Research for infection protection
  • germs
  • Adenovirus
  • Aspergillus niger
  • Bovine virus diarrhea
  • Clostridium difficile
  • Candida albicans
  • Candida albicans
  • Coronavirus
  • Corynebacterium
  • Escherichia coli
  • Helicobacter pylori

Author: Davis, C.R. Source: Ann R Coll Surg Engl, 2010, 92: 316-319.


Davis, C.R.

Infection-free surgery: how to improve hand-hygiene compliance and eradicate methicillin-resistant Staphylococcus aureus from surgical wards

Background: Poor hand disinfection increases the risk of pathogen transmission. Hence, the compliance rate is an important factor in reducing nosocomial infections.

Methods: From July to December 2007, hospital staff, visitors and patients in the Southmead Hospital (Bristol, UK) were observed via a discretely positioned close-surveillance camera. This way, the authors assessed how often persons entering the surgical ward used the two dispensers with alcohol-based hand gel located next to the door. After this period, a conspicuous strip of bright red tape was installed along the corridor leading to the ward entrance with an arrow pointing to the two alcohol-based gel dispensers on the wall. From January to July 2008, the authors continued to monitor compliance.

Results: A total of 215 persons (154 persons in 2007, 61 persons in 2008) were observed entering the surgical ward. The simple, optical intervention could increase the average compliance rate from 24 per cent in 2007 to 62 per cent in 2008.

Conclusions: The study shows that even simple and low-cost methods are able to yield a significant increase in hand disinfection compliance. In daily routine, signal colours attract more attention and thus may contribute to better compliance in hand hygiene.

Ann R Coll Surg Engl, 2010, 92: 316–319.

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