EurekaMag.com logo
+ Site Statistics
References:
53,214,146
Abstracts:
29,074,682
+ Search Articles
+ Subscribe to Site Feeds
EurekaMag Most Shared ContentMost Shared
EurekaMag PDF Full Text ContentPDF Full Text
+ PDF Full Text
Request PDF Full TextRequest PDF Full Text
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter
Follow on Google+Follow on Google+
Follow on LinkedInFollow on LinkedIn

+ Translate

Cost-effectiveness of a hand hygiene program on health care-associated infections in intensive care patients at a tertiary care hospital in Vietnam


American Journal of Infection Control 43(12): E93-E99
Cost-effectiveness of a hand hygiene program on health care-associated infections in intensive care patients at a tertiary care hospital in Vietnam
The cost-effectiveness of a hand hygiene (HH) program in low- and middle-income countries (LMICs) is largely unknown. We assessed the cost-effectiveness of a HH program in a large tertiary Vietnamese hospital. This was a before and after study of a hand hygiene program where HH compliance, incidence of hospital-acquired infections (HAIs), and costs were analyzed.The HH program was implemented in 2 intensive care and 15 critical care units. The program included upgrading HH facilities, providing alcohol-based handrub at point of care, HH campaigns, and continuous HH education. The HH compliance rate increased from 25.7% to 57.5% (P < .001). The incidence of patients with HAI decreased from 31.7% to 20.3% (P < .001) after the intervention. The mean cost for patients with HAI was $1,908, which was 2.5 times higher than the costs for patients without an HAI. The mean attributable cost of an HAI was $1,131. The total cost of the HH program was $12,570, which equates to a per-patient cost of $6.5. The cost-effectiveness was estimated at -$1,074 or $1,074 saved per HAI prevented. The intervention remained cost savings under various scenarios with lower HAI rates. The HH program is an effective strategy in reducing the incidence of HAIs in intensive care units and is cost-effective in Vietnam. HH programs need to be encouraged across Vietnam and other LMICs.

(PDF same-day service: $19.90)

Accession: 057528366

PMID: 26432185

DOI: 10.1016/j.ajic.2015.08.006



Related references

Costs and cost-effectiveness of a telemedicine intensive care unit program in 6 intensive care units in a large health care system. Journal of Critical Care 26(3): 329.E1-6, 2011

Hand hygiene compliance in the intensive care units of a tertiary care hospital. Indian Journal of Community Medicine 36(3): 217-221, 2011

Reduction in nosocomial infection with improved hand hygiene in intensive care units of a tertiary care hospital in Argentina. American Journal of Infection Control 34(5): 329-329, 2006

Reduction in nosocomial infection with improved hand hygiene in intensive care units of a tertiary care hospital in Argentina. American Journal of Infection Control 33(7): 392-397, 2005

Re: Reduction in nosocomial infection with improved hand hygiene in intensive care units of a tertiary care hospital in Argentina, by Rosenthal et al. American Journal of Infection Control 34(7): 467-467, 2006

Hand hygiene non-compliance among intensive care unit health care workers in Aseer Central Hospital, south-western Saudi Arabia. International Journal of Infectious Diseases 17(9): E729-E732, 2014

Cost of care in a paediatric intensive care unit of a tertiary-care university hospital of Pakistan. Jpma. Journal of the Pakistan Medical Association 65(6): 651-654, 2015

Surveillance of health care-associated infections in a tertiary hospital neonatal intensive care unit in Egypt: 1-year follow-up. American Journal of Infection Control 42(11): 1207-1211, 2015

Cross-sectional survey of hand-hygiene compliance and attitudes of health care workers and visitors in the intensive care units at King Chulalongkorn Memorial Hospital. Journal of the Medical Association of Thailand 88 Suppl 4(): S287-S293, 2006

Effectiveness of simple strategies in reducing multidrug resistant blood stream infections in Neonatal Intensive Care Unit of tertiary care hospital in Karachi, Pakistan. Jpma. Journal of the Pakistan Medical Association 65(1): 72-75, 2015