Hospital environment hygiene nurse: a key player to reduce healthcare associated infections by multi-resistant organisms

Summary: Background: Multi-Resistant Organisms (MRO) healthcare-associated infections (HAI) are closely associated with contamination of surfaces. Outsourced companies are usually in charge of both hospital hygiene and environmental hygiene personnel (EHP) supervision, which can result in bias. Meth...

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Main Authors: V. Paz (Author), M. Paniagua (Author), A. Santillán (Author), M. Alaniz (Author), L. D'Agostino (Author), R. Orellana (Author), C. Rodríguez (Author)
Format: Book
Published: Elsevier, 2020-03-01T00:00:00Z.
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042 |a dc 
100 1 0 |a V. Paz  |e author 
700 1 0 |a M. Paniagua  |e author 
700 1 0 |a A. Santillán  |e author 
700 1 0 |a M. Alaniz  |e author 
700 1 0 |a L. D'Agostino  |e author 
700 1 0 |a R. Orellana  |e author 
700 1 0 |a C. Rodríguez  |e author 
245 0 0 |a Hospital environment hygiene nurse: a key player to reduce healthcare associated infections by multi-resistant organisms 
260 |b Elsevier,   |c 2020-03-01T00:00:00Z. 
500 |a 2590-0889 
500 |a 10.1016/j.infpip.2019.100030 
520 |a Summary: Background: Multi-Resistant Organisms (MRO) healthcare-associated infections (HAI) are closely associated with contamination of surfaces. Outsourced companies are usually in charge of both hospital hygiene and environmental hygiene personnel (EHP) supervision, which can result in bias. Methods: A quasi-experimental study. The intervention was to add the "Hospital Environment Hygiene Nurse" (HEHN). MRO acquired infection rate and MRO acquired colonized rate were calculated, pre and post intervention. Confounding variables: MRO carriage rate upon admission and hospitalisation days median (HDM) were calculated. Results: Median length of stay: 5 days (p=0.85, interquartile range=6 days). Carriage rate upon admission: 4.3% for pre-intervention vs 5.3% post-intervention, dif. (CI 95%): 1% (-1% to 2.9%) p=0.33. MRO acquired infection rate: 4.3% for pre-intervention vs. 2% post-intervention, Standardized Infection Ratio (SIR) (CI 95%): 0.47 (0.25 to 0.87). MRO acquired colonization rate:10.4% for pre-intervention vs. 7.9% post-intervention, SIR (CI 95%): 0.75 (0.53 to 1.07). Conclusions: As a reinforcement to standard infection control (IC) measures in place, the incorporation of an exclusive, full-time HEHN was significantly useful to reduce MRO HAI. Keywords: Environment hygiene, Healthcare cleaning services, Infection control, Healthcare-associated infections, Multi-resistant microorganisms 
546 |a EN 
690 |a Infectious and parasitic diseases 
690 |a RC109-216 
690 |a Public aspects of medicine 
690 |a RA1-1270 
655 7 |a article  |2 local 
786 0 |n Infection Prevention in Practice, Vol 2, Iss 1, Pp - (2020) 
787 0 |n http://www.sciencedirect.com/science/article/pii/S2590088919300307 
787 0 |n https://doaj.org/toc/2590-0889 
856 4 1 |u https://doaj.org/article/e457d7e2c6cc4f35a3c2f913b9ce4f30  |z Connect to this object online.