Hand hygiene compliance in a universal gloving setting.

• 資料種別: 博士論文
• タイトル: Hand hygiene compliance in a universal gloving setting.
• 著者・編者: Kuruno, Noriko; Kasahara, Kei; Mikasa, Keiichi
• 著者標目: Kuruno, Noriko; Kasahara, Kei; Mikasa, Keiichi
• 出版事項: Elsevier
• 出版年月日等: 2017
• 出版年（W3CDTF）: 2017
• 並列タイトル等: ユニバーサルグラビングにおける手指衛生遵守率
• タイトル（掲載誌）: American journal of infection control
• 巻号年月日等（掲載誌）: 45 8
• 掲載巻: 45
• 掲載号: 8
• 掲載ページ: 830-834
• ISSN（掲載誌）: ISSN : 0196-6553
• 授与機関名: 奈良県立医科大学
• 授与年月日: 2017-06-28
• 報告番号: 甲第671号
• 学位: 博士（医学）
• 本文の言語コード: eng
• 件名標目: hand hygiene compliance; universal gloving; direct observation
• 対象利用者: 一般
• 一般注記: type:Thesis; Background: The use of gloves for every patient contact (universal gloving) has been suggested as an infection prevention adjunct and alternative to contact precautions. However, gloves may carry organisms unless they are changed properly. In addition, hand hygiene is required before donning and after removing gloves, and there are scarce data regarding glove changing and hand hygiene in a universal gloving setting. Methods: This non-randomized observational before-after study evaluated the effect of education and feedback regarding hand hygiene. Compliance with hand hygiene and glove use was directly observed in a universal gloving setting at a 10-bed intensive care unit in a Japanese tertiary care teaching university hospital. Results: A total of 6,050 hand hygiene opportunities were identified. Overall hand hygiene compliance steadily increased from study period 1 (16.1%) to period 5 (56.8%), although there were indication-specific differences in the baseline compliance, the degree of improvement, and the reasons for non-compliance. There were decreases in the compliance for universal gloving and the incidence of methicillin-resistant Staphylococcus aureus. Conclusion: It is difficult to properly perform glove use and hand hygiene in a universal gloving setting, given its complexity. Direct observation with specific feedback and education may be effective in improving compliance.; 博士（医学）・甲第671号・平成29年6月28日; Copyright © 2017 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.; identifier:American journal of infection control Vol.45 No.8 p.830-834 (2017 Aug); identifier:01966553; identifier:http://ginmu.naramed-u.ac.jp/dspace/handle/10564/3343; identifier:American journal of infection control, 45(8): 830-834
• オンライン閲覧公開範囲: インターネット公開
• 連携機関・データベース: 国立情報学研究所 : 学術機関リポジトリデータベース（IRDB）（機関リポジトリ）; https://irdb.nii.ac.jp
• 提供元機関・データベース: 奈良県立医科大学 : 奈良県立医科大学機関リポジトリ GINMU

目次

http://ginmu.naramed-u.ac.jp/dspace/bitstream/10564/3343/1/01%e7%94%b2671%e6%9c%ac%e6%96%87%e3%81%ae%e8%a6%81%e6%97%a8.pdf fulltext

http://ginmu.naramed-u.ac.jp/dspace/bitstream/10564/3343/2/02%e7%94%b2671%e5%af%a9%e6%9f%bb%e8%a6%81%e6%97%a8.pdf fulltext

http://ginmu.naramed-u.ac.jp/dspace/bitstream/10564/3343/8/03%e7%94%b2671%e6%9c%ac%e6%96%87.pdf fulltext