The effect of improved hand hygiene on nosocomial MRSA control

Antimicrobial Resistance and Infection Control

Stephan Harbarth¹  Didier Pittet²  Kalisvar Marimuthu¹ 

[1]Infection Control Program, Geneva University Hospitals and Faculty of Medicine, 1211 Geneva 14, Switzerland

[2]Infection Control Program and WHO Collaborating Center on Patient Safety, Geneva University Hospitals and Faculty of Medicine, Geneva, Switzerland

关键词: MRSA bacteremia;    MRSA control;    Nosocomial MRSA;    Alcohol-based handrubs;    Multimodal strategy;    Hand washing;    Hand hygiene;   

Others  :  1084041
DOI  :  10.1186/2047-2994-3-34

 received in 2014-10-07, accepted in 2014-11-03,  发布年份 2014

【 摘 要 】

The purpose of this review is to examine studies that have assessed the association between hand hygiene enhancement and methicillin-resistant Staphylococcus aureus (MRSA) rates and to explore controversies surrounding this association. Many studies have been published confirming the link between improved hand hygiene compliance and reduction in MRSA acquisition and infections, including bacteremia. These studies have also shown the cost-beneficial nature of these programmes. Despite considerable research some issues remain unanswered still, including the temporal relationship between hand hygiene enhancement strategies and decrease in MRSA rates, association between hand hygiene enhancement and MRSA-related surgical site infections, diminishing effect of hand hygiene compliance on MRSA rates after reaching a threshold and the role of instituting contact precautions in the setting of low MRSA rates and sufficient hand hygiene compliance. In conclusion, enhancement of hand hygiene compliance has been shown to reduce MRSA rates; however, some open issues warrant further investigation.

【 授权许可】

   
2014 Marimuthu et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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