Abstract
Background: Nosocomial infections are a major problem in health care facilities, resulting in
extended durations of care, substantial morbidity and mortality, and excess costs.
Since alcohol gel hand sanitizers combine high immediate antimicrobial efficacy with
ease of use, this study was carried out to determine the effect of the use of an alcohol
gel hand sanitizer by caregivers on infection types and rates in an acute care facility.
Patients were educated about the study through a poster on the unit, and teachable
patients were given portable bottles of the alcohol hand gel for bedside use, along
with an educational brochure explaining how and why to practice good hand hygiene.
Methods: Infection rate and type data were collected in 1 unit of a 498-bed acute care facility
for 16 months (February 2000 to May 2001). An alcohol gel hand sanitizer was provided
and used by caregivers in the orthopedic surgical unit of the facility during this
period. Results: The primary infection types (more than 80%) found were urinary tract (UTI) and surgical
site (SSI) infections. Infection types and rates for the unit during the period the
alcohol hand sanitizer (intervention) was used were compared with the infection types
and rates for the same unit when the alcohol hand sanitizer was not used (baseline);
the results demonstrated a 36.1% decrease in infection rates for the 10-month period
that the hand sanitizer was used. Conclusion: This study indicates that use of an alcohol gel hand sanitizer can decrease infection
rates and provide an additional tool for an effective infection control program in
acute care facilities. (Am J Infect Control 2003;31:109-16.)
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References
- Selected aspects of the socioeconomic impact of nosocomial infections: morbidity, mortality, cost, and prevention.Infect Control Hosp Epidemiol. 2000; 17: 552-557
- Compliance with handwashing in a teaching hospital.Ann Intern Med. 1999; 130: 126-130
- Intensive surveillance for infections in the three year study of nursing home patients.Am J Epidemiol. 1992; 135: 685-696
- Handwashing—the Semmelweis lesson forgotten?.Lancet. 1994; 344: 1311-1312
- Handwashing frequency in an emergency department.J Emerg Nurs. 1994; 20: 183-188
- Comparative efficacy of alternative hand-washing agents in reducing nosocomial infections in intensive care units.N Engl J Med. 1992; 327: 88-93
- Hand-washing and nosocomial infections.N Engl J Med. 1992; 327: 120-122
- Handwashing compliance by health care workers. The impact of introducing an accessible, alcohol-based hand antiseptic.Arch Intern Med. 2000; 160: 1017-1021
- Factors influencing handwashing behavior in patient care personnel.Am J Infect Control. 1982; 10: 93-99
- A multicenter questionnaire investigation of attitudes toward hand hygiene, assessed by the staff in fifteen hospitals in Denmark and Norway.Am J Infect Control. 1992; 20: 58-64
- No time for handwashing? Handwashing versus alcoholic rub: can we afford 100% compliance?.Infect Control Hosp Epidemiol. 1997; 18: 205-208
- Skin irritation and dryness associated with two hand hygiene regimens: soap and water handwashing versus hand antisepsis with an alcoholic hand gel.Infect Control Hosp Epidemiol. 2000; 21: 442-448
- Improving compliance with hand hygiene in hospitals.Infect Control Hosp Epidemiol. 2000; 21: 381-386
- Handwashing in Finland.J Hosp Infect. 1991; 18: 35-40
- Handwashing with soap or alcoholic solutions? A randomized clinical trial of its effectiveness.Am J Infect Control. 1999; 27: 258-261
- Effectiveness of a hospital-wide programme to improve compliance with hand hygiene.Lancet. 2000; 356: 1307-1312
- Skin hygiene and infection prevention: more of the same or different approaches?.Clin Infect Dis. 1999; 29: 1287-1294
- Hand washing and hand disinfection.in: Hospital epidemiology and infection control. Williams & Wilkins, Baltimore1996: 1052-1068
- Alcohols for antisepsis of hands and skin.in: Handbook of disinfectants and antiseptics. Marcel Dekker, New York1996: 177-233
- Alcohols.in: Sanitization, disinfection and sterilization. Lippincott Williams and Wilkins, Philadelphia2001: 229-253
- Effectiveness of hand-cleansing agents for removing methicillin-resistant Staphylococcus aureus from contaminated hands.Infect Control Hosp Epidemiol. 2001; 22: 105-108
- Effect of hand cleansing with antimicrobial soap or alcohol-based gel on microbial colonization of artificial fingernails worn by health care workers.Clin Infect Dis. 2001; 32: 367-372
- Animal, human, and in vitro test methods for predicting skin irritation.in: Dermatotoxicology. Taylor & Francis, Washington (DC)1996: 411-436
- A comparison of rabbit and human skin response to certain irritants.Toxicol Appl Pharmacol. 1972; 21: 369-382
- CDC definitions for nosocomial infections, 1998.Am J Infect Control. 1988; 16: 128-140
- Reasons for noncompliance with infection control guidelines.Infect Control Hosp Epidemiol. 2000; 21: 411-416
- Hand hygiene rates unaffected by installation of dispensers of a rapidly acting hand antiseptic.Am J Infect Control. 2000; 28: 273-276
- A survey on handwashing practices and opinions of healthcare workers.J Hosp Infect. 2000; 45: 18-321
- Effect of hand sanitizer use on elementary school absenteeism.Am J Infect Control. 2000; 28: 340-346
- Hand hygiene and patient care: pursuing the Semmelweis legacy.Lancet Infect Dis. 2001;April:9-20;
- Impact of alcohol hand sanitizer use on infection rates in an extended care facility.Am J Infect Control. 2002; 30: 226-233
- Managing hospital infection cost for cost effectiveness: a strategy for reducing infectious complications.American Hospital Association Publishing, Chicago1986
- Extra charges and prolongation of stay attributable to nosocomial infections: a prospective in the hospital comparison.Am J Med. 1981; 70: 51-58
Article Info
Footnotes
*Reprint requests: Brian S. Hammond, GOJO Industries, 1 GOJO Plaza, Akron, OH 44311.
Identification
Copyright
© 2003 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.
