Research for infection protection

Innovative contribution to infection protection: Hygienically improved working processes

According to an observational and intervention study by the BODE SCIENCE CENTER employees much better implement recommendations on hygiene after the introduction of standard operating procedures (SOPs). The study on “Placing a peripheral venous catheter” translated the advantages of SOPs to infection control and developed an optimal procedure, focussing on patient protection. Based on the results obtained in this study, HARTMANN and its BODE SCIENCE CENTER developed additional important treatment standards. The new SOPs “Insertion of an indwelling transurethral urinary catheter”, “Suctioning a tracheostomy” and “Dressing change with and without wound management” can be easily integrated in clinical routine and help increase both the employees’ skills and patient protection.

SOPs are a crucial element of the quality management in clinics. They specify uniform procedures and materials to be used and thus contribute to more safety and efficiency in clinical workflows. As part of the Hand Hygiene Evolution Concept  HARTMANN and its BODE SCIENCE CENTER developed a new module for infection protection: hygienically optimised working processes for important nursing and medical measures that are associated with common nosocomial infections.

What sets the SOPs of the BODE SCIENCE CENTER apart?

  • Holistic approach: They are not just about hand hygiene, but also consider all aspects: preparatory actions, all sub-steps that involve a risk of infection, ideal order.

    Advantage: Better patient protection, efficient procedure.

  • Developed on the basis of evidence-based recommendations, taking into account the 5 Moments for Hand Hygiene.

    Advantage: The measures’ benefit for patient protection is proven – superfluous hygiene measures are not carried out.

  • Multimodal training programme: The SOPs are accompanied by extensive material: questionnaire to determine the status quo, training slides, e-learning tool, eHealth software (“Observe SOP) for observation/feedback and online analysis, checklists, pocket cards, and posters.

    Advantage: Mix of classroom training and interactive learning, reminders and direct feedback increase the motivation and promote sustainable understanding of SOPs.

For which nursing and medical activities are there SOPs so far?

To date, four SOPs have been developed, which reflect common clinical activities involving the risk of infection, such as placing peripheral venous catheters and urinary catheters, changing wound dressings and endotracheal suctioning. Inadequate hygiene during these nursing measures can lead to infections. The risk of acquiring one of the following nosocomial infections is particularly high, as they are among the most frequent nosocomial infections: surgical site infection (19.6 %) and pneumonia (19.4 %), urinary tract infection (19 %) and bloodstream infection (10.7 %) [1].

SOPs specifically address nursing activities that are associated with nosocomial infections:

  • Placing a peripheral venous catheter
  • Insertion of an indwelling transurethral urinary catheter
  • Tracheostomy suctioning
  • Changing a dressing with and without wound management

Are the advantages that SOPs bring for infection protection verifiable?

Studies show that the implementation of optimised processes considerably increases the compliance during moments involving a risk of infection – this applies to hand disinfection [2, 3] and other infection-relevant activities, such as the sterile dressing of puncture sites [4]. Employees become more confident in the work processes and rate the intervention as helpful [4].

Whom can clinics contact when interested in the SOPs?

The BODE SCIENCE CENTER customer support is happy to provide information on SOPs and the Hand Hygiene Evolution Concept:
Telephone: +49 (0) 040 54006-111

1. Point prevalence survey of healthcare-associated infections and antimicrobial use in European acute care hospitals 2011-2012. European Centre for Disease Prevention and Control (ECDC) 4. Juli 2013.
2. Scheithauer et al. Improving hand hygiene compliance rates in the haemo- dialysis setting: more than just more hand rubs. Nephrol Dial Transplant. 2012, 27: 766–770.
3. Son et al. Practically speaking: Rethinking hand hygiene improvement programs in health care settings. Am J of Infect Control. 2011; 39(9):716-24.
4. Kampf et al. Im- proving patient safety during insertion of peripheral venous catheters: an observational intervention study. GMS Hygiene and Infection Control. 2013, 8(2):Doc18