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DeBug Infection Prevention Program (DIPP)

Hand Hygiene Solution
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Hand Hygiene Learning Package

Bugs (micro-organisms) are widespread in hospitals

 

Hand Hygiene practices have been universally poor among health care workers.

 
  • Observational studies of Hand Hygiene adherence of health care workers to recommended Hand Hygiene opportunities has been poor, with mean baseline rates of 5%-81%.   Overall, average Hand Hygiene compliance was 40%.   Some types of health care workers are better than others at washing their hands.

Ref: CDC

Why is Hand Hygiene so poor in health care settings?

  • Heavy workloads – the busier you are the more likely you are not to wash your hands.
  • Time consuming – there just isn’t time to wash your hands as often as you need to if using traditional Hand Hygiene techniques. A faster method of Hand Hygiene is likely to improve compliance
  • Hands don’t appear dirty – Bugs are there even though you can’t see them!
  • Problems of skin irritation – frequent washing with soap and water removes skin lipids and in some health care workers causes dryness, skin irritation and damaged skin.
  • Sinks poorly located – if it’s hard to get to a sink you are less likely to use it.
 
Oh dear no cracks to hide in!

Ref: Rotter


Hospital bugs cause infection

  • Hospital-acquired infections cause human suffering and increased health costs.
  • Bugs that cause infections are frequently spread between patients on the hands of health care workers and shared patient equipment.
  • Methicillin resistant staphylococcus aureus (MRSA) often referred to, as “Golden Staph” is responsible for many hospital-acquired infections in Australia.
  • The high rate of MRSA has led to the overuse of antibiotics like vancomycin. This has driven the emergence of vancomycin resistant enterococci (VRE) and other resistant pathogens.
  • MRSA is not the only problem; there are many other strains of antibiotic resistant “superbugs” in Australian hospitals. However the procedures that reduce the rate of MRSA infections also reduce infections from other organisms.
Beware of superbugs!!
Beware of superbugs!!

The Solution

DeBug™ Infection Prevention Program promotes:

  • Effective Hand Hygiene practices
  • Decontamination of shared patient equipment
  • Selected use of mupirocin and triclosan (anti-staphylococcal nasal ointment and body wash)
  • Staff ownership and participation
  • Clinical leadership within the hospital

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