ArticleFrontiers in medicine2022
Indications for hand and glove disinfection in Advanced Cardiovascular Life Support: A manikin simulation study.
Article in Frontiers in medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 11 citations in OpenAlex.
- Using a basic life support stress-test to assess the influence of ethanol-based hand rubs nitril gloves and of physically demanding clinical tasks on personal protective equipment fit (GLOVDIS-1) - a pilot Manikin study.GMS hygiene and infection control · 2026Article
- Assessment of a simulation-based implementation method to support the introduction of a new invasive device: a prospective cross-over study.BMJ open quality · 2025Article
- Feasibility of hand disinfection in paediatric advanced life support (PALS): A simulation study.Infection prevention in practice · 2025Article
- Interaction between overconfidence effects and training formats in nurses' education in hand hygiene.BMC nursing · 2024Article
- Hand hygiene in emergencies: Multiprofessional perceptions from a mixed methods based online survey in Germany.International journal of nursing studies advances · 2024Article
Corrections and comments
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Authors and funding
7 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background and aim: There are no investigations on hand hygiene during cardiopulmonary resuscitation (CPR), even though these patients are at high risk for healthcare-associated infections. We aimed to evaluate the number of indicated hand hygiene per CPR case in general and the fraction that could be accomplished without delay for other life-saving techniques through standardized observations. Materials and methods: In 2022, we conducted Advanced Cardiovascular Life Support (ACLS) courses over 4 days, practicing 33 ACLS case vignettes with standard measurements of chest compression fractions and hand hygiene indications. A total of nine healthcare workers (six nurses and three physicians) participated. Results: A total of 33 training scenarios resulted in 613 indications for hand disinfection. Of these, 150 (24%) occurred before patient contact and 310 (51%) before aseptic activities. In 282 out of 310 (91%) indications, which have the highest impact on patient safety, the medication administrator was responsible; in 28 out of 310 (9%) indications, the airway manager was responsible. Depending on the scenario and assuming 15 s to be sufficient for alcoholic disinfection, 56-100% (mean 84.1%, SD ± 13.1%) of all indications could have been accomplished without delaying patient resuscitation. Percentages were lower for 30-s of exposure time. Conclusion: To the best of our knowledge, this is the first study investigating the feasibility of hand hygiene in a manikin CPR study. Even if the feasibility is overestimated due to the study setup, the fundamental conclusion is that a relevant part of the WHO indications for hand disinfection can be implemented without compromising quality in acute care, thus increasing the overall quality of patient care.
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