Impact of the International Nosocomial Infection Control Consortium (INICC) Multidimensional Hand Hygiene Approach, over 8 years, in 11 cities of Turkey

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dc.contributor.authorLeblebicioğlu, Hakan
dc.contributor.authorKöksal, İftihar
dc.contributor.authorRosenthal, Victor D.
dc.contributor.authorAkan Ö.A.
dc.contributor.authorÖzgültekin, Asu
dc.contributor.authorKendirli, Tanıl
dc.contributor.authorHoroz, Özden Özgür
dc.date.accessioned2020-04-30T13:32:35Z
dc.date.available2020-04-30T13:32:35Z
dc.date.issued2015
dc.departmentDÜ, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümüen_US
dc.description.abstractAims: To evaluate the effectiveness of the International Nosocomial Infection Control Consortium (INICC) Multidimensional Hand Hygiene Approach in Turkey and analyse predictors of poor hand hygiene compliance. Design: An observational, prospective, interventional, before-and-after study was conducted from August 2003 to August 2011 in 12 intensive care units (ICU) of 12 hospitals in 11 cities. The study was divided into a baseline and a follow-up period and included random 30-minute observations for hand hygiene compliance in ICU. The hand hygiene approach included administrative support, supplies availability, education and training, reminders in the workplace, process surveillance, and performance feedback. Results: We observed 21,145 opportunities for hand hygiene. Overall hand hygiene compliance increased from 28.8% to 91% (95% CI 87.6–93.0, p 0.0001). Multivariate and univariate analyses showed that several variables were significantly associated with poor hand hygiene compliance: males vs. females (39% vs. 48%; 95% CI 0.79–0.84, p 0.0001), ancillary staff vs. physicians (35% vs. 46%, 95% CI 0.73–0.78, p 0.0001), and adult vs. pediatric ICUs (42% vs. 74%, 95% CI 0.54–0.60, p 0.0001). Conclusions: Adherence to hand hygiene was significantly increased with the INICC Hand Hygiene Approach. Specific programmes should be directed to improve hand hygiene in variables found to be predictors of poor hand hygiene compliance. © 2014, © The Author(s) 2014.en_US
dc.identifier.doi10.1177/1757177414560249en_US
dc.identifier.endpage154en_US
dc.identifier.issn1757-1774
dc.identifier.issue4en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage146en_US
dc.identifier.urihttps://dx.doi.org/10.1177/1757177414560249
dc.identifier.urihttps://hdl.handle.net/20.500.12684/355
dc.identifier.volume16en_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherSAGE Publications Ltden_US
dc.relation.ispartofJournal of Infection Preventionen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectDeveloping countries; hand hygiene; infection control; intensive care unit; International Nosocomial Infection Control Consortium; multidimensional approachen_US
dc.titleImpact of the International Nosocomial Infection Control Consortium (INICC) Multidimensional Hand Hygiene Approach, over 8 years, in 11 cities of Turkeyen_US
dc.typeArticleen_US

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