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2022-02-17Zeitschriftenartikel
Effectiveness and sustainability of the WHO multimodal hand hygiene improvement strategy in the University Hospital Bouaké, Republic of Côte d'Ivoire in the context of the COVID-19 pandemic
dc.contributor.authorMüller, Sophie Alice
dc.contributor.authorN’Guessan, Micheline
dc.contributor.authorWood, Rebekah
dc.contributor.authorLandsmann, Lena
dc.contributor.authorRocha, Carlos
dc.contributor.authorKouame, Bléoué Jean
dc.contributor.authorDjadji, Dominique
dc.contributor.authorAbrokwa, Seth Kof
dc.contributor.authorEckmanns, Tim
dc.contributor.authorArvand, Mardjan
dc.contributor.authorDiané, Bamourou
dc.contributor.authorBorchert, Matthias
dc.date.accessioned2022-05-05T06:35:31Z
dc.date.available2022-05-05T06:35:31Z
dc.date.issued2022-02-17none
dc.identifier.other10.1186/s13756-021-01032-4
dc.identifier.urihttp://edoc.rki.de/176904/9687
dc.description.abstractIntroduction: The most frequent adverse events in healthcare are healthcare-associated infections, whose burden is highest in resource-limited settings. In addition, low resource settings often lack Hand Hygiene (HH) knowledge and reliable supply to disinfectant, a necessity emphasized by the past West African Ebola Epidemic and the ongoing COVID-19 pandemic. PASQUALE aims to increase patient safety by introducing the WHO multimodal HH strategy in the University Hospital Bouaké, Côte d’Ivoire. Methods: Assessment of HH knowledge, perception and compliance was performed 12 months before, right after the intervention and at a ten months interval using questionnaires for knowledge and perception and direct observation for compliance. The intervention consisted of a HH training and the introduction of local production of alcohol-based hand-rub. In the absence of a control group, the effectiveness of the intervention was assessed by a before-and-after study. Results: Baseline knowledge score was 14/25, increased significantly to 17/25 (p < 0.001) upon first and decreased to 13/25 in second follow-up. Compliance showed a significant increase from 12.7% to 36.8% (p < 0.001) in first and remained at 36.4% in second follow-up. Alcohol-based hand-rub production and consumption almost doubled after first confirmed COVID-19 case in Côte d’Ivoire. Conclusion: The WHO HH improvement strategy is an effective and pandemic-adaptable method to increase long-term HH compliance. This study emphasizes that the implementation of the strategy to build a robust system is of utmost importance.eng
dc.language.isoengnone
dc.publisherRobert Koch-Institut
dc.rights(CC BY 3.0 DE) Namensnennung 3.0 Deutschlandger
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/de/
dc.subjectHand hygieneeng
dc.subjectWHO multimodal strategyeng
dc.subjectFirst WHO Global Patient Safety Challengeeng
dc.subjectClean care is safer careeng
dc.subjectClean handseng
dc.subjectInfection prevention and controleng
dc.subjectHealthcare-associated infectionseng
dc.subjectNosocomial infectionseng
dc.subjectAlcohol-based hand rubeng
dc.subjectAHRBeng
dc.subjectLocal disinfectant productioneng
dc.subjectBouakéeng
dc.subjectCôte d’Ivoireeng
dc.subjectUniversity Hospitaleng
dc.subject.ddc610 Medizin und Gesundheitnone
dc.titleEffectiveness and sustainability of the WHO multimodal hand hygiene improvement strategy in the University Hospital Bouaké, Republic of Côte d'Ivoire in the context of the COVID-19 pandemicnone
dc.typearticle
dc.identifier.urnurn:nbn:de:0257-176904/9687-0
dc.type.versionpublishedVersionnone
local.edoc.container-titleAntimicrobial Resistance & Infection Controlnone
local.edoc.container-issn2047-2994none
local.edoc.type-nameZeitschriftenartikel
local.edoc.container-typeperiodical
local.edoc.container-type-nameZeitschrift
local.edoc.container-urlhttps://aricjournal.biomedcentral.com/articles/10.1186/s13756-021-01032-4none
local.edoc.container-publisher-nameBioMed Centralnone
local.edoc.container-volume11none
local.edoc.container-issue36none
local.edoc.container-year2022none
dc.description.versionPeer Reviewednone

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