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Relationship between prevalence of device-associated infections and alcohol-based hand-rub consumption: a multi-level approach.
- Source :
-
The Journal of hospital infection [J Hosp Infect] 2011 Jun; Vol. 78 (2), pp. 133-7. Date of Electronic Publication: 2011 Apr 17. - Publication Year :
- 2011
-
Abstract
- Using a multi-level logistic regression model, we determined whether there was any relationship between alcohol-based hand-rub consumption and prevalence of device-associated infections (DAIs) in French healthcare facilities (HCFs). Two national databases were used: the 2006 French prevalence survey of nosocomial infections, and the 2006 French infection control indicator database which includes alcohol-based hand-rub consumption as an indicator (ICSHA: indicateur de consommation de solution hydro-alcoolique). Only patients with at least one medical device (urinary catheter, vascular catheter or tracheal tube) who were present in an HCF for at least two days were included in the analysis. A multi-level statistical analysis was performed to assess the joint effect of patient-level and hospital-level variables. In all, 814 HCFs, each with a minimum of 15 study patients, were included, giving a total of 53,459 patients. The overall prevalence of DAI was 6.7% (95% confidence interval: 6.4-6.9). The median value of ICSHA was 37.2%. There was no association between DAI prevalence and ICSHA, but all patient-level variables were associated with DAI prevalence. Patient-level variables explain 25% of the hospital-level variation in DAI prevalence, although 60% of this variation remains unexplained when both patient and hospital variables are included in the model. To further assess any association between DAI prevalence and hand hygiene, additional studies on hand hygiene practices specifically associated with invasive medical device manipulation are required.<br /> (Copyright © 2011 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.)
- Subjects :
- Aged
Catheter-Related Infections prevention & control
Catheterization adverse effects
Catheterization, Central Venous adverse effects
Cross Infection prevention & control
Female
France epidemiology
Hospitals statistics & numerical data
Humans
Infection Control methods
Male
Middle Aged
Pneumonia, Ventilator-Associated prevention & control
Prevalence
Urinary Catheterization adverse effects
Alcohols therapeutic use
Catheter-Related Infections epidemiology
Catheters, Indwelling adverse effects
Cross Infection epidemiology
Hand Disinfection methods
Pneumonia, Ventilator-Associated epidemiology
Ventilators, Mechanical adverse effects
Subjects
Details
- Language :
- English
- ISSN :
- 1532-2939
- Volume :
- 78
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- The Journal of hospital infection
- Publication Type :
- Academic Journal
- Accession number :
- 21501895
- Full Text :
- https://doi.org/10.1016/j.jhin.2011.03.011