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Hand hygiŽne in Nursing Homes


- candidate number25453
- NTR NumberNTR6188
- ISRCTNISRCTN no longer applicable
- Date ISRCTN created
- date ISRCTN requested
- Date Registered NTR25-okt-2016
- Secondary IDs50-53000-98-151 ZonMW
- Public TitleHand hygiŽne in Nursing Homes
- Scientific TitleInnovations in improving hand hygiene in long-term care facilities
- ACRONYMHANDSOME
- hypothesisAn intervention in hand hygiŽne should increase hand hygiŽne compliance. An intervention will be implemented at two different moments to see which is more succesful.
- Healt Condition(s) or Problem(s) studiedHand hygene
- Inclusion criteriaThe organization needs to have a minimum of three and a maximum of four locations in the study. The location should have a minimum of two units. Each unit should have three or more nurses or nurse aids (MBO-3 level or higher) on staff between 7 am and 12 noon. The units need to be somatic, psychogeriatric or psychiatric units. If the units themselves are not large enough (or the location is not large enough), units (or small locations) can be combined.

The organization needs to be responsible for supplying hand hygiŽne products. If a unit is a combined unit with "long term health care" residents (verzorging), then it may be included if the organization takes responsibility for supplying hand hygiŽne products to all residents. If the location has no "units", but is very large with a staff of more than 6 people that work throughout the units between 7 am and noon, then the entire location is considered the equivalent of two units.
- Exclusion criteriaLong term health care centers (verzorgingshuizen) and home care situations are excluded. Rehabilitation units are also excluded. Organizations with fewer than three locations are excluded.
- mec approval receivedyes
- multicenter trialyes
- randomisedyes
- masking/blinding[default]
- control[default]
- group[default]
- Type2 or more arms, randomized
- Studytypeintervention
- planned startdate 1-dec-2016
- planned closingdate1-feb-2020
- Target number of participants55
- Interventions- Conversation with management which may, among other things, lead towards changes in the environment.
- Live training of nurses and nurse's aides in groups
- Online training of nurses and nurse's aides
- SMS messages
- Posters
- Primary outcomeHand hygiŽne compliance
- Secondary outcome- Infection incidence, measured on a weekly basis
Additional outcomes:
- Environmental contamination changes
- Change (increase/decrease) in use of HH products during the course of the study
- Possibly: cost-effectiveness analysis
- TimepointsAfter the baseline, follow-up measurements will take place approximately 3 months, 6 months and 12 months after the intervention implementation.
- Trial web sitewww.rotterdam.nl
- statusopen: patient inclusion
- CONTACT FOR PUBLIC QUERIES Gwen Teesing
- CONTACT for SCIENTIFIC QUERIES Gwen Teesing
- Sponsor/Initiator Erasmus Medical Center, GGD (Municipal Health Service) Rotterdam e.o.
- Funding
(Source(s) of Monetary or Material Support)
ZON-MW, The Netherlands Organization for Health Research and Development
- PublicationsArticles will be submitted for publication starting 2017.
- Brief summaryNursing homes are environments highly favourable to the aquisition and spread of infection, with susceptible residents sharing common sources of air, food, water and health care. Good hand hygiŽne is considered the single most important intervention to control the transmission of infectious disease in nursing homes. The main aim of this study is to evaluate the effectiveness of an intervention to improve hand hygiŽne compliance in nursing homes in the Netherlands. A secondary aim is to study alternative means to measure hand hygiŽne compliance, including monitoring pathogens in the immediate environment.
- Main changes (audit trail)
- RECORD25-okt-2016 - 19-feb-2017


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