Gopal Rao G, Jeanes A, Russell H, Wilson D, Atere-Roberts E, O'Sullivan D, Donaldson N
Department of Microbiology and Infection Control, University Hospital, Lewisham, UK.
Epidemiol Infect. 2009 Oct;137(10):1465-71. doi: 10.1017/S0950268809002210. Epub 2009 Mar 4.
In this prospective cluster randomized controlled trial we evaluated the impact of short-term provision of enhanced infection control support on infection control practice in nursing homes in South London. Twelve nursing homes were recruited, six each in intervention (300 residents) and control (265 residents) groups. Baseline observations of hand hygiene facilities, environmental cleanliness and safe disposal of clinical waste showed poor compliance in both groups. Post-intervention observations showed improvement in both groups. There was no statistical difference between the two groups in the compliance for hand hygiene facilities (P=0.69); environmental cleanliness (P=0.43) and safe disposal of clinical waste (P=0.96). In both groups, greatest improvement was in compliance with safe disposal of clinical waste and the least improvement was in hand hygiene facilities. Since infection control practice improved in intervention and control groups, we could not demonstrate that provision of short-term, enhanced, infection control support in nursing homes had a significant impact in infection control practice.
在这项前瞻性整群随机对照试验中，我们评估了短期提供强化感染控制支持对伦敦南部养老院感染控制实践的影响。招募了12家养老院，干预组（300名居民）和对照组（265名居民）各6家。对手卫生设施、环境卫生和临床废物安全处置的基线观察显示，两组的依从性都很差。干预后的观察显示两组都有改善。两组在手卫生设施依从性（P=0.69）、环境卫生（P=0.43）和临床废物安全处置（P=0.96）方面没有统计学差异。两组中，临床废物安全处置的依从性改善最大，手卫生设施的改善最小。由于干预组和对照组的感染控制实践都有所改善，我们无法证明在养老院提供短期强化感染控制支持对感染控制实践有显著影响。
