OBJECTIVE To evaluate the effect of interventions to hand hygiene on compliance of hand hygiene. METHODS The related data on healthcare-associated infections in ICU patients from Aug 2010 to Apr 2011 were collected, the progressive interventions to hand hygiene were adopted during this period, including notification, caution, supervision, and feedback of monitoring result aiming at main problems in hand hygiene behavior. RESULTS During the period of intervention, the compliance of hand hygiene of the medical staff was significantly improved; the rate of nosocomial infection was 18. 3% during the period of intervention, lower than 22. 0% before intervention and 22. 0% after the intervention, but the difference was not statistically significant; the incidence of urinary tract catheter-related infections and venous catheter-related bloodstream infections did not change significantly, and the incidence of VAP remarkably decreased(x2 =9. 267, P = 0. 010); the incidence of VAP caused by Acinetobacter baumannii and Pseudomonas aeruginosa decreased obviously, and the time to VAP onset caused by A. baumannii was prolonged as compared with that before the intervention(t=-2. 808, P = 0. 013). CONCLUSION To improve the hand hygiene compliance of the medical staff can decrease the incidence of nosocomial infections, but the effect of the progressive intervention is poor, so it is necessary to explore multimodal interventions to hand hygiene in the future study of hand hygiene interventions.
Hand hygieneCompliance rateInterventionNosocomial infectionsIncidence
NETL
NSTL
维普
万方数据
