Reduction of nosocomial infections in the intensive care unit using an electronic hand hygiene compliance monitoring system

  • Gulsen Akkoc Division of Pediatric Infectious Diseases, Marmara University School of Medicine, Istanbul, Turkey
  • Ahmet Soysal Division of Pediatric Infectious Diseases, Istanbul Atasehir Memorial Hospital, Istanbul, Turkey
  • Fethi Gul Department of Anesthesia and Reanimation, Marmara University School of Medicine, Istanbul, Turkey
  • Eda Kepenekli Kadayifci Division of Pediatric Infectious Diseases, Marmara University School of Medicine, Istanbul, Turkey
  • Mustafa Kemal Arslantas Department of Anesthesia and Reanimation, Marmara University School of Medicine, Istanbul, Turkey
  • Nurhayat Yakut Division of Pediatric Infectious Diseases, Marmara University School of Medicine, Istanbul, Turkey
  • Beliz Bilgili Department of Anesthesia and Reanimation, Marmara University School of Medicine, Istanbul, Turkey
  • Sevliya Ocal Demir Division of Pediatric Infectious Diseases, Marmara University School of Medicine, Istanbul, Turkey
  • Murat Haliloglu Department of Anesthesia and Reanimation, Marmara University School of Medicine, Istanbul, Turkey
  • Umut Kasapoglu Department of Anesthesia and Reanimation, Marmara University School of Medicine, Istanbul, Turkey
  • Ismail Cinel Department of Anesthesia and Reanimation, Marmara University School of Medicine, Istanbul, Turkey
Keywords: Electronic hand hygiene recording and reminder system, healthcare-associated infection, hand hygiene, compliance

Abstract

Introduction: Healthcare-associated infection is an important cause of mortality and morbidity worldwide. Well-regulated infection control and hand hygiene are the most effective methods for preventing healthcare-associated infections. This study evaluated and compared conventional hand hygiene observation and an electronic hand-hygiene recording and reminder system for preventing healthcare-associated infections.

Methodology: This pre- and post-intervention study, employed an electronic hand-hygiene recording and reminder system for preventing healthcare-associated infections at a tertiary referral center. Healthcare-associated infection surveillance was recorded in an anesthesia and reanimation intensive care unit from April 2016 to August 2016. Hand-hygiene compliance was observed by conventional observation and an electronic recording and reminder system in two consecutive 2-month periods. healthcare-associated infections were calculated as incidence rate ratios.

Results: The rate of healthcare-associated infections in the electronic hand- hygiene recording and reminder system period was significantly decreased compared with that in the conventional hand-hygiene observation period (incidence rate ratio = 0.58; 95% confident interval = 0.33-0.98). Additionally, the rate of central line-associated bloodstream infections and the rate of ventilator-associated pneumonia were lower during the electronic hand hygiene recording and reminder system period (incidence rate ratio= 0.41; 95% confident interval = 0.11-1.30 and incidence rate ratio = 0.67; 95% confident interval = 0.30-1.45, respectively).

Conclusions: After implementing the electronic hand hygiene recording and reminder system, we observed a significant decrease in healthcare-associated infections and invasive device-associated infections. These results were encouraging and suggested that electronic hand hygiene reminder and recording systems may reduce some types of healthcare-associated infections in healthcare settings.

Published
2021-12-31
How to Cite
1.
Akkoc G, Soysal A, Gul F, Kepenekli KadayifciE, Arslantas MK, Yakut N, Bilgili B, Ocal DemirS, Haliloglu M, Kasapoglu U, Cinel I (2021) Reduction of nosocomial infections in the intensive care unit using an electronic hand hygiene compliance monitoring system. J Infect Dev Ctries 15:1923-1928. doi: 10.3855/jidc.14156
Section
Brief Original Articles