title: Impact of INICC Multidimensional Hand Hygiene Approach in ICUs in Four Cities in Argentina.
abstract: We evaluated the impact of the International Nosocomial Infection Control Consortium multidimensional approach to hand hygiene in 11 intensive care units in 4 cities in Argentina and analyzed predictors of poor hand hygiene compliance. We had a baseline period and a follow-up period. We observed 21 100 hand hygiene opportunities. Hand hygiene compliance increased from 28.3% to 64.8% (P = .0001). Males versus females (56.8% vs 66.4%; P < .001) and physicians versus nurses (46.6% vs 67.8%; P < .001) were significantly associated with poor hand hygiene compliance.
authors.affiliation: International Nosocomial Infection Control Consortium (INICC), Buenos Aires, Argentina (Dr Rosenthal); Centro Médico Bernal, Bernal, Argentina (Dr Rosenthal); Centro Médico Colegiales, Buenos Aires, Argentina (Dr Rosenthal); Hospital Interzonal General de Agudos Presidente Perón, Avellaneda, Argentina (Drs Viegas, Romani, Di Núbila, Lanzetta, Rossetti, Migazzi, Barolin, and Fernández, and Ms Martínez); Clínica Estrada, Buenos Aires, Argentina (Dr Sztokhamer), Centro Gallego de Buenos Aires, Buenos Aires, Argentina (Drs Benchetrit, de los Ángeles Caridi, Messina, and Ricci, and Mr Bonaventura); Hospital Interzonal General de Agudos Evita, Lanús, Argentina (Drs Santoro and Soroka); Hospital Narciso López, Lanús, Argentina (Mr Lastra); and Clínica Modelo de Lanús, Lanús, Argentina (Drs Romani and Frías).
authors.forename: Victor D
authors.initials: VD
authors.lastname: Rosenthal
authors.forename: Mónica
authors.initials: M
authors.lastname: Viegas
authors.forename: Daniel
authors.initials: D
authors.lastname: Sztokhamer
authors.forename: Guillermo
authors.initials: G
authors.lastname: Benchetrit
authors.forename: Beatriz
authors.initials: B
authors.lastname: Santoro
authors.forename: Carlos Esteban
authors.initials: CE
authors.lastname: Lastra
authors.forename: Adriana
authors.initials: A
authors.lastname: Romani
authors.forename: Beatriz Marta Alicia
authors.initials: BM
authors.lastname: Di Núbila
authors.forename: Diana
authors.initials: D
authors.lastname: Lanzetta
authors.forename: Leonardo J
authors.initials: LJ
authors.lastname: Fernández
authors.forename: María Adelaida
authors.initials: MA
authors.lastname: Rossetti
authors.forename: Claudia
authors.initials: C
authors.lastname: Migazzi
authors.forename: Clarisa
authors.initials: C
authors.lastname: Barolin
authors.forename: Estela
authors.initials: E
authors.lastname: Martínez
authors.forename: Claudio
authors.initials: C
authors.lastname: Bonaventura
authors.forename: Maria de Los Ángeles
authors.initials: Mde L
authors.lastname: Caridi
authors.forename: Adriana
authors.initials: A
authors.lastname: Messina
authors.forename: Beatriz
authors.initials: B
authors.lastname: Ricci
authors.forename: Luisa C
authors.initials: LC
authors.lastname: Soroka
authors.forename: María Laura
authors.initials: ML
authors.lastname: Frías
mesh_terms: D001118:Argentina; D003428:Cross Infection / Q000517:prevention & control; D005260:Female; D019983:Guideline Adherence; D063373:Hand Hygiene / Q000592:standards*; D006282:Health Personnel / Q000193:education / Q000592:standards; D006801:Humans; D017053:Infection Control / Q000592:standards; D007362:Intensive Care Units; D008297:Male; D011446:Prospective Studies; D058996:Quality Improvement; D012737:Sex Factors