Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/10618
Title: Significant reductions in methicillin-resistant Staphylococcus aureus bacteraemia and clinical isolates associated with a multisite, hand hygiene culture-change program and subsequent successful statewide roll-out.
Austin Authors: Grayson, M Lindsay ;Jarvie, Lisa J;Martin, Rhea D;Johnson, Paul D R ;Jodoin, Meryanda E;McMullan, Celene;Gregory, Roger H C;Bellis, Kaye;Cunnington, Katie;Wilson, Fiona L;Quin, Diana;Kelly, Anne-Maree
Institutional Author: Hand Hygiene Study Group and Hand Hygiene Statewide Roll-out Group, Victorian Quality Council
Affiliation: Infectious Diseases
Issue Date: 2-Jun-2008
Publication information: Medical Journal of Australia; 188(11): 633-40
Abstract: To assess the efficacy of a multimodal, centrally coordinated, multisite hand hygiene culture-change program (HHCCP) for reducing rates of methicillin-resistant Staphylococcus aureus (MRSA) bacteraemia and disease in Victorian hospitals.A pilot HHCCP was conducted over a 24-month period (October 2004 to September 2006) in six Victorian health care institutions (4 urban, 2 rural; total beds, 2379). Subsequently, we assessed the efficacy of an identical program implemented throughout Victorian public hospitals over a 12-month period (beginning between March 2006 and July 2006).Rates of hand hygiene (HH) compliance; rates of MRSA disease (patients with bacteraemia and number of clinical isolates per 100 patient discharges [PD]).Mean HH compliance improved significantly at all pilot program sites, from 21% (95% CI, 20%-22%) at baseline to 48% (95% CI, 47%-49%) at 12 months and 47% (95% CI, 46%-48%; range, 31%-75%) at 24 months. Mean baseline rates for the number of patients with MRSA bacteraemia and the number of clinical MRSA isolates were 0.05/100 PD per month (range, 0.00-0.13) and 1.39/100 PD per month (range, 0.16-2.39), respectively. These were significantly reduced after 24 months to 0.02/100 PD per month for bacteraemia (P = 0.035 for trend; 65 fewer patients with bacteraemia) and 0.73/100 PD per month for MRSA isolates (P = 0.003; 716 fewer isolates). Similar findings were noted 12 months after the statewide roll-out, with an increase in mean HH compliance (from 20% to 53%; P < 0.001) and reductions in the rates of MRSA isolates (P = 0.043) and bacteraemias (P = 0.09).Pilot and subsequent statewide implementation of a multimodal HHCCP was effective in significantly improving HH compliance and reducing rates of MRSA infection.
URI: https://ahro.austin.org.au/austinjspui/handle/1/10618
ORCID: 
Journal: Medical Journal of Australia
URL: https://pubmed.ncbi.nlm.nih.gov/18513171
Type: Journal Article
Subjects: Bacteremia.prevention & control
Cohort Studies
Guideline Adherence
Hand Disinfection
Hospitals, Public
Humans
Hygiene
Infection Control
Methicillin Resistance
Pilot Projects
Program Evaluation
Staphylococcal Infections.prevention & control
Staphylococcus aureus
Victoria
Appears in Collections:Journal articles

Show full item record

Page view(s)

28
checked on Mar 28, 2024

Google ScholarTM

Check


Items in AHRO are protected by copyright, with all rights reserved, unless otherwise indicated.