| Content Provider | Springer Nature : BioMed Central |
|---|---|
| Author | Stiller, Andrea Salm, Florian Bischoff, Peter Gastmeier, Petra |
| Abstract | Background The influence of the hospital’s infrastructure on healthcare-associated colonization and infection rates has thus far infrequently been examined. In this review we examine whether healthcare facility design is a contributing factor to multifaceted infection control strategies. Methods We searched PubMed/MEDLINE, EMBASE and Cochrane Central Register of Controlled Trials (CENTRAL) from 1990 to December 31st, 2015, with language restriction to English, Spanish, German and French. Results We identified three studies investigating accessibility of the location of the antiseptic hand rub dispenser. Each of them showed a significant improvement of hand hygiene compliance or agent consumption with the implementation of accessible dispensers near the patient bed. Nine eligible studies evaluated the impact of single-patient rooms on the acquisition of healthcare-associated colonization and infections in comparison to multi-bedrooms or an open ward design. Six of these studies showed a significant benefit of single-patient bedrooms in reducing the healthcare-associated colonization and infection rate, whereas three studies found that single-patient rooms are neither a protective nor risk factor. In meta-analyses, the overall risk ratio for acquisition of healthcare-associated colonization and infection was 0.55 (95% CI: 0.41 to 0.74), for healthcare-associated colonization 0.52 (95% CI: 0.32 to 0.85) and for bacteremia 0.64 (95% CI: 0.53 to 0.76), all in favor of patient care in single-patient bedrooms. Conclusion Implementation of single-patient rooms and easily accessible hand rub dispensers located near the patient’s bed are beneficial for infection control and are useful parts of a multifaceted strategy for reducing healthcare-associated colonization and infections. |
| Related Links | https://aricjournal.biomedcentral.com/counter/pdf/10.1186/s13756-016-0152-1.pdf |
| Ending Page | 10 |
| Page Count | 10 |
| Starting Page | 1 |
| File Format | HTM / HTML |
| ISSN | 20472994 |
| DOI | 10.1186/s13756-016-0152-1 |
| Journal | Antimicrobial Resistance & Infection Control |
| Issue Number | 1 |
| Volume Number | 5 |
| Language | English |
| Publisher | BioMed Central |
| Publisher Date | 2016-11-29 |
| Access Restriction | Open |
| Subject Keyword | Medical Microbiology Drug Resistance Infectious Diseases Hospital architecture Single-patient room Hand hygiene compliance Hospital room size Healthcare-associated infection Ward design |
| Content Type | Text |
| Resource Type | Review |
| Subject | Public Health, Environmental and Occupational Health Infectious Diseases Microbiology (medical) Pharmacology (medical) |
| Journal Impact Factor | 4.8/2023 |
| 5-Year Journal Impact Factor | 5.8/2023 |
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