U81
Conditions
Interventions
Group 1: After inclusion in SIMoN, the study stations start with the interventions. The alternative infection prevention strategies include intensifying hand hygiene - compliance measurement, and trai
Sponsors
Institut für Hygiene und Umweltmedizin, Charité Berlin
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Surveillance in KISS-ITS (MRGN), Observation of Handhygienic Compliance
Exclusion criteria
Exclusion criteria: Interventions are already conducted in this ward, not willing to participate in KISS-ITS Surveillance and handhygienic observations
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| As the primary endpoint, the cumulative incidence density (new acquisition rates) of 3MRGN in the observation phases and in the intervention phases is compared. The new acquisition rate is only recorded for the species for which contact isolation was abolished as part of the study interventions (EC, KP, AB, PA). New acquisition rates of 3MRGN species for which no KRINKO recommendation for contact isolation was available before the start of the study (in accordance with KRINKO recommendations) are not recorded as the primary endpoint. A colonization or infection with 3MRGN counts as acquired if it is detected no earlier than the 3rd day after admission to the ward. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1) Survey of the incidence of infections by 3-MRGN. A distinction is made as to whether the infection is brought along or a nosocomial infection. An infection is classified as nosocomial if the day of the infection (= 1st day with specific symptoms) is no earlier than day 3 after hospital admission. The recording takes place according to the specifications of the STATIONS-KISS module / Erregersurveillance -> (https://www.nrz-hygiene.de/surveillance/kiss/stations-kiss/) 2) Survey of the new acquisition rates of MRSA and infections with Clostridium difficile during the observation and intervention phase. The recording takes place in the same way as the documentation of MRSA / VRE in the ward ITS module (pathogen surveillance). 3) Hand hygiene compliance is compared between the observation phases and the intervention phases. The documentation is also done in webKess -> https://www.nrz-hygiene.de/surveillance/kiss/varia/ 4) The study stations that have already established a recording in ITS infection KISS are motivated to continue this unchanged. This enables the measurement of the influence of the interventions on nosocomial infections (pneumonia, UTI, sepsis) caused by sensitive pathogens. 5) Structure queries The implementation of the study protocol (point prevalence to abolish isolation) is recorded on a monthly basis using a standardized questionnaire (approx. 5 minutes). Structural changes (medical staff, scope of screening, outbreaks, ABS implementation) are recorded every six months (approx. 5 minutes) using a standardized questionnaire. 6) The frequency of use of the ABS online modules on the participating stations is tracked electronically. 7) In a substudy, the satisfaction of the ward staff and relatives is recorded using a questionnaire. The Institute for Medical Sociology and Rehabilitation Sciences conducts the survey and evaluation. It is stratified according to contact isolation (yes / no) and the intervention phase and the basic phase. For thi | — |
Countries
Germany
Contacts
Public ContactBeate Schlosser
Institut für Hygiene und Umweltmedizin, Charité Berlin
Outcome results
None listed