305. Alcohol-based Hand Rub Consumption in German Hospitals - Results of 6 Years of Surveillance
Session: Poster Abstract Session: Hand Hygiene in Healthcare Settings
Thursday, October 3, 2013
Room: The Moscone Center: Poster Hall C
Posters
  • PosterBehnkeIDWeek2013v3_nachRyan.pdf (210.6 kB)
  • Background: The surveillance module HAND-KISS, a part of the German national nosocomial infection surveillance system (KISS), measures alcohol-based hand rub consumption (AHC) in hospitals, outpatient care centers and nursing homes. We analyzed the development of AHC in hospitals between the years 2007 and 2012.

    Methods:

    Hospitals participating the surveillance system send their ward-based AHC and  patient days for one calendar year annually to the study center. The surveillance system calculates the amount of milliliters (ml) AHC per patient day (PD) and provides the hospitals with a result report. All hospital data are summarized and these reference data are published on the KISS website once a year. Hospitals using the same surveillance method can compare their AHC and benchmark themselves. To determine changes in AHC, we selected those hospitals, which sent AHC data continuously every calendar year from 2007 to 2012. Additional we combined every unit with same specialty into stratified groups.

    For all groups we estimated the median AHC (interquartile range, IQR) for every year and compared the results.

    Results:

    139 hospitals with 1332 wards transmitted data over 6 years from 2007 to 2012 to HAND-KISS (Table).

    In the group of ICUs (205 wards), the median was 67 ml/PD in 2007 (IQR, 51 ml/PD-95 ml/PD) and 97 ml/PD in 2012 (IQR, 78 ml/PD-127 ml/PD). This is a 42% increase of AHC in 6 years.

    1127 Non-ICUs had a median AHC of 14 ml/PD in 2007 (IQR, 12 ml/PD-18 ml/PD) and 24 ml/PD in 2012 (IQR, 19 ml/PD-28 ml/PD). The AHC increased 65% in 6 years.

    Conclusion:

    We found an increase of AHC in every specialty over a period of 6 years.

    This result has received a great deal of attention in the individual hospitals, as we have learned from HAND-KISS user meetings. With HAND-KISS we have developed a tool to benchmark the AHC of single hospital wards compared to the whole of the ward's specialty.

    Table: AHC of HAND-KISS participating hospitals (n=139)

     

    Type of wards

    No of hospitals

    No of wards

    2007 Median (ml/PD)

    2012 Median (ml/PD)

    Change of AHC (Median)

    Change of AHC (Median) %

    All ICUs

    113

    205

    67

    97

    29

    42

    All Non-ICUs

    131

    1127

    14

    24

    9

    65

    All wards

    139

    1332

    18

    28

    10

    61

    Michael Behnke, PhD, Petra Gastmeier, MD, Christine Geffers, MD and Christiane Reichardt, MD, Institute of Hygiene and Environmental Medicine, Charité – University Medicine Berlin, Berlin, Germany

    Disclosures:

    M. Behnke, None

    P. Gastmeier, None

    C. Geffers, None

    C. Reichardt, None

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