%0 Journal Article %1 sroka_impact_2010 %A Sroka, S %A Gastmeier, P %A Meyer, E %D 2010 %J The Journal of Hospital Infection %K Adherence, Alcohols, Disinfectants, Drug Guideline Hand, Handwashing, Hospitals, Humans, Outcome Staphylococcus Treatment Utilization, aureus, {Methicillin-Resistant} %N 3 %P 204--211 %R 10.1016/j.jhin.2009.08.023 %T Impact of alcohol hand-rub use on meticillin-resistant Staphylococcus aureus: an analysis of the literature %U http://www.ncbi.nlm.nih.gov/pubmed/20061061 %V 74 %X We aimed to evaluate the impact of alcohol hand disinfection with alcohol hand rub (AHR) as surrogate parameter of compliance or with compliance observations on the meticillin-resistant Staphylococcus aureus (MRSA) situation in hospital settings. Medline was searched for the keywords 'hand hygiene', 'compliance', 'disinfection', 'time series analysis' combined with 'meticillin-resistant Staphylococcus aureus/MRSA'. Data were included only from studies reporting exact numbers of AHR and/or compliance observations of MRSA situations over time. The literature search resulted in 272 hits, of which 12 studies met the inclusion criteria. The amount of AHR ranged between 3 and 78 mL/patient-day (pd) at the beginning and increased to 12 to 103 mL/pd at the end of the intervention studies. Compliance with hand disinfection ranged between 20\% and 64\% at the beginning and between 42\% and 71\% at the end. An increase in AHR correlated significantly with an improvement in the MRSA situation (r=0.78), whereas there was no such correlation between compliance and MRSA. An increased consumption of AHR was associated with a significant reduction of MRSA rates.

@article{sroka_impact_2010, abstract = {We aimed to evaluate the impact of alcohol hand disinfection with alcohol hand rub {(AHR)} as surrogate parameter of compliance or with compliance observations on the meticillin-resistant Staphylococcus aureus {(MRSA)} situation in hospital settings. Medline was searched for the keywords 'hand hygiene', 'compliance', 'disinfection', 'time series analysis' combined with 'meticillin-resistant Staphylococcus {aureus/MRSA'.} Data were included only from studies reporting exact numbers of {AHR} and/or compliance observations of {MRSA} situations over time. The literature search resulted in 272 hits, of which 12 studies met the inclusion criteria. The amount of {AHR} ranged between 3 and 78 {mL/patient-day} (pd) at the beginning and increased to 12 to 103 {mL/pd} at the end of the intervention studies. Compliance with hand disinfection ranged between 20\% and 64\% at the beginning and between 42\% and 71\% at the end. An increase in {AHR} correlated significantly with an improvement in the {MRSA} situation (r=0.78), whereas there was no such correlation between compliance and {MRSA.} An increased consumption of {AHR} was associated with a significant reduction of {MRSA} rates.}, added-at = {2011-03-11T10:05:34.000+0100}, author = {Sroka, S and Gastmeier, P and Meyer, E}, biburl = {https://www.bibsonomy.org/bibtex/2a8a6fefde7bba402f4aef341391c0ab8/jelias}, doi = {10.1016/j.jhin.2009.08.023}, interhash = {5c76e15f310002819aea5d37266e71ac}, intrahash = {a8a6fefde7bba402f4aef341391c0ab8}, issn = {1532-2939}, journal = {The Journal of Hospital Infection}, keywords = {Adherence, Alcohols, Disinfectants, Drug Guideline Hand, Handwashing, Hospitals, Humans, Outcome Staphylococcus Treatment Utilization, aureus, {Methicillin-Resistant}}, month = mar, note = {{PMID:} 20061061}, number = 3, pages = {204--211}, shorttitle = {Impact of alcohol hand-rub use on meticillin-resistant Staphylococcus aureus}, timestamp = {2011-03-11T10:05:42.000+0100}, title = {Impact of alcohol hand-rub use on meticillin-resistant Staphylococcus aureus: an analysis of the literature}, url = {http://www.ncbi.nlm.nih.gov/pubmed/20061061}, volume = 74, year = 2010 }