A Lenez

B Gordts

B Heyneman

D Pittet

E Nulens

H Sax

null null

S Pinxten

BMC Proceedings

English

PubMed

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Reduction of hospital-acquired MRSA as a result of increased use of hydoalcoholic handrub solution: a 7 year follow-up

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ORAL PRESENTATION Open Access
Reduction of hospital-acquired MRSA as a result
of increased use of hydoalcoholic handrub
solution: a 7 year follow-up
B Heyneman1*, E Nulens1, A Lenez1, S Pinxten1, B Gordts2, H Sax3, D Pittet3,
Infection control team AZ Sint-Jan Brugge-Oostende
From International Conference on Prevention & Infection Control (ICPIC 2011)
Geneva, Switzerland. 29 June – 2 July 2011
Introduction / objectives
In the Sint Jan General Hospital, a 900 bed public and
teaching hospital, incidence of hospital acquired MRSA
(HA-MRSA) increased till 2003 to 5.5/1.000 admissions
(adm). In 2004 VigiGerme®, a strategy to fight MRSA
by reducing transmission was implemented in collabora-
tion with the University Hospitals of Geneva, in order to
reduce the HA-MRSA.
Methods
According to standard dosages used and the quantity of
Hydroalcoholic Handrub Solution (HAHS) consumed,
the theoretical number of handrub actions could be cal-
culated as an indicator for the hand hygiene (HH) com-
pliance in hospital wards by registering the consumption
of HAHS related to patient days. Besides, a bed-side
measurement of compliance with hand hygiene was per-
formed, indicating the number of opportunities for HH.
Data registration and statistical analysis was performed
with MS-Excel® and SPSS®. Feedback was given per
ward every 6 months. Day by day follow-up of MRSA
attack-rate was performed by the infection control team
and feedback and education was given per ward on reg-
ular base.
Results
Implementation of the IC program resulted in signifi-
cant increase of the use of HAHS by 81% (p<0.001).
HA-MRSA significantly decreased from 5,5/1.000 adm
in 2003 to 0,76/1.000 adm in 2010. Hospital-wide analy-
sis indicates a clear correlation between HAHS
consumption and decrease of HA-MRSA. Pearson corre-
lation is statistically significant (-.839 p = .018). This
suggests that increased use of HAHS is associated with
lower HA-MRSA.
Conclusion
During this hospital wide IC program, the significant
increased use of HAHS correlated well with the decrease
of HA-MRSA. These results indicate that consumption
of HAHS is a good indicator for the decrease of HA-
MRSA.
Disclosure of interest
None declared.
Author details
1IC team, AZ Sint-Jan Brugge-Oostende, Brugge, Belgium. 2IC team, ZNA,
Antwerpen, Belgium. 3IC team, University Hospitals, Geneva, Switzerland.
Published: 29 June 2011
doi:10.1186/1753-6561-5-S6-O87
Cite this article as: Heyneman et al.: Reduction of hospital-acquired
MRSA as a result of increased use of hydoalcoholic handrub solution: a
7 year follow-up. BMC Proceedings 2011 5(Suppl 6):O87.
1IC team, AZ Sint-Jan Brugge-Oostende, Brugge, Belgium
Full list of author information is available at the end of the article
Heyneman et al. BMC Proceedings 2011, 5(Suppl 6):O87
http://www.biomedcentral.com/1753-6561/5/S6/O87
© 2011 Heyneman et al; licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative
Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and
reproduction in any medium, provided the original work is properly cited.


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Reduction of hospital-acquired MRSA as a result of increased use of hydoalcoholic handrub solution: a 7 year follow-up

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