{"title":"Impact of infection prevention measures on the occurrence of cutaneous lesions and the quality of life of frontline and non-frontline healthcare workers: A multicentre cross-sectional study.","authors":"Imen Sellami, Anwar Abbes, Aicha Haddar, Afef Feki, Nada Kotti, Hayfa Halweni, Mohamed Larbi Masmoudi, Mounira Hajjaji, Kaouthar Jmal Hammami","doi":"10.1177/17571774251324382","DOIUrl":"10.1177/17571774251324382","url":null,"abstract":"<p><strong>Background: </strong>Infection prevention measures are crucial to prevent contamination among frontline healthcare workers (FL-HCWs) and non-frontline healthcare workers (NFL-HCWs). However, these measures can lead to skin lesions, potentially affecting their quality of life.</p><p><strong>Objectives: </strong>Determine the prevalence of skin lesions caused by infection prevention measures and assess the impact of skin lesions on the quality of life.</p><p><strong>Methods: </strong>A cross-sectional study was conducted, utilizing a self-administered questionnaire covering demographic and occupational information, self-reported skin lesions, and the Dermatology Life Quality Index (DLQI) for healthcare workers (HCWs) from three medical centres.</p><p><strong>Results: </strong>Out of the 190 FL-HCWs and 199 NFL-HCWs surveyed, 37.2% reported skin lesions. Female and FL-HCWs exhibited a higher occurrence of skin lesions. Prolonged use of masks was significantly associated with facial skin lesions. While the use of personal protective equipment and hand hygiene had little to no effect on the Dermatology Life Quality Index (DLQI) for 80.7% of healthcare workers (HCWs) with skin lesions, those with facial skin lesions, papules, or a history of any skin lesions, as well as those who more frequently washed their hands, showed a more altered DLQI.</p><p><strong>Conclusions: </strong>FL-HCWs had more skin symptoms than NFL-HCWs, but these issues were generally not severe and had minimal impact on overall quality of life.</p>","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":" ","pages":"17571774251324382"},"PeriodicalIF":0.9,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11881100/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143573272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Hand hygiene compliance among hospital visitors: A systematic review and meta-analysis of observational studies.","authors":"Gaviota Khalish, Made Satya Nugraha Gautama","doi":"10.1177/17571774251324373","DOIUrl":"10.1177/17571774251324373","url":null,"abstract":"<p><strong>Background: </strong>Hand hygiene is a crucial measure for preventing the spread of healthcare-associated infections. While healthcare workers receive emphasis, hospital visitor hand hygiene compliance is limited.</p><p><strong>Aim: </strong>To investigate hand hygiene compliance among hospital visitors.</p><p><strong>Methods: </strong>A comprehensive search of four databases (PubMed, Embase, Scopus, ScienceDirect) and a hand search were performed from inception to October 2023. Observational studies in hospital settings were included if estimates for adult hospital visitors' observation were reported. Joanna Briggs Institute critical appraisal checklist was used to assess the risk of bias in the included studies. Meta-analysis was conducted using STATA software version 17 to estimate a weighted pooled compliance rate with a 95% confidence interval.</p><p><strong>Results: </strong>17 studies were included in this study. The pooled hand hygiene compliance among hospital visitors was 37% (95% CI: 25 - 49). Subgroup analysis revealed that in low-middle-income countries, covert observation, ICU and various ward studies, longer observation durations, measuring hand hygiene at entrance and exit points, and smaller sample sizes were all associated with higher visitor hand hygiene compliance rates.</p><p><strong>Discussion: </strong>The visitor hand hygiene compliance rate was notably low, much lower than that reported for doctors and nurses. This significant difference highlights the urgent need for focused attention and interventions to improve visitor hand hygiene practices.</p>","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":" ","pages":"17571774251324373"},"PeriodicalIF":0.9,"publicationDate":"2025-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11873859/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143557074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Infection prevention behaviour among hospital nursing staff: Navigating in a complex and shifting work environment.","authors":"Lisa Arvidsson, Maria Lindberg, Bernice Skytt","doi":"10.1177/17571774251322449","DOIUrl":"10.1177/17571774251322449","url":null,"abstract":"<p><strong>Background: </strong>Healthcare-associated infections are a global concern and can be dependent on the infection prevention behaviours of nursing staff, which in turn can be influenced by working conditions. Qualitative studies are scarce, and a greater understanding of the relationship between working conditions and nursing staff behaviour is needed.</p><p><strong>Aim: </strong>The aim was to describe nursing staff's experiences and reflections on working conditions and infection prevention behaviours.</p><p><strong>Methods: </strong>A qualitative study with semi-structured focus group interviews at four surgical units and two orthopaedic hospital units. Twenty-seven nursing staff (12 registered nurses and 15 assistant nurses) participated. Data was analysed using qualitative content analysis.</p><p><strong>Results: </strong>We generated one theme: Navigating in a complex and shifting context. The result indicates that working conditions are sometimes inadequate, which can hinder the nursing staff's infection prevention behaviours. Even when working conditions seemed to be sufficient, hygiene routines could fail, since situations constantly arise in a hospital unit that are difficult to predict and regulate.</p><p><strong>Discussion: </strong>This study highlights the complexities faced by nursing staff in maintaining infection prevention behaviours within the dynamic hospital work environment. While nursing staff are professionally obliged to comply with hygiene routines, organisational support is essential for fostering sustainable working conditions. A multi-tiered approach is needed, from first-line managers to decision-makers, to promote a supportive environment that sustains safe practices.</p>","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":" ","pages":"17571774251322449"},"PeriodicalIF":0.9,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11843565/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Letter re: Optimizing healthcare staffing for infection prevention: Insights from the Association for Professionals in Infection Control and Epidemiology's staffing pattern calculator.","authors":"Manya Soni, Ashok Kumar Balaraman, Nishant Rai","doi":"10.1177/17571774241309800","DOIUrl":"10.1177/17571774241309800","url":null,"abstract":"","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":" ","pages":"17571774241309800"},"PeriodicalIF":0.9,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11669121/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142895172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The effect of the theory of planned behavior based hand hygiene intervention program on the health outcomes and school absenteeism of the primary school students: Quasi-experimental study.","authors":"Gülçin Uyanık, Şafak Dağhan","doi":"10.1177/17571774241300481","DOIUrl":"10.1177/17571774241300481","url":null,"abstract":"<p><strong>Background: </strong>Acute upper respiratory tract infections are the most common infections among school children. Improving water, sanitation, and hygiene facilities in schools is an important intervention for the healthy development of children. The most important component of this intervention is hand washing, which is the primary infection control measure.</p><p><strong>Aim: </strong>This study aims to test the effect of the Theory of Planned Behavior (TPB) based hand hygiene intervention program on the health outcomes and school absenteeism of students.</p><p><strong>Method: </strong>The study is quasi-experimental with pretest-posttest control groups. The study was conducted with 159 students (intervention: 82, control: 77) in two separate primary schools that were assigned to intervention and control groups. The intervention group were applied a TPB-based hand hygiene intervention program for the school children. The data were collected using the Student Questionnaire, Hand Hygiene Assessment Question Form, and Surveillance Form.</p><p><strong>Findings: </strong>The mean Hand Hygiene Assessment Question Form Hand Hygiene Behavior scores did not differ between the groups in the pre- and posttest (<i>p</i> > .05). In the posttest, the frequency of encountering a ten-week-upper respiratory tract infection symptom (U = 5277.50 <i>p</i> < .0001), school absenteeism days (<i>p</i> = .046) and absenteeism episodes (<i>p</i> = .043) was lower in the intervention group than in the control group.</p><p><strong>Conclusions: </strong>The findings suggest that was concluded that the TPB-based hand hygiene intervention program did not make a difference in creating hand hygiene behavior in school children compared to the classical education. The program was effective in reducing upper respiratory tract infections and school absenteeism due to these infections.</p>","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":" ","pages":"17571774241300481"},"PeriodicalIF":0.9,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11585000/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142710483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Brad A Krier, Pawan Bhandari, Ashley M Brooks, Kristin J Schultz, Jonna J Zarbano, Gokhan Anil
{"title":"Real-time intervention to increase daily chlorhexidine bathing and reduce central line-associated bloodstream infections.","authors":"Brad A Krier, Pawan Bhandari, Ashley M Brooks, Kristin J Schultz, Jonna J Zarbano, Gokhan Anil","doi":"10.1177/17571774241301713","DOIUrl":"10.1177/17571774241301713","url":null,"abstract":"<p><strong>Background: </strong>After an increase of central line-associated bloodstream infections (CLABSIs) at our community hospital in 2021, a case-control study suggested that patients with CLABSIs were 3.0 times more likely to have missed daily chlorhexidine gluconate (CHG) bathing than patients without CLABSIs.</p><p><strong>Objective: </strong>To increase the rate of daily CHG bathing in hospitalized patients with central lines and subsequently reduce the number of CLABSIs.</p><p><strong>Methods: </strong>Our pre-post intervention was launched on September 2022 and consisted of enhancements to the electronic health record (EHR) to simplify the identification of overdue CHG bathing instances to increase compliance, and therefore decrease the CLABSI rate at our hospital. A workflow was implemented Monday-Friday utilizing these EHR enhancements for active surveillance to engage frontline nursing staff and address gaps in care in real time.</p><p><strong>Results: </strong>After the initiative was implemented, adherence to daily CHG bathing increased from 94.9% to 95.3%, with a considerable disparity between weekdays (97.6%) and weekends (89.3%). After weekend data were excluded, the post-intervention increase in the adherence rate was statistically significant (<i>p</i> = .003).</p><p><strong>Discussion: </strong>This initiative underscored the importance of involving health care informatics partners and showed how technology can bridge gaps in health care quality. Outreach and reminders effectively improved CHG bathing adherence by emphasizing the importance of consistent communication and follow-up.</p>","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":" ","pages":"17571774241301713"},"PeriodicalIF":0.9,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11574771/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142681526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Letter re: Glove Use/Hand Disinfection-Index (GUHDI): A new metric for hand hygiene quality.","authors":"Benjamin Hoch, Sebastian Schulz-Stübner","doi":"10.1177/17571774241297671","DOIUrl":"10.1177/17571774241297671","url":null,"abstract":"","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":" ","pages":"17571774241297671"},"PeriodicalIF":0.9,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11559434/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142622050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Eleni Mylona, Sofia Kostourou, Fani Veini, Chrysoula Kolokotroni, Eleni Belesiotou, Katerina Kaziani, Athina Argyropoulou, Vasileios Papastamopoulos
{"title":"Lateral effects of infection prevention measures during COVID-19 pandemic on hospital-acquired <i>Clostridioides difficile</i> infection.","authors":"Eleni Mylona, Sofia Kostourou, Fani Veini, Chrysoula Kolokotroni, Eleni Belesiotou, Katerina Kaziani, Athina Argyropoulou, Vasileios Papastamopoulos","doi":"10.1177/17571774241251662","DOIUrl":"10.1177/17571774241251662","url":null,"abstract":"<p><p><b>Background:</b> Systematic surveillance of <i>Clostridioides difficile</i> infection (CDI) in our institution showed a reduction in the incidence of healthcare associated CDI (HA-CDI) during COVID-19 pandemic. <b>Aim:</b> Our objective was to search for factors related to this reduction. <b>Methods:</b> We retrospectively studied the trend of the incidences of HA-CDI, Multidrug Resistant (MDR) organisms, total antibiotic and chlorine consumptions as well as the influence of the last two on the incidence of HA-CDI. <b>Results:</b> During COVID-19 pandemic, the HA-CDI incidence was reduced with respect to the previous years, although total antibiotic consumption was found to increase (<i>p</i> < .01). MDR organisms' incidence was found to increase (<i>p</i> < .01), as well as the chlorine consumption (<i>p</i> = .04) which was the only factor to be related to the decreased rates of HA-CDI (r = -0.786, <i>p</i> < .05). <b>Discussion:</b> In our institution, COVID-19 epidemic overlapped with the reduction in the HA-CDI's incidence. This could be due to faithful compliance with the contact precaution measures but then, we would expect the incidence of MDR organisms to decrease as well. Chlorine usage for environmental cleaning was generalized during pandemic. It was the only factor to be related to the decreased rates of HA-CDI, highlighting the importance of environmental cleaning as a measure for HA-CDI prevention.</p>","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":"25 6","pages":"247-250"},"PeriodicalIF":0.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11531038/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142568397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}