Article
Public, Environmental & Occupational Health
K-R Cawthorne, R. P. D. Cooke
Summary: Although there is evidence that EHHMSs can improve hand hygiene compliance rates, their impact on reducing healthcare-associated infections is still unclear. There are currently 20 commercial EHHMSs on the market, with six having supporting evidence, but there is room for improvement in evaluation designs.
JOURNAL OF HOSPITAL INFECTION
(2021)
Article
Public, Environmental & Occupational Health
A. R. Knudsen, S. Kolle, M. B. Hansen, J. K. Moller
Summary: In a nephrology department interventional study, an electronic hand hygiene monitoring system significantly improved hand hygiene compliance of doctors and nurses, leading to a reduction in hospital-acquired bloodstream infections.
JOURNAL OF HOSPITAL INFECTION
(2021)
Article
Infectious Diseases
Chengyi Han, Qing Song, Xin Meng, Ying Lv, Dongsheng Hu, Xuesong Jiang, Liang Sun
Summary: The study demonstrated that multimodal hand hygiene interventions led to a significant increase in hand hygiene compliance and a decrease in healthcare associated infections (HAIs) incidence in a general teaching hospital in China. Different types of healthcare workers showed varying levels of compliance with hand hygiene protocols, and there was a negative correlation between monthly hand hygiene compliance and the incidence of HAIs.
Article
Multidisciplinary Sciences
Thi Mui Pham, Yin Mo, Ben S. Cooper
Summary: Hand hygiene is a fundamental measure to reduce the spread of pathogens. The effectiveness of hand hygiene depends on the persistence of viable virus on hands. If the persistence is short, frequent hand washing is necessary. If the persistence is longer, less frequent hand washing can still reduce the infection probability. Immediate hand washing after contamination is consistently more effective than fixed-time intervals.
PROCEEDINGS OF THE ROYAL SOCIETY A-MATHEMATICAL PHYSICAL AND ENGINEERING SCIENCES
(2022)
Article
Public, Environmental & Occupational Health
Amal Al-Maani, Adil Al Wahaibi, Najla Al-Zadjali, Jabir Al-Sooti, Maryam AlHinai, Amal Al Badawi, Afaf Al Saidi, Noora AlZadjali, Waleed Elshoubary, Khalid Al-Harthi, Seif Al-Abri
Summary: Implementing the World Health Organization's multimodal strategy and role model behavioral intervention can effectively improve and sustain healthcare workers' hand hygiene compliance rates. Understanding healthcare culture and regular follow-ups are essential for maintaining adherence to safe hand hygiene practices.
JOURNAL OF INFECTION AND PUBLIC HEALTH
(2022)
Review
Public, Environmental & Occupational Health
Yin Mo, Thi Mui Pham, Cherry Lim, Peter Horby, Andrew J. Stewardson, Stephan Harbarth, Geoffrey M. Scott, Ben S. Cooper
Summary: Hand hygiene is a simple and low-cost intervention that can have significant effects in reducing acute respiratory infection epidemics. However, there is a lack of quantification on the effectiveness of hand hygiene in the community. Further well-designed trials are needed to confirm the findings and emphasize monitoring hand hygiene adherence.
EPIDEMIOLOGY AND INFECTION
(2022)
Article
Public, Environmental & Occupational Health
A. Rosenfeldt Knudsen, M. Bo Hansen, J. Kjolseth Moller
Summary: This study investigated the effect of feedback interventions provided by an electronic hand hygiene monitoring system on sustained hand hygiene compliance improvement, individual responsiveness, and prevention of hospital-acquired bloodstream infections and urinary tract infections. The study found that all healthcare workers increased their hand hygiene compliance, with the low-performance groups showing the greatest improvement through group feedback. The interventions successfully reduced the number of cases of hospital-acquired bloodstream infections, but had no significant effect on urinary tract infections.
JOURNAL OF HOSPITAL INFECTION
(2023)
Article
Public, Environmental & Occupational Health
C. Sottani, G. Favorido Barraza, F. Frigerio, G. Corica, F. S. Robustelli della Cuna, D. Cottica, E. Grignani
Summary: This study evaluated the impact of UV-C air treatment and ozone treatment on hospital-acquired infections. The results showed that these treatments can effectively reduce pathogens, except for Clostridioides difficile. However, multiple approaches are needed to effectively prevent C. difficile.
JOURNAL OF HOSPITAL INFECTION
(2023)
Article
Multidisciplinary Sciences
Rula M. M. Darwish, Mohammad AlMasri, Khawla Ammar, Rama AlMasri, Hani Al- Najar, Mahmoud M. M. Al-Masri
Summary: A study conducted in Jordan found that healthcare providers had good knowledge of hand hygiene, with men and other healthcare providers having slightly higher levels of knowledge compared to women and pharmacists. The study also found no significant difference in knowledge between those who had received hand hygiene training and those who hadn't. Therefore, the study recommends providing structured, frequent, and tailored training on hand sanitization, along with new educational strategies, particularly for pharmacists, to improve the quality of healthcare.
Article
Public, Environmental & Occupational Health
Curtis J. Donskey
Summary: In recent years, there has been increasing interest in empowering patients to participate in the prevention of healthcare-associated infections. However, patients often lack awareness of the risk of acquiring and spreading healthcare-associated pathogens, and have limited information on how they can contribute to infection prevention efforts. This review highlights areas where patient empowerment initiatives in infection control and antimicrobial stewardship can be beneficial, and provides evidence for their effectiveness.
AMERICAN JOURNAL OF INFECTION CONTROL
(2023)
Article
Public, Environmental & Occupational Health
Brieze Read, Cliodna A. M. McNulty, Neville Q. Verlander, Nicola Moss, Donna M. Lecky
Summary: The study showed that public knowledge of IPC measures has improved in 2021 compared to 2020, particularly in terms of infection transmission routes and hygiene habits. Future public health campaigns should further emphasize the importance of maintaining hygiene behaviors and vaccination.
Review
Public, Environmental & Occupational Health
V Mouajou, K. Adams, G. DeLisle, C. Quach
Summary: The hands of healthcare workers are a primary source of transmission of hospital-acquired infections. Practising hand hygiene and adhering to hand hygiene guidelines can decrease the risk of transmission. However, there is no consensus on the optimal hand hygiene compliance rate for healthcare workers. Studies suggest that lower incidence rates of hospital-acquired infections are achieved with hand hygiene compliance rates of approximately 60%. Due to flaws in study design, causality cannot be inferred, and only general trends can be discussed. High-quality evidence is needed to support the implementation of specified targets for hand hygiene compliance rates.
JOURNAL OF HOSPITAL INFECTION
(2022)
Article
Public, Environmental & Occupational Health
Se Yoon Park, Suyeon Park, Beom Seuk Hwang, Eunjung Lee, Tae Hyong Kim, Sungho Won
Summary: The study concluded that at least five observations were required to determine the optimal hand hygiene compliance rates in the hospital.
ANTIMICROBIAL RESISTANCE AND INFECTION CONTROL
(2021)
Article
Psychology, Clinical
Shuangjiang Zheng, Qiuxia Yang, Xuemei Wang, Xinping Zhang, Qian Zhou
Summary: This study aimed to identify the determinants and underlying mechanism of hand hygiene behavior among healthcare workers. The results showed that capability, opportunity, and motivation have significant effects on hand hygiene behavior. Resource provision and motivation enhancement are crucial for improving hand hygiene behavior.
PSYCHOLOGY RESEARCH AND BEHAVIOR MANAGEMENT
(2022)
Article
Immunology
Ioannis Kopsidas, Maia De Luca, Julia Bielicki, Daniel Blazquez-Gamero, Ulrich von Both, Gaetano Ciliento, Cristina Epalza, Walter Alfredo Goycochea Validivia, Laura Kolberg, Irja Lutsar, Maria Machaira, Olaf Neth, Andrea Oletto, Maria N. Tsolia, Anna-Liisa Viltrop, Theoklis Zaoutis, Nikos Spyridis
Summary: A unified surveillance mechanism for hand hygiene and hospital-acquired infections is lacking in European pediatric wards. We successfully established such a mechanism in 9 pediatric intensive care units across 7 European countries, using the World Health Organization's definitions and methodology for benchmarking. The median hand hygiene compliance was high at 82.3%, but gaps in practices were identified.
PEDIATRIC INFECTIOUS DISEASE JOURNAL
(2022)
Article
Dermatology
Julian F. Guest, Graham W. Fuller, Peter Vowden
INTERNATIONAL WOUND JOURNAL
(2018)
Article
Multidisciplinary Sciences
Julian F. Guest, Andy Ingram, Nadia Ayoub, Christian J. Hendriksz, Elaine Murphy, Yusof Rahman, Patrick McKiernan, Helen Mundy, Patrick Deegan
Article
Dermatology
Julian F. Guest, Heenal Singh, Karan Rana, Peter Vowden
JOURNAL OF WOUND CARE
(2018)
Article
Dermatology
Julian F. Guest, Heenal Singh, Peter Vowden
JOURNAL OF WOUND CARE
(2018)
Article
Medicine, General & Internal
Julian F. Guest, Graham W. Fuller, Peter Vowden, Kathryn Ruth Vowden
Article
Medicine, General & Internal
Julian F. Guest, Heenal Singh
CURRENT MEDICAL RESEARCH AND OPINION
(2019)
Article
Health Care Sciences & Services
Julian F. Guest, Graham W. Fuller
JOURNAL OF COMPARATIVE EFFECTIVENESS RESEARCH
(2019)
Article
Medicine, General & Internal
Julian F. Guest, Tomas Keating, Dinah Gould, Neil Wigglesworth
Article
Medicine, General & Internal
Julian F. Guest, Graham W. Fuller, Jacky Edwards
Article
Medicine, General & Internal
Julian F. Guest, Graham W. Fuller, Peter Vowden
Article
Dermatology
Julian F. Guest, Leanne Atkin, Christopher Aitkins
Summary: The study estimated the cost-effectiveness of using dHACM allografts as an adjunct to standard care for non-healing DFUs in secondary care in the UK. It found that within a certain price range, this intervention is cost-effective for the NHS.
INTERNATIONAL WOUND JOURNAL
(2021)
Article
Dermatology
Julian F. Guest, Karen Staines, Nina Murphy
Summary: The study suggests that thigh-administered IPC in combination with standard care can improve healing probabilities and health-related quality of life for hard-to-heal VLUs, potentially providing cost-effective treatment for the NHS.
JOURNAL OF WOUND CARE
(2021)
Article
Dermatology
Julian F. Guest, Valter Deanesi, Arrigo Segalla
Summary: The study evaluated the cost-effectiveness of using the topical debriding agent Debrichem in the management of hard-to-heal venous leg ulcers. The results showed that the addition of Debrichem increased the probability of healing and improved patients' health-related quality of life. Furthermore, using Debrichem had the potential to reduce the overall cost of wound management for the healthcare system.
JOURNAL OF WOUND CARE
(2022)
Article
Medicine, General & Internal
Julian F. Guest, Graham W. Fuller
Summary: This retrospective cohort analysis examined the impact of the COVID-19 pandemic on the management of venous leg ulcers in the UK. The study found that the healing rate of venous leg ulcers decreased by 16% in 2020 and 42% in 2021 compared to 2019, with a significant increase in healing time. COVID-19 infection rates were estimated at 3% in both years, and there was an increased risk of amputation and sepsis among patients. The study also observed a significant reduction in healthcare resources and a decrease in the use of compression therapy and wound care products.