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A Randomized Trial to Determine the Impact of an Educational Patient Hand-Hygiene Intervention on Contamination of Hospitalized Patient’s Hands with Healthcare-Associated Pathogens

  • Venkata C. K. Sunkesula (a1), Sirisha Kundrapu (a1) (a2), Shanina Knighton (a3) (a4), Jennifer L. Cadnum (a5) and Curtis J. Donskey (a1) (a6)...

Abstract

We conducted a non-blinded randomized trial to determine the impact of a patient hand-hygiene intervention on contamination of hospitalized patients’ hands with healthcare-associated pathogens. Among patients with negative hand cultures on admission, recovery of pathogens from hands was significantly reduced in those receiving the intervention versus those receiving standard care.

Infect Control Hosp Epidemiol 2017;38:595–597

Copyright

Corresponding author

Address correspondence to Curtis J. Donskey, MD, Geriatric Research, Education, and Clinical Center, Cleveland Veterans’ Affairs Medical Center, 10701 East Boulevard, Cleveland, Ohio 44106 (curtisd123@yahoo.com).

References

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1. Istenes, N, Bingham, J, Hazelett, S, Fleming, E, Kirk, J. Patients’ potential role in the transmission of health care-associated infections: prevalence of contamination with bacterial pathogens and patient attitudes toward hand hygiene. Am J Infect Control 2013;41:793798.
2. Sunkesula, V, Kundrapu, S, Macinga, DR, Donskey, CJ. Efficacy of alcohol gel for removal of methicillin-resistant Staphylococcus aureus from hands of colonized patients. Infect Control Hosp Epidemiol 2015;36:229231.
3. Cao, J, Min, L, Lansing, B, Foxman, B, Mody, L. Multidrug-resistant organisms on patients’ hands: a missed opportunity. JAMA Intern Med 2016;176:705706.
4. Landers, T, Abusalem, S, Coty, MB, Bingham, J. Patient-centered hand hygiene: the next step in infection prevention. Am J Infect Control 2012;40:S11S17.
5. O’Donnell, M, Harris, T, Horn, T, et al. Sustained increase in resident meal time hand hygiene through an interdisciplinary intervention engaging long-term care facility residents and staff. Am J Infect Control 2015;43:162164.
6. Ardizzone, LL, Smolowitz, J, Kline, NK, Thom, B, Larson, EL. Patient hand hygiene practices in surgical patients. Am J Infect Control 2013;41:487491.
7. Sunkesula, VC, Knighton, S, Zabarsky, TF, Kundrapu, S, Higgins, P, Donskey, CJ. Four moments for patient hand hygiene: a patient-centered, provider-facilitated model to improve patient hand hygiene. Infect Control Hosp Epidemiol 2015;36:986989.
8. Donskey, CJ, Eckstein, BC. Images in clinical medicine. The hands give it away. N Engl J Med 2009;360:e3.
9. Nerandzic, MM, Thota, P, Sankar, T, et al. Evaluation of a pulsed xenon ultraviolet disinfection system for reduction of healthcare-associated pathogens in hospital rooms. Infect Control Hosp Epidemiol 2015;36:192197.
10. Vernon, MO, Hayden, MK, Trick, WE, Hayes, RA, Blom, DW, Weinstein, RA. Chlorhexidine gluconate to cleanse patients in a medical intensive care unit: the effectiveness of source control to reduce the bioburden of vancomycin-resistant enterococci. Arch Intern Med 2006;166:306312.
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A Randomized Trial to Determine the Impact of an Educational Patient Hand-Hygiene Intervention on Contamination of Hospitalized Patient’s Hands with Healthcare-Associated Pathogens

  • Venkata C. K. Sunkesula (a1), Sirisha Kundrapu (a1) (a2), Shanina Knighton (a3) (a4), Jennifer L. Cadnum (a5) and Curtis J. Donskey (a1) (a6)...

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