TY - JOUR
T1 - Association of national and hospital factors to hospitals' alcohol-based handrub consumption in Europe
T2 - results of the European PROHIBIT study
AU - the PROHIBIT study group
AU - Hansen, S.
AU - Schwab, F.
AU - Gastmeier, P.
AU - Zingg, W.
AU - Pittet, D.
AU - Zingg, W.
AU - Sax, H.
AU - Gastmeier, P.
AU - Hansen, S.
AU - Grundmann, H.
AU - van Benthem, B.
AU - van der Kooi, T.
AU - Dettenkofer, M.
AU - Martin, M.
AU - Richet, H.
AU - Szilágyi, E.
AU - Központ, O. E.
AU - Heczko, P. B.
AU - Holmes, A.
AU - Kyratsis, Y.
AU - Ahmad, R.
AU - Allegranzi, B.
AU - Magiorakos, A.
AU - Cookson, B.
AU - Wu, A. W.
N1 - Funding Information:
PROHIBIT was funded by the European Union's Seventh Framework Programme (FP7) , Grant No. 241928 .
Publisher Copyright:
© 2017 European Society of Clinical Microbiology and Infectious Diseases
PY - 2018/7
Y1 - 2018/7
N2 - Objectives: Hand hygiene is considered the most effective way to reduce the transmission of (multidrug-resistant) organisms and to prevent healthcare-associated infections. Hand rubbing with alcohol-based handrub (AHR) has become the reference standard for hand hygiene. Data on AHR consumption are easy to obtain and can serve as an approximation for hand hygiene compliance. As described earlier, AHR consumption varies among European hospitals. In the current study the role of various hospital and country indicators for AHR consumption is analysed. Methods: As part of the European Prevention of Hospital Infections by Intervention and Training (PROHIBIT) project hospital-based data on infection prevention and control (IPC) structure and organization and hospital-wide AHR consumption were obtained from acute care hospitals. National indicators such as income, public health expenditure, national hand hygiene campaigns, IPC training and the six Hofstede dimensions were identified. Univariable and multivariable linear regression analyses using generalized linear models were performed to estimate the association between AHR consumption and indicators at both hospital and country levels. Results: Data from 232 hospitals from 22 European countries were analysed. Multivariate risk factor analysis showed independent associations between AHR consumption and private and university-affiliated hospitals (multiplicative effect, 95% CI: 1.76, 1.21–2.55; and 1.39, 1.17–1.64, respectively), high-income countries (3.61, 2.94–4.43), and countries offering national curricula for the training of IPC nurses (3.77, 2.32–6.13). However, no cultural dimension was independently associated with AHR consumption. Conclusion: Country indicators such as high-income, national training on IPC, and hospital type and status are positively associated with AHR consumption in Europe.
AB - Objectives: Hand hygiene is considered the most effective way to reduce the transmission of (multidrug-resistant) organisms and to prevent healthcare-associated infections. Hand rubbing with alcohol-based handrub (AHR) has become the reference standard for hand hygiene. Data on AHR consumption are easy to obtain and can serve as an approximation for hand hygiene compliance. As described earlier, AHR consumption varies among European hospitals. In the current study the role of various hospital and country indicators for AHR consumption is analysed. Methods: As part of the European Prevention of Hospital Infections by Intervention and Training (PROHIBIT) project hospital-based data on infection prevention and control (IPC) structure and organization and hospital-wide AHR consumption were obtained from acute care hospitals. National indicators such as income, public health expenditure, national hand hygiene campaigns, IPC training and the six Hofstede dimensions were identified. Univariable and multivariable linear regression analyses using generalized linear models were performed to estimate the association between AHR consumption and indicators at both hospital and country levels. Results: Data from 232 hospitals from 22 European countries were analysed. Multivariate risk factor analysis showed independent associations between AHR consumption and private and university-affiliated hospitals (multiplicative effect, 95% CI: 1.76, 1.21–2.55; and 1.39, 1.17–1.64, respectively), high-income countries (3.61, 2.94–4.43), and countries offering national curricula for the training of IPC nurses (3.77, 2.32–6.13). However, no cultural dimension was independently associated with AHR consumption. Conclusion: Country indicators such as high-income, national training on IPC, and hospital type and status are positively associated with AHR consumption in Europe.
KW - Acute care hospitals
KW - Europe
KW - Hand hygiene
KW - Healthcare-associated infections
KW - Prevention
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U2 - 10.1016/j.cmi.2017.10.015
DO - 10.1016/j.cmi.2017.10.015
M3 - Article
C2 - 29074159
AN - SCOPUS:85037057780
SN - 1198-743X
VL - 24
SP - 778.e1-778.e6
JO - Clinical Microbiology and Infection
JF - Clinical Microbiology and Infection
IS - 7
ER -