Anästhesiol Intensivmed Notfallmed Schmerzther 2014; 49(1): 30-34
DOI: 10.1055/s-0033-1363910
Fachwissen
Krankenhaushygiene
© Georg Thieme Verlag Stuttgart · New York

Krankenhaushygiene – Wo stehen wir im 6. Jahr der „Aktion Saubere Hände“?

Christiane Reichardt
1   Institut für Hygiene und Umweltmedizin / Charité – Universitätsmedizin Berlin
,
Karin Bunte-Schönberger
1   Institut für Hygiene und Umweltmedizin / Charité – Universitätsmedizin Berlin
,
Michael Behnke
2   Referenzzentrum für Surveillance von nosokomialen Infektionen / Charité – Universitätsmedizin Berlin
,
Jörg-Olaf Clausmeyer
2   Referenzzentrum für Surveillance von nosokomialen Infektionen / Charité – Universitätsmedizin Berlin
,
Petra Gastmeier
1   Institut für Hygiene und Umweltmedizin / Charité – Universitätsmedizin Berlin
2   Referenzzentrum für Surveillance von nosokomialen Infektionen / Charité – Universitätsmedizin Berlin
› Author Affiliations
Further Information

Publication History

Publication Date:
20 January 2014 (online)

Die nationale Kampagne „Aktion Saubere Hände“ setzt die Patientensicherheitskampagne der WHO „Clean Care is Safer Care“ in Deutschland um. Nach 6 JahrenLaufzeit nehmen über 1400 Einrichtungen freiwillig an der Kampagne teil. Die Umsetzung des multimodalen Interventionskonzepts mit einer verbesserten Spenderausstattung, der Einführung von Messmethoden und dem WHO-Modell „Die 5 Indikationen der Händedesinfektion“ führte in langfristig teilnehmenden Einrichtungen zu einem deutlichen Anstieg der beobachteten Compliance um durchschnittlich 11% sowie des Händedesinfektionsmittelverbrauchs um 61%.

Abstract

The national German hand hygiene campaign is implementing the WHO patient safety initiative “Clean Care is Safer Care”. After 6 years over 1400 health care institutions are participating in the campaign on a voluntary basis. The implementation of the multimodal intervention concept including improvement of alcohol based hand rub availability, the introduction of 2 surveillance methods and of the WHO “My 5 Moments of Hand Hygiene Model” in those health care facilities, participating for several years, increased median hand hygiene compliance by 11% and alcohol based hand rub availability by 61%.

Ergänzendes Material

 
  • Literaturverzeichnis

  • 1 Eckmanns T, Rath A, Bräuer H et al. Compliance with hand hygiene in intensive care units. Dtsch Med Wochenschr 2001; 126: 745-749
  • 2 Eckmanns T, Bessert J, Behnke M et al. Compliance with antiseptic hand rub use in intensive care units: The Hawthorne effect. Infect Control Hosp Epidemiol 2006; 27: 931-934
  • 3 Pessoa-Silva CL, Hugonnet S, Pfister R et al. Reduction of health care associated infection risk in neonates by successful hand hygiene promotion. Pediatrics 2007; 120
  • 4 Lam BC, Lee J, Lau YL. Hand hygiene practices in a neonatal intensive care unit: a multimodal intervention and impact on nosocomial infection. Pediatrics 2004; 114: 565-571
  • 5 Pittet D, Hugonnet S, Harbarth S et al. Effectiveness of a hospital-wide programme to improve compliance with hand hygiene. Lancet 2000; 356: 1307-1312
  • 6 Pittet D, Allegranzi B, Boyce J. World Health Organization World Alliance for Patient Safety First Global Patient Safety Challenge Core Group of Experts. The World Health Organization Guidelines on Hand Hygiene in Health Care and their consensus recommendations. Infect Control Hosp Epidemiol 2009; 30: 611-622
  • 7 Sax H, Allegranzi B, Uçkay I et al. My five moments for hand hygiene': a user-centred design approach to understand, train, monitor and report hand hygiene. J Hosp Infect 2007; 67: 9-21
  • 8 McArdle FI, Lee RJ, Gibb AP, Walsh TS. How much time is needed for hand hygiene in intensive care? A prospective trained observer study of rates of contact between healthcare workers and intensive care patients. J Hosp Infect 2006; 62: 304-310
  • 9 Scheithauer S, Oude-Aost J, Heimann K et al. Hand hygiene in pediatric and neonatal intensive care unit patients: daily opportunities and indication- and profession-specific analyses of compliance. Am J Infect Control 2011; 39: 732-737
  • 10 Herud T, Nilsen RM, Svendheim K, Harthug S. Association between use of hand hygiene products and rates of health care-associated infections in a large university hospital in Norway. Am J Infect Control 2009; 37: 311-317
  • 11 Kaier K, Hagist C, Frank U et al. Two time-series analyses of the impact of antibiotic consumption and alcohol-based hand disinfection on the incidences of nosocomial methicillin-resistant Staphylococcus aureus infection and Clostridium difficile infection. Infect Control Hosp Epidemiol 2009; 30: 346-353
  • 12 Zahar JR, Masse V, Watier L et al. Is hand-rub consumption correlated with hand hygiene and rate of extended-spectrum beta-lactamase-producing Enterobacteriaceae (ESBL-PE)-acquired infections?. J Hosp Infect 2012; 80: 348-350
  • 13 Slekovec C, Gbaguidi-Haore H, Coignard B et al. Relationship between prevalence of device-associated infections and alcohol-based hand-rub consumption: a multi-level approach. J Hosp Infect 2011; 78: 133-137
  • 14 Kirkland KB, Homa KA, Lasky RA et al. Impact of a hospital-wide hand hygiene initiative on healthcare-associated infections: results of an interrupted time series. BMJ Qual Saf 2012; 21: 1019-1026
  • 15 Al-Tawfiq JA, Abed MS, Al-Yami N, Birrer RB. Promoting and sustaining a hospital-wide, multifaceted hand hygiene program resulted in significant reduction in health care-associated infections. Am J Infect Control 2013; 41: 482-486
  • 16 Rello J, Afonso E, Lisboa T et al. FADO Project Investigators. A care bundle approach for prevention of ventilator-associated pneumonia. Clin Microbiol Infect 2013; 19: 363-369
  • 17 Grayson ML, Russo PL, Cruickshank M et al. Outcomes from the first 2 years of the Australian National Hand Hygiene Initiative. Med J Aust 2011; 195: 615-619
  • 18 Koff MD, Corwin HL, Beach ML et al. Reduction in ventilator associated pneumonia in a mixed intensive care unit after initiation of a novel hand hygiene program. J Crit Care 2011; 26: 489-495
  • 19 Scheithauer S, Eitner F, Mankartz J et al. Improving hand hygiene compliance rates in the haemodialysis setting: more than just more hand rubs. Nephrol Dial Transplant 2012; 27: 766-770
  • 20 Scheithauer S, Rosarius A, Rex S et al. Improving hand hygiene compliance in the anesthesia working room work area: More than just more hand rubs. Am J Infect Control 2013; 41: 1001-1006
  • 21 Scheithauer S, Kamerseder V, Petersen P et al. Improving hand hygiene compliance in the emergency department: getting to the point. BMC Infect Dis 2013; 13: 367-367