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Hand Hygiene Program Tied to Lower Nursing Home Mortality

Multifaceted program associated with lower mortality, antibiotic prescriptions over one year

FRIDAY, Feb. 23, 2018 (HealthDay News) — A multifaceted hand hygiene (HH) program may have a short-term impact on mortality in nursing homes (NHs), according to a study published in the February issue of the American Journal of Infection Control.

Laura Temime, from Laboratoire MESuRS in Paris, and colleagues assessed the impact of a multifaceted HH program on the infectious risk in NHs. Twenty-six NHs were randomly assigned to either the control or the intervention group, which consisted of implementation of a bundle of HH-related measures over one year, including increased availability of alcohol-based hand rub, HH promotion, staff education, and local work groups.

The researchers found that the overall hand rub consumption was higher in the intervention group over the one-year study period. The two groups did not differ with respect to hospitalizations, but the intervention group had significantly lower mortality (2.1 versus 2.65 per 100 residents per month) and antibiotic prescriptions (5.0 versus 5.8 defined daily doses per 100 resident days).

“A multifaceted HH intervention may have a short-term impact on mortality in NHs,” the authors write. “Nevertheless, other strategies may remain necessary to reduce morbidity.”

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