Hand Hygiene and Glove Use Behavior in an Italian Hospital

In an Italian hospital, we observed that hand hygiene was performed in 638 (19.6%) of 3,253 opportunities, whereas gloves were worn in 538 (44.2%) 1,218 of opportunities. We observed an inverse correlation between the intensity of care and the rate of hand hygiene compliance (R2=0.057; P<.001), but no such association was observed for the rate of glove use compliance (R2 = 0.014; P = .078). Rates of compliance with hand hygiene and glove use recommendations follow different behavioral pattern

Healthcare associated infection: good practices, knowledge and the locus of control in heatlhcare professionals

  The incidence of Healthcare Associated Infections (HAI) is an important indicator of the quality of care. The behaviors associated with the prevention of infections are not only supported by rational knowledge or motivation, but are mediated by social, emotional and often stereotyped behaviors. The awarness of the good practices related to HAI, may be a factor. Other studies, identify how the perception of the problem in healthcare professionals is often influenced by a tendency towards an external Locus of Control: the patient, the family, the other wards, other care settings. The aim of this study is to investigate the perception of healthcare professionals. In particular they have been measured their  awarness of the good practices, perceptions of the potential contamination level of some commonly used objects, knowledge about the management of invasive devices, Locus of Control

Hand hygiene and glove use behavior in an Italian hospital

In an Italian hospital, we observed that hand hygiene was performed in 638 (19.6%) of 3,253 opportunities, whereas gloves were worn in 538 (44.2%) 1,218 of opportunities. We observed an inverse correlation between the intensity of care and the rate of hand hygiene compliance (R2=0.057; P<.001), but no such association was observed for the rate of glove use compliance (R2=0.014; P=.078). Rates of compliance with hand hygiene and glove use recommendations follow different behavioral patterns

Risk of surgical site infections following hip and knee arthroplasty. Results of the ischia-gisio study

Introduzione. L'infezione del sito chirurgico (SSI) è una delle principali complicanze a seguito dell'inserimento della protesi dell'anca o del ginocchio. Lo scopo del presente studio era di descrivere i tassi di SSI e i fattori di rischio associati durante le procedure di protesi dell'anca e del ginocchio negli ospedali italiani. Metodi. Gli ospedali italiani sono stati invitati a unirsi al progetto ISChIA (Infezioni del sito chirurgico in chirurgia di artroplastica) e hanno partecipato allo studio su base volontaria. La sorveglianza SSI è stata eseguita in base al protocollo SSI di collegamento ospedaliero per il controllo delle infezioni attraverso la sorveglianza (HELICS). La popolazione dello studio era composta da tutti i pazienti che avevano avuto una protesi protesica del ginocchio o dell'anca tra marzo 2010 e febbraio 2011. Sono state incluse solo operazioni elettive. Risultati. Sono stati inclusi un totale di 14 ospedali e 1285 procedure chirurgiche. L'incidenza cumulativa di SSI è stata di 1,3 per 100 anca e 2,4 per 100 interventi chirurgici al ginocchio; una tendenza positiva significativa delle incidenze SSI è stata osservata con l'aumento dell'indice di rischio SSI. Nell'analisi multivariata, considerando le procedure dell'anca, il singolo fattore di rischio indipendente associato alla SSI era la lunghezza dell'operazione (RR: 4,54; IC al 95%: 1,06-19,48). Per le procedure al ginocchio, non è stato identificato alcun fattore di rischio significativo. Conclusioni. Nel presente studio, l'incidenza cumulativa SSI era nell'intervallo di dati europei. Tuttavia, è necessario un numero maggiore di operazioni per stimare meglio le tariffe SSI. È già stata condotta una seconda edizione del progetto ISChIA e i risultati dei due sondaggi forniranno nuove conoscenze per approfondire le nostre conoscenze per il controllo delle infezioni.Background. Surgical Site Infection (SSI) is one of the major complications following insertion of hip or knee prosthesis. The aim of the present study was to describe rates of SSIs and associated risk factors during hip and knee prosthesis procedures in Italian hospitals. Methods. Italian hospitals were invited to join the ISChIA (Surgical Site Infections in Arthroplasty Surgery) project and participated in the study on a voluntary basis. SSI surveillance was performed according to the Hospitals in Europe Link for Infection Control through Surveillance (HELICS)-SSI protocol. The study population consisted of all patients who had a prosthetic knee or hip joint replacement between March 2010 and February 2011. Only elective operations were included. Results. A total of 14 hospitals and 1285 surgical procedures were included. SSI cumulative incidence was 1.3 per 100 hip and 2.4 per 100 knee surgical procedures; a significant positive trend of SSI incidences was observed with increasing SSI risk index. In multivariate analysis, considering hip procedures, the single independent risk factor associated to SSI was operation length (RR: 4.54; 95%CI: 1.06-19.48). For knee procedures, no significant risk factor was identified. Conclusions. In the present study, SSI cumulative incidence was in the range of European data. However, a larger number of operations is needed to better estimate SSI rates. A second edition of the ISChIA project has been already conducted and results of the two surveys will provide new insight to further our knowledge for infection control

Risk of surgical site infections following hip and knee arthroplasty. Results of the ischia-gisio study

Introduzione. L'infezione del sito chirurgico (SSI) è una delle principali complicanze a seguito dell'inserimento della protesi dell'anca o del ginocchio. Lo scopo del presente studio era di descrivere i tassi di SSI e i fattori di rischio associati durante le procedure di protesi dell'anca e del ginocchio negli ospedali italiani. Metodi. Gli ospedali italiani sono stati invitati a unirsi al progetto ISChIA (Infezioni del sito chirurgico in chirurgia di artroplastica) e hanno partecipato allo studio su base volontaria. La sorveglianza SSI è stata eseguita in base al protocollo SSI di collegamento ospedaliero per il controllo delle infezioni attraverso la sorveglianza (HELICS). La popolazione dello studio era composta da tutti i pazienti che avevano avuto una protesi protesica del ginocchio o dell'anca tra marzo 2010 e febbraio 2011. Sono state incluse solo operazioni elettive. Risultati. Sono stati inclusi un totale di 14 ospedali e 1285 procedure chirurgiche. L'incidenza cumulativa di SSI è stata di 1,3 per 100 anca e 2,4 per 100 interventi chirurgici al ginocchio; una tendenza positiva significativa delle incidenze SSI è stata osservata con l'aumento dell'indice di rischio SSI. Nell'analisi multivariata, considerando le procedure dell'anca, il singolo fattore di rischio indipendente associato alla SSI era la lunghezza dell'operazione (RR: 4,54; IC al 95%: 1,06-19,48). Per le procedure al ginocchio, non è stato identificato alcun fattore di rischio significativo. Conclusioni. Nel presente studio, l'incidenza cumulativa SSI era nell'intervallo di dati europei. Tuttavia, è necessario un numero maggiore di operazioni per stimare meglio le tariffe SSI. È già stata condotta una seconda edizione del progetto ISChIA e i risultati dei due sondaggi forniranno nuove conoscenze per approfondire le nostre conoscenze per il controllo delle infezioni.Background. Surgical Site Infection (SSI) is one of the major complications following insertion of hip or knee prosthesis. The aim of the present study was to describe rates of SSIs and associated risk factors during hip and knee prosthesis procedures in Italian hospitals. Methods. Italian hospitals were invited to join the ISChIA (Surgical Site Infections in Arthroplasty Surgery) project and participated in the study on a voluntary basis. SSI surveillance was performed according to the Hospitals in Europe Link for Infection Control through Surveillance (HELICS)-SSI protocol. The study population consisted of all patients who had a prosthetic knee or hip joint replacement between March 2010 and February 2011. Only elective operations were included. Results. A total of 14 hospitals and 1285 surgical procedures were included. SSI cumulative incidence was 1.3 per 100 hip and 2.4 per 100 knee surgical procedures; a significant positive trend of SSI incidences was observed with increasing SSI risk index. In multivariate analysis, considering hip procedures, the single independent risk factor associated to SSI was operation length (RR: 4.54; 95%CI: 1.06-19.48). For knee procedures, no significant risk factor was identified. Conclusions. In the present study, SSI cumulative incidence was in the range of European data. However, a larger number of operations is needed to better estimate SSI rates. A second edition of the ISChIA project has been already conducted and results of the two surveys will provide new insight to further our knowledge for infection control

Risk of surgical site infections following hip and knee arthroplasty : results of the ISChIA-GISIO study

Background Surgical Site Infection (SSI) is one of the major complications following insertion of hip or knee prosthesis. The aim of the present study was to describe rates of SSIs and associated risk factors during hip and knee prosthesis procedures in Italian hospitals Methods Italian hospitals were invited to join the ISChIA (Surgical Site Infections in Arthroplasty Surgery) project and participated in the study on a voluntary basis. SSI surveillance was performed according to the Hospitals in Europe Link for Infection Control through Surveillance (HELICS) -SSI protocol. The study population consisted of all patients who had a prosthetic knee or hip joint replacement between March 2010 and February 2011. Only elective operations were included Results A total of 14 hospitals and 1285 surgical procedures were included. SSI cumulative incidence was 1.3 per 100 hip and 2.4 per 100 knee surgical procedures; a significant positive trend of SSI incidences was observed with increasing SSI risk index. In multivariate analysis, considering hip procedures, the single independent risk factor associated to SSI was operation length (RR: 4.54; 95%CI: 1.06-19.48). For knee procedures, no significant risk factor was identified Conclusions In the present study, SSI cumulative incidence was in the range of European data. However, a larger number of operations is needed to better estimate SSI rates. A second edition of the ISChIA project has been already conducted and results of the two surveys will provide new insight to further our knowledge for infection contro