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Trends in the hand hygiene practices using alcohol-based hand rubs in Japanese hospitals before and after the novel coronavirus pandemic: an observational study using national surveillance data.
Higashionna, T; Hagiya, H; Fujita, Y; Kiguchi, T.
Afiliación
  • Higashionna T; Department of Pharmacy, Okayama University Hospital, Okayama, Japan. Electronic address: t.higashionna@cc.okayama-u.ac.jp.
  • Hagiya H; Department of Infectious Diseases, Okayama University Hospital, Okayama, Japan.
  • Fujita Y; Department of Nursing, Okayama University Hospital, Okayama, Japan.
  • Kiguchi T; Department of Nursing, Okayama University Hospital, Okayama, Japan.
J Hosp Infect ; 152: 150-155, 2024 Oct.
Article en En | MEDLINE | ID: mdl-39208991
ABSTRACT

BACKGROUND:

Healthcare-associated infections (HAIs) are a global concern in healthcare facilities, and hand hygiene (HH) using alcohol-based hand rubs (ABHR) is fundamentally crucial for their prevention. While previous studies report improvements in HH compliance amid the COVID-19 pandemic, the real situation in Japanese medical settings remains unclear.

METHODS:

This observational study sought data from the Japanese national surveillance, focusing on ABHR use in hospitals before and after the COVID-19 pandemic. Data were retrieved from facilities certified to receive the Additional Healthcare Reimbursements for Infection Prevention and Control I. The study spanned five years (2019-2023), segmented quarterly, and employed Joinpoint regression analysis to assess the annual percentage change (APC).

RESULTS:

Overall, ABHR use per patient per day significantly increased both in critical care units and general wards amid the pandemic. However, the APC in the critical care units demonstrated a downward trend from Q4 of 2021 to Q1 of 2023, and ABHR use in general wards remained below the amount of WHO recommendations.

CONCLUSION:

This trend analysis highlighted recent patterns of ABHR use in Japanese hospitals by comparing pre- and post-COVID-19 periods. Although increases in ABHR use were observed over time, sustained efforts to promote HH compliance are necessary, particularly in general wards.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infección Hospitalaria / Higiene de las Manos / Hospitales Límite: Humans País/Región como asunto: Asia Idioma: En Revista: J Hosp Infect Año: 2024 Tipo del documento: Article Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infección Hospitalaria / Higiene de las Manos / Hospitales Límite: Humans País/Región como asunto: Asia Idioma: En Revista: J Hosp Infect Año: 2024 Tipo del documento: Article Pais de publicación: Reino Unido