Effectiveness Evaluation of Alcohol Hand Gel Use in Mbale Regional Referral Hospital, Rural Eastern Uganda
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 3,626
- 试验地点
- 1
- 主要终点
- Evidence of Hospital acquired infection confirmed clinically
研究概览
简要总结
Ministry of Health through the National Medical Stores has supplied alcohol-based handgels to the different health facilities in Uganda for the health care providers to use during clinical care. However, constant stock-outs and or limited supplies remains the main constraint faced by the hospitals. Thus the handgels are generally used by a few of the senior health care providers.
The promotion of bedside, antiseptic handrubs largely contributes to the increase in compliance and sustained improvement of hand hygiene compliance reduces Health care acquired infections (HCAIs), but it is not yet established how cost- effective the intervention is in a a rural Ugandan hospital where funds are severely rationed and, which serves over 4 million people in over 15 districts in Uganda. An evaluation of an intervention's cost-effectiveness is a crucial factor in whether the government will be prepared to fund the intervention and sustain it.
This WardGel study thus aims to assess the cost-benefit of providing hand gel for all health care workers in Mbale Regional Referral Hospital.
详细描述
The WardGel Study aims to assess the cost- effectiveness of providing handgel for all health care workers in selected wards of Mbale regional Referral Hospital in rural Eastern Uganda.
The WardGel study seeks to address the following specific objectives:-
- To determine the incidence of new infections following hospital admission among in-patients
- To assess the hand hygiene compliance among the health care providers (HCPs) as the usual practice and with handgel
- To determine the effectiveness of handgel in reduction of new infections after hospital admission
- To determine the additional costs associated with development of new infections after hospital stay
This study will compare infection rates before (pre-intervention phase) and after implementation of the hand gel for use by health care providers (intervention phase). The study will also assess hand-hygiene compliance amongst health workers and additional costs associated with management of new acquired infections amongst inpatients while at the hospital.
The pre-intervention phase lasting for 12 weeks will involve baseline evaluation of the current hand hygiene practices on each of the study wards, ascertaining how frequently HCPs washed their hands or used handgel.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients is admitted for at least 24 hours
- •Any health care provider, including students
排除标准
- •Patients discharged before 24 hours
结局指标
主要结局
Evidence of Hospital acquired infection confirmed clinically
时间窗: At least 48 hours after hospital admission or re-admission.Participants will be followed for the duration of hospital stay, an expected average of 5 days.
Hospital acquired infection will be defined as new clinically diagnosed infection developed whilst an inpatient or within 2 days of discharge (for readmitted patients).
次要结局
- Hand hygiene compliance by health care providers based on the WHO's 5-moments of Hand hygiene(during patient clinical care.participants will be observed during their clinical care practice, an expected average of 30 minutes per session)
- Evidence of Hospital Acquired infection confirmed by laboratory investigations (CBC and C&S)(At least 48 hours after admission or readmission.Participants will be followed for the duration of hospital stay, an expected average of 5 days.)
- cost-effectiveness of hand gel use by micro-economic assessment(Additional period due to confirmed hospital acquired infection.Participants will be followed for the duration of hospital stay, an expected average of 5 days.)