >= 1 NBSI decreased from 47.6%-21.2% (P