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dc.contributor.authorMarra, Alexandre R. [UNIFESP]
dc.contributor.authorNoritomi, Danilo Teixeira
dc.contributor.authorWestheimer Cavalcante, Adilson J.
dc.contributor.authorSampaio Camargo, Thiago Zinsly
dc.contributor.authorBortoleto, Renata Puzzo
dc.contributor.authorDurao Junior, Marcelino Souza [UNIFESP]
dc.contributor.authorApisarnthanarak, Anucha
dc.contributor.authorLaselva, Claudia
dc.contributor.authorPimentel, Walace de Souza [UNIFESP]
dc.contributor.authorRolim Ferraz, Leonardo Jose
dc.contributor.authorSantos Cardoso, Maria Fatima dos
dc.contributor.authorVictor, Elivane da Silva
dc.contributor.authorPavao dos Santos, Oscar Fernando [UNIFESP]
dc.contributor.authorCendoroglo Neto, Miguel [UNIFESP]
dc.contributor.authorEdmond, Michael B.
dc.contributor.authorPositive Deviance Hand Hyg Study G
dc.identifier.citationAmerican Journal of Infection Control. New York: Mosby-Elsevier, v. 41, n. 11, p. 984-988, 2013.
dc.description.abstractBackground: Positive deviance (PD) can be a strategy for the improvement of hand hygiene (HH) compliance.Methods: This study was conducted in 8 intensive care units and 1 ward at 7 tertiary care, private, and public hospitals. Phase 1 was a 3-month baseline period (from August to October 2011) in which HH counts were performed by observers using iPods (iScrub program). From November 2011 to July 2012, phase 2, a PD intervention was performed in all the participating centers. We evaluated the consumption of HH products (alcohol gel and chlorhexidine) and the incidence density of health care-associated infections.Results: There was a total of 5,791 HH observations in the preintervention phase and 11,724 HH observations in the intervention phase (PD). A statistically significant difference was found in overall HH compliance with 46.5% in the preintervention phase and 62.0% in the PD phase (P < .001). There was a statistically significant reduction in the incidence of density of device-associated infections per 1,000 patient-days and also in the median of length of stay between the preintervention phase and the PD phase (13.2 vs 7.5 per 1,000 patient-days, respectively, P = .039; and 11.0 vs 6.8 days, respectively, P < .001, respectively).Conclusion: PD demonstrated great promise for improving HH in multiple inpatient settings and was associated with a decrease in the median length of stay and the incidence of device-associated HAIs. Copyright (C) 2013 by the Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.en
dc.description.sponsorshipGOJO Latin America
dc.publisherElsevier B.V.
dc.relation.ispartofAmerican Journal of Infection Control
dc.rightsAcesso restrito
dc.subjectSafety patienten
dc.subjectHealth care-associated infectionen
dc.titleA multicenter study using positive deviance for improving hand hygiene complianceen
dc.contributor.institutionHosp Israelita Albert Einstein
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.contributor.institutionHosp Paulistano
dc.contributor.institutionHosp Heliopolis
dc.contributor.institutionHosp Municipal Dr Moyses Deutsch MBoi Mirim
dc.contributor.institutionThammasat Univ Hosp
dc.contributor.institutionHosp Brigadeiro
dc.contributor.institutionVirginia Commonwealth Univ
dc.description.affiliationHosp Israelita Albert Einstein, São Paulo, Brazil
dc.description.affiliationUniversidade Federal de São Paulo UNIFESP, São Paulo, Brazil
dc.description.affiliationHosp Paulistano, São Paulo, Brazil
dc.description.affiliationHosp Heliopolis, São Paulo, Brazil
dc.description.affiliationHosp Municipal Dr Moyses Deutsch MBoi Mirim, São Paulo, Brazil
dc.description.affiliationThammasat Univ Hosp, Khlong Luang, Thailand
dc.description.affiliationHosp Brigadeiro, São Paulo, Brazil
dc.description.affiliationVirginia Commonwealth Univ, Richmond, VA USA
dc.description.affiliationUnifespUniversidade Federal de São Paulo UNIFESP, São Paulo, Brazil
dc.description.sourceWeb of Science
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