Compliance and Microbial Findings Among Intensive Care Unit (ICU) Health Care Workers in a Tertiary Hospital in Sudan: Pre- and Post-Intervention Study

Ikhlas Mohamed Hamed Elyas*, Abushadi Abdelfadeel Hassan and Adel Abu Elmaali Elsiddig

Compliance and Microbial Findings Among Intensive Care Unit (ICU) Health Care Workers in a Tertiary Hospital in Sudan: Pre- and Post-Intervention Study.

The most important sites for HCAIs infections are: urinary tract, lower respiratory tract, surgical site, blood stream and other sites like skin and soft tissues. Age of patient, severity of underlying disease, immune status, duration of hospitalization, virulence of the organism, resistant to antimicrobial agents, invasive interventions and devices, lack of adherence to infection control standard precautions among health care workers and improper ventilation and cleaning in health care facilities are the major risk factors. HCAIs cause significant concern regarding the safety and health care quality worldwide.

Multimodal interventional strategies, which include audits, performance feedbacks, education, memos, posters and films, ensuring easy availability and supply of alcohol-based hand rubs and strategies aiming to improve accessibility to hand hygiene agents, have been more successful.      The study recommends to hospital authority to continue the intervention at regular intervals. Avenues of future research would include conducting further studies on hand hygiene to demonstrate reduction in HCAIs, as well as reduced morbidity and mortality in our study setting.

In this study, a multi-modal interventional strategy was used, with intensive educational sessions based on “my five moments of hand hygiene” as well as displaying posters, providing verbal
reminders, video show, training role model and ensuring easy and ample supply of hand hygiene products in the ICU unit, with these strategies there was significant improvement in the compliance and significant reduction in finger tip bacterial growth after intervention.

In a study by Lam et al, the hand hygiene compliance before and after the implementation of a multimodal implementation program in a neonatal ICU concluded that an effective education program could improve hand hygiene compliance.

Public Health Open J. 2016; 1(3): 61-65. doi: 10.17140/PHOJ-1-112

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