Handrub dispensers per acute care hospital bed: a study to develop a new minimum standard

Antimicrobial Resistance & Infection Control

Marc Dangel¹  Sabine Kuster¹  Reno Frei¹  Jan A. Roth¹  Andreas F. Widmer²  Christoph A. Meier³ 

[1] Division of Infectious Diseases and Hospital Epidemiology, University Hospital Basel, University of Basel, Petersgraben 4, 4031, Basel, Switzerland;Division of Infectious Diseases and Hospital Epidemiology, University Hospital Basel, University of Basel, Petersgraben 4, 4031, Basel, Switzerland;Swissnoso, Swiss National Center for Infenction Prevention, Sulgenecstrasse 35, 3007, Bern, Switzerland;Medical Director, University Hospital Basel, University of Basel, Petersgraben 4, 4031, Basel, Switzerland;Department of Internal Medicine, Clinic and Amublance of Internal Medicine, University Hospital Zurich, University of Zurich, Rämistrasse 100, 8091, Zurich, Switzerland;

关键词: Hand hygiene;    Alcohol-based handrub dispensers;    Location;    Quality standards;   

DOI  :  10.1186/s13756-021-00949-0

来源: Springer

【 摘 要 】

BackgroundAccessibility to alcohol-based handrub (ABHR) dispenser is crucial to improve compliance to hand hygiene (HH), being offered as wall-mounted dispensers (ABHR-Ds), and/or pocket bottles. Nevertheless, information on the distribution and density of ABHR-Ds and their impact on HH have hardly been studied. Institutions such as the World Health Organisation or the Centers for Disease Control and Prevention do not provide guidance. The Robert-Koch-Institute (RKI) from Germany recommends an overall density of > 0.5 dispensers per patient bed. We aimed to investigate current conditions in hospitals to develop a standard on the minimal number of ABHR-D.MethodsBetween 07 and 09/2019, we applied a questionnaire to 178 hospitals participating in the Swissnoso National Surveillance Network to evaluate number and location of ABHR-Ds per bed in acute care hospitals, and compared the data with consumption and compliance with HH.Results110 of the 178 (62%) hospitals provided data representing approximately 20,000 hospital beds. 83% hospitals provided information on both the total number of ABHR-Ds and patient beds, with a mean of 2.4 ABHR-Ds per bed (range, 0.4–22.1). While most hospitals (84%) had dispensers located at the room entrance, 47% reported also locations near or at the bed. Additionally, pocket-sized dispensers (100 mL) are available in 97% of hospitals.ConclusionsSwiss hospitals provide 2.4 dispensers per bed, much more than governmental recommendation. The first study on the number of ABHR-Ds in hospitals may help to define a minimal standard for national and international recommendations

【 授权许可】

CC BY