Evidence map›Paper›PMID 37275665›Full record

ArticleInternational journal of infection control2021

Improving hand hygiene measures in low-resourced intensive care units: experience at the Kigali University Teaching Hospital in Rwanda.

Jean Paul Mvukiyehe, Eugene Tuyishime, Anne Ndindwanimana, Jennifer Rickard, Olivier Manzi, Gregory R Madden, Marcel E Durieux, Paulin R Banguti

Abstract read
In one paragraph

Article in International journal of infection control, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Observational
  3. Predictors of Compliance to Hand Hygiene among Health Care Workers in Rwanda.Rwanda journal of medicine and health sciences · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Jean Paul MvukiyeheDepartment of Anesthesia, Critical Care and Emergency Medicine, University of Rwanda, Kigali, Rwanda.
Eugene TuyishimeDepartment of Anesthesia, Critical Care and Emergency Medicine, University of Rwanda, Kigali, Rwanda.
Anne NdindwanimanaDepartment of General Medicine, University of Rwanda, Kigali, Rwanda.
Jennifer RickardDepartment of Surgery, University of Minnesota, Minnesota, USA.
Olivier ManziDepartment of Internal Medicine, Kigali University Teaching Hospital, Kigali, Rwanda.
Gregory R MaddenDepartment of Internal Medicine, Division of Infectious Diseases, University of Virginia, Charlottesville, USA.
Marcel E DurieuxDepartment of Anesthesiology, University of Virginia, Charlottesville, USA.
Paulin R BangutiDepartment of Anesthesia, Critical Care and Emergency Medicine, University of Rwanda, Kigali, Rwanda.

Funding

The integrated Translational Health Research Institute of Virginia (iTHRIV): Using Data to Improve HealthUL1TR003015 · NCATS · UNIVERSITY OF VIRGINIA · PI BROWN, DONALD E, JOHNSTON, KAREN C. · 2019 to 2023
$20.3M
Institutional Career Development CoreKL2TR003016 · NCATS · UNIVERSITY OF VIRGINIA · PI PAPIN, JASON, WORRALL, BRADFORD B · 2019 to 2023
$3.9M
Immune profiling to stratify Clostridioides difficile infection outcomesK23AI163368 · NIAID · UNIVERSITY OF VIRGINIA · PI MADDEN, GREGORY RUSSELL · 2021 to 2025
$961k
NCATS NIH HHS KL2 TR003016NCATS NIH HHS UL1 TR003015NIAID NIH HHS K23 AI163368
6 · The paper itself

Abstract

Background: Proper hand hygiene (HH) practices have been shown to reduce healthcare-acquired infections. Several potential challenges in low-income countries might limit the feasibility of effective HH, including preexisting knowledge gaps and staffing. Aim: We sought to evaluate the feasibility of the implementation of effective HH practice at a teaching hospital in Rwanda. Methods: We conducted a prospective quality improvement project in the intensive care unit (ICU) at the Kigali University Teaching Hospital. We collected data before and after an intervention focused on HH adherence as defined by the World Health Organization '5 Moments for Hand Hygiene' and assuring availability of HH supplies. Pre-intervention data were collected throughout July 2019, and HH measures were implemented in August 2019. Post-implementation data were collected following a 3-month wash-in. Results: In total, 902 HH observations were performed to assess pre-intervention adherence and 903 observations post-intervention adherence. Overall, HH adherence increased from 25% (222 of 902 moments) before intervention to 75% (677 of 903 moments) after intervention ( Conclusions: Effective HH measures are feasible in an ICU in a low-income country. Ensuring availability of supplies and training appears key to effective HH practices.

Indexed as

hand hygienehospitalsintensive care unitsless-developed countriesRwanda

Identifiers

PMID37275665
PMCPMC10237047

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.