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Results of 3 National hand hygiene campaigns in Belgian hospitals 2005-2009 Eva Leens, Anne Simon et...
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![Page 1: Results of 3 National hand hygiene campaigns in Belgian hospitals 2005-2009 Eva Leens, Anne Simon et le groupe de travail « Vous êtes en de bonnes mains.](https://reader035.fdocuments.us/reader035/viewer/2022062620/551b1e5c5503465e7d8b6707/html5/thumbnails/1.jpg)
Results of 3 National hand hygiene campaigns in Belgian hospitals
2005-2009
Eva Leens, Anne Simon et le groupe de travail
« Vous êtes en de bonnes mains »
![Page 2: Results of 3 National hand hygiene campaigns in Belgian hospitals 2005-2009 Eva Leens, Anne Simon et le groupe de travail « Vous êtes en de bonnes mains.](https://reader035.fdocuments.us/reader035/viewer/2022062620/551b1e5c5503465e7d8b6707/html5/thumbnails/2.jpg)
Methodology
1. Awareness campaign with standardised material to improve HH compliance
2. Measuring impact of the campaign- HH compliance (soap and/or alcool / HH opportunities)- Alcohol rub consumption (liter alcohol rub / 10000
patient days)- Respect of basic hygiene conditions (optional, only 3rd
campaign)
![Page 3: Results of 3 National hand hygiene campaigns in Belgian hospitals 2005-2009 Eva Leens, Anne Simon et le groupe de travail « Vous êtes en de bonnes mains.](https://reader035.fdocuments.us/reader035/viewer/2022062620/551b1e5c5503465e7d8b6707/html5/thumbnails/3.jpg)
Mea surement of HH indicators
Planning
Measurement of HH indicators
NationalFeedback session
Awareness Campaign
During 1 month
1 month later and for 1
month15/04-14/05
9 months later Post-campaign
1 month later and for 1
month
First campaign: 2005
Second campaign: 2006-2007
Third campaign: 2008-2009
Invitation to participate
+ press conference
![Page 4: Results of 3 National hand hygiene campaigns in Belgian hospitals 2005-2009 Eva Leens, Anne Simon et le groupe de travail « Vous êtes en de bonnes mains.](https://reader035.fdocuments.us/reader035/viewer/2022062620/551b1e5c5503465e7d8b6707/html5/thumbnails/4.jpg)
Awareness campaign: multi modal
• Reminders (posters)• Education of HCW
• standardised powerpoint presentation• Interactive quiz
• Distribution of gadgets for HCW or patients• Promotion of hand rub (posters, black light)• Implication of patients (leaflets, gadget)• Feedback of measurement results before and
after campaign
![Page 5: Results of 3 National hand hygiene campaigns in Belgian hospitals 2005-2009 Eva Leens, Anne Simon et le groupe de travail « Vous êtes en de bonnes mains.](https://reader035.fdocuments.us/reader035/viewer/2022062620/551b1e5c5503465e7d8b6707/html5/thumbnails/5.jpg)
Campaign messages
• First campaign: Hand hygiene, just do it … and with alcohol rubs
• Second campaign: Hand hygiene, do it correctly
• Third campaign: Do not wear jewellery or artificial nails and keep your
nails clean Use gloves correctly
![Page 6: Results of 3 National hand hygiene campaigns in Belgian hospitals 2005-2009 Eva Leens, Anne Simon et le groupe de travail « Vous êtes en de bonnes mains.](https://reader035.fdocuments.us/reader035/viewer/2022062620/551b1e5c5503465e7d8b6707/html5/thumbnails/6.jpg)
Measurement of HH compliance
• Direct (overt or covert) observation• By trained observers (IC practitioner or reference
nurses for hospital hygiene)• Standardised observation grid (WHO proofed)• Observation period of 30 minutes, 24/24, 7/7• Minimum 150 opportunities for HH per unit• At least intensive care units• Same methodology before and after campaign
![Page 7: Results of 3 National hand hygiene campaigns in Belgian hospitals 2005-2009 Eva Leens, Anne Simon et le groupe de travail « Vous êtes en de bonnes mains.](https://reader035.fdocuments.us/reader035/viewer/2022062620/551b1e5c5503465e7d8b6707/html5/thumbnails/7.jpg)
RESULTS
![Page 8: Results of 3 National hand hygiene campaigns in Belgian hospitals 2005-2009 Eva Leens, Anne Simon et le groupe de travail « Vous êtes en de bonnes mains.](https://reader035.fdocuments.us/reader035/viewer/2022062620/551b1e5c5503465e7d8b6707/html5/thumbnails/8.jpg)
N observed opportunities
Campaigns
N institutions (with both data before and after
campaign)
N opportunitiesBefore campaign After campaign
2005 129 73 663 72 705
2006-2007 158 88 480 84 883
2008-2009 142 107 653 109 826
TOTAL 269 796 267 414
![Page 9: Results of 3 National hand hygiene campaigns in Belgian hospitals 2005-2009 Eva Leens, Anne Simon et le groupe de travail « Vous êtes en de bonnes mains.](https://reader035.fdocuments.us/reader035/viewer/2022062620/551b1e5c5503465e7d8b6707/html5/thumbnails/9.jpg)
1. HAND HYGIENE COMPLIANCE
![Page 10: Results of 3 National hand hygiene campaigns in Belgian hospitals 2005-2009 Eva Leens, Anne Simon et le groupe de travail « Vous êtes en de bonnes mains.](https://reader035.fdocuments.us/reader035/viewer/2022062620/551b1e5c5503465e7d8b6707/html5/thumbnails/10.jpg)
2040
6080
100
Com
plia
nce
HH
(%
)
1st campaign (2005) 2nd campaign (2006) 3rd campaign (2008)
Before campaign After campaign
n=148 n=127 n=178 n=158 n=168 n=145N hop
48%53%
69%
58%
69%68%+20%
+16% +11%
Distribution of average HH compliance
![Page 11: Results of 3 National hand hygiene campaigns in Belgian hospitals 2005-2009 Eva Leens, Anne Simon et le groupe de travail « Vous êtes en de bonnes mains.](https://reader035.fdocuments.us/reader035/viewer/2022062620/551b1e5c5503465e7d8b6707/html5/thumbnails/11.jpg)
HH compliance in psychiatric hospitals
43% 70%20
4060
8010
0
2005 2006 2008
Psychiatric
Before campaign After campaign
Com
plia
nce
HH
(%
)
Base -line acute hosp:
50% 43%
70%
58%
67%
![Page 12: Results of 3 National hand hygiene campaigns in Belgian hospitals 2005-2009 Eva Leens, Anne Simon et le groupe de travail « Vous êtes en de bonnes mains.](https://reader035.fdocuments.us/reader035/viewer/2022062620/551b1e5c5503465e7d8b6707/html5/thumbnails/12.jpg)
Hand hygiene compliance by profession
020
4060
800
2040
6080
Nurse Aux.nurse
Medical doctor Kine
Before campaign After campaign
Com
plia
nce
HH
(%
)
![Page 13: Results of 3 National hand hygiene campaigns in Belgian hospitals 2005-2009 Eva Leens, Anne Simon et le groupe de travail « Vous êtes en de bonnes mains.](https://reader035.fdocuments.us/reader035/viewer/2022062620/551b1e5c5503465e7d8b6707/html5/thumbnails/13.jpg)
Overall HH compliance by profession (all).2
.4.6
.81
nurse MD
Com
plia
nce
HH
(%
)
Graphs by hhfct
20%
![Page 14: Results of 3 National hand hygiene campaigns in Belgian hospitals 2005-2009 Eva Leens, Anne Simon et le groupe de travail « Vous êtes en de bonnes mains.](https://reader035.fdocuments.us/reader035/viewer/2022062620/551b1e5c5503465e7d8b6707/html5/thumbnails/14.jpg)
Evolution of HH compliancein nurses en physicians
.2.4
.6.8
1
2005 2006 2008 2005 2006 2008
nurse MD
Before campaign After campaign
Com
plia
nce
HH
(%
)
Graphs by hhfct
![Page 15: Results of 3 National hand hygiene campaigns in Belgian hospitals 2005-2009 Eva Leens, Anne Simon et le groupe de travail « Vous êtes en de bonnes mains.](https://reader035.fdocuments.us/reader035/viewer/2022062620/551b1e5c5503465e7d8b6707/html5/thumbnails/15.jpg)
HH compliance by HH indication (all).2
.4.6
.81
Co
mpl
ianc
e H
H (
%)
1 2
Before contact indications
After contact indications
Before campaign After campaign
33%
50%60%
75%
1. Before contact with patient
2. Before clean/invasive action1. After contact with patient
2. After biological liquids exposure
3. After contact with patient environment
![Page 16: Results of 3 National hand hygiene campaigns in Belgian hospitals 2005-2009 Eva Leens, Anne Simon et le groupe de travail « Vous êtes en de bonnes mains.](https://reader035.fdocuments.us/reader035/viewer/2022062620/551b1e5c5503465e7d8b6707/html5/thumbnails/16.jpg)
.2.4
.6.8
1C
om
plia
nce
HH
(%
)
2005_2 2006_2 2008_2
1 2 1 2 1 2
Before contact indications
After contact indications
HH compliance by indication
Before After
27%
50% 54%
75%
+27%
+25%
27%27%
Before Before After After
![Page 17: Results of 3 National hand hygiene campaigns in Belgian hospitals 2005-2009 Eva Leens, Anne Simon et le groupe de travail « Vous êtes en de bonnes mains.](https://reader035.fdocuments.us/reader035/viewer/2022062620/551b1e5c5503465e7d8b6707/html5/thumbnails/17.jpg)
2. HAND RUB SOLUTION USE
![Page 18: Results of 3 National hand hygiene campaigns in Belgian hospitals 2005-2009 Eva Leens, Anne Simon et le groupe de travail « Vous êtes en de bonnes mains.](https://reader035.fdocuments.us/reader035/viewer/2022062620/551b1e5c5503465e7d8b6707/html5/thumbnails/18.jpg)
Proportion Alcool / Alcool + soap0
2040
6080
100
% A
lcoh
ol/(
Alc
oho
l+S
oap)
1st campaign (2005) 2nd campaign (2006) 3rd campaign (2008)
Before campaign After campaign
65%
76%67%
76% 73%78%
![Page 19: Results of 3 National hand hygiene campaigns in Belgian hospitals 2005-2009 Eva Leens, Anne Simon et le groupe de travail « Vous êtes en de bonnes mains.](https://reader035.fdocuments.us/reader035/viewer/2022062620/551b1e5c5503465e7d8b6707/html5/thumbnails/19.jpg)
3 OBSERVATION OF JEWEL AND NAILS
( Basic requirements)
![Page 20: Results of 3 National hand hygiene campaigns in Belgian hospitals 2005-2009 Eva Leens, Anne Simon et le groupe de travail « Vous êtes en de bonnes mains.](https://reader035.fdocuments.us/reader035/viewer/2022062620/551b1e5c5503465e7d8b6707/html5/thumbnails/20.jpg)
Participation
N institutions (%)
N observations
Before campaign 82 (52%) 9.863
After campaign 52 (38%) 6.187
• Optionnal participation (3rd campaign)
![Page 21: Results of 3 National hand hygiene campaigns in Belgian hospitals 2005-2009 Eva Leens, Anne Simon et le groupe de travail « Vous êtes en de bonnes mains.](https://reader035.fdocuments.us/reader035/viewer/2022062620/551b1e5c5503465e7d8b6707/html5/thumbnails/21.jpg)
Impact of the campaign (all)0
510
1520
2530
35%
with
rin
g (
me
an)
before campaign after campaign
% wearing a ring before and after campaign 2008-2009 (all)
05
1015
2025
3035
% w
ith w
atch
(m
ean)
before campaign after campaign
% wearing a watch before and after campaign 2008-2009 (all)
05
10
15
20
25
30
35
% w
ith b
race
let (m
ea
n)
before campaign after campaign
% wearing a bracelet before and after campaign 2008-2009 (all)
![Page 22: Results of 3 National hand hygiene campaigns in Belgian hospitals 2005-2009 Eva Leens, Anne Simon et le groupe de travail « Vous êtes en de bonnes mains.](https://reader035.fdocuments.us/reader035/viewer/2022062620/551b1e5c5503465e7d8b6707/html5/thumbnails/22.jpg)
Impact by institution category
05
1015
2025
3035
% w
ith r
ing
(m
ean
)
before campaign after campaign
% wearing a ring before and after campaign 2008-2009 (all)
05
1015
2025
3035
% w
ith r
ing
(m
ean
)before campaign after campaign
% wearing a ring before and after campaign 2008-2009 (all)
Acute hospitals Long term care and psychiatric institutions
![Page 23: Results of 3 National hand hygiene campaigns in Belgian hospitals 2005-2009 Eva Leens, Anne Simon et le groupe de travail « Vous êtes en de bonnes mains.](https://reader035.fdocuments.us/reader035/viewer/2022062620/551b1e5c5503465e7d8b6707/html5/thumbnails/23.jpg)
Impact on professionnal categories
05
1015
2025
3035
4045
5055
stud nurse dr para sup care oth stud para nurse care dr sup oth
before campaign after campaign
% w
ith r
ing
(m
ean
)
Graphs by time0
510
1520
2530
3540
4550
55
stud nurse care sup para dr oth stud nurse care para sup dr oth
before campaign after campaign
% w
ith w
atch
(mea
n)Graphs by time
Ring Watch
![Page 24: Results of 3 National hand hygiene campaigns in Belgian hospitals 2005-2009 Eva Leens, Anne Simon et le groupe de travail « Vous êtes en de bonnes mains.](https://reader035.fdocuments.us/reader035/viewer/2022062620/551b1e5c5503465e7d8b6707/html5/thumbnails/24.jpg)
Nails0
12
34
5%
with
lon
g na
ils (
me
an)
before campaign after campaign
% with long nails before and after campaign 2008-2009 (all)
01
23
45
% w
ith n
ail p
olis
h (m
ean
)
before campaign after campaign
% with nail polish before and after campaign 2008-2009 (all)
01
23
45
% w
ith n
ail
ext
en
sio
ns
(me
an
)
before campaign after campaign
% with nail extensions before and after campaign 2008-2009 (all)
01
23
45
% w
ith d
irty
nai
ls (
mea
n)
before campaign after campaign
% with dirty nails before and after campaign 2008-2009 (all)
![Page 25: Results of 3 National hand hygiene campaigns in Belgian hospitals 2005-2009 Eva Leens, Anne Simon et le groupe de travail « Vous êtes en de bonnes mains.](https://reader035.fdocuments.us/reader035/viewer/2022062620/551b1e5c5503465e7d8b6707/html5/thumbnails/25.jpg)
Conclusions for basic requirements• Awareness campaign has a positif impact on
jewels wearing and nails hygiene• Ring and /or watches wearing are the most
frequent problems• Impact is variable depending on type of
institutions and professionnal categories (chronic < acute) and (<< physicians)
• Nails hygiene is good in 50% of the institutions• Students are the best !
![Page 26: Results of 3 National hand hygiene campaigns in Belgian hospitals 2005-2009 Eva Leens, Anne Simon et le groupe de travail « Vous êtes en de bonnes mains.](https://reader035.fdocuments.us/reader035/viewer/2022062620/551b1e5c5503465e7d8b6707/html5/thumbnails/26.jpg)
General conclusions: Campaigns were succesfull
- High participation rate- Increase of HH compliance at short and long term - Alcohol rub is widely used
Key factors for succes: - Multi modal awareness campaign- Repetition of campaign- National implication- Political and financial support
![Page 27: Results of 3 National hand hygiene campaigns in Belgian hospitals 2005-2009 Eva Leens, Anne Simon et le groupe de travail « Vous êtes en de bonnes mains.](https://reader035.fdocuments.us/reader035/viewer/2022062620/551b1e5c5503465e7d8b6707/html5/thumbnails/27.jpg)
Antibiotic use management teamsAntibiotic use management teams
1st Camp1st Camp
20052005
2d Camp2d Camp
2006-20072006-2007 3d Camp3d Camp
2008-20092008-2009MRSA new guidelinesMRSA new guidelines
![Page 28: Results of 3 National hand hygiene campaigns in Belgian hospitals 2005-2009 Eva Leens, Anne Simon et le groupe de travail « Vous êtes en de bonnes mains.](https://reader035.fdocuments.us/reader035/viewer/2022062620/551b1e5c5503465e7d8b6707/html5/thumbnails/28.jpg)
Conclusions
Results:- HH compliance nurses > medical doctors- HH compliance after contact > before contact- Pre-campaign compliance still increases after 3 camp- Post-campaign compliance remains stable after 3 camp- Impact of the campaign on HH compliance decreases
Impact on content of 4th HH campaign
![Page 29: Results of 3 National hand hygiene campaigns in Belgian hospitals 2005-2009 Eva Leens, Anne Simon et le groupe de travail « Vous êtes en de bonnes mains.](https://reader035.fdocuments.us/reader035/viewer/2022062620/551b1e5c5503465e7d8b6707/html5/thumbnails/29.jpg)
Thank you for your attention!