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Impact of INICC Multidimensional Hand Hygiene Approach in ICUs in Four Cities in Argentina
Victor D Rosenthal1, Mónica Viegas, Daniel Sztokhamer
1International Nosocomial Infection Control Consortium (INICC), Buenos Aires, Argentina (Dr Rosenthal); Centro Médico Bernal, Bernal, Argentina (Dr Rosenthal); Centro Médico Colegiales, Buenos Aires, Argentina (Dr Rosenthal); Hospital Interzonal General de Agudos Presidente Perón, Avellaneda, Argentina (Drs Viegas, Romani, Di Núbila, Lanzetta, Rossetti, Migazzi, Barolin, and Fernández, and Ms Martínez); Clínica Estrada, Buenos Aires, Argentina (Dr Sztokhamer), Centro Gallego de Buenos Aires, Buenos Aires, Argentina (Drs Benchetrit, de los Ángeles Caridi, Messina, and Ricci, and Mr Bonaventura); Hospital Interzonal General de Agudos Evita, Lanús, Argentina (Drs Santoro and Soroka); Hospital Narciso López, Lanús, Argentina (Mr Lastra); and Clínica Modelo de Lanús, Lanús, Argentina (Drs Romani and Frías).
Abstract:
We evaluated the impact of the International Nosocomial Infection Control Consortium multidimensional approach to hand hygiene in 11 intensive care units in 4 cities in Argentina and analyzed predictors of poor hand hygiene compliance. We had a baseline period and a follow-up period. We observed 21 100 hand hygiene opportunities. Hand hygiene compliance increased from 28.3% to 64.8% (P = .0001). Males versus females (56.8% vs 66.4%; P < .001) and physicians versus nurses (46.6% vs 67.8%; P < .001) were significantly associated with poor hand hygiene compliance.
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