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PP-092 Effect of five hand hygiene indications surveillance feedback on infection rates in the neonatal unit
  1. Ersin Ulu1,
  2. Betül Kösa2,
  3. Eymen Pınar2,
  4. Zeynep Alp Ünkar1,
  5. Z Mehmet Vural1
  1. 1Istanbul University-Cerrahpasa, Cerrahpaşa Medical Faculty, Pediatrics Department, Neonatology Division
  2. 2Istanbul University-Cerrahpaşa, Cerrahpaşa Medical Faculty, Pediatrics Department


Aim Increasing the awareness of healthcare personnel about infection preventive methods is one of the important steps of preventive surveillance against hospital infections. Frequent feedback to healthcare professionals with concrete data including surveillance results can be one of the effective methods in achieving behavioral change. For this purpose, we will present the results of the surveillance in our unit in 2021–2022 and the first 6 months of 2023.

Material and Method In 2021–2022 and the first 6 months of 2023, a patient-focused active surveillance program was implemented in our neonatal intensive care unit to prevent healthcare-related infections. During this time, the number of patients in the unit, the infection incidence density rates per 1000 patient days, which is an important indicator of the frequency of infection, and the results of ‘’five hand hygiene indications’’ observed regularly by an internal or external observer, were recorded. While only the external observer made observations by the infection control committee in 2021, an additional internal observer also made observations in 2022 and the first 6 months of 2023. Feedback was provided immediately by the observer, weekly in-clinic feedback reports, and quarterly by the infection control committee.

Results Year 2021; cases: 263, incidence rate: 12.2, observations: 472, hand hygiene compliance: 90.47% annually. Year 2022: cases: 249, incidence rate: 9.2, observations: 3264, hand hygiene compliance: 80.09% annually. The first 6 months of 2023; cases: 144, incidence rate: 7.5, observations: 2207, hand hygiene compliance: 71.82%.

Conclusions Hand hygiene compliance has decreased in the last two years. This is probably related to the participation of the internal observer starting from 2022 and more observations, more accurate detection of hand hygiene compliance and more frequent feedback. During this period, infection incidence densities also decreased. There may be a positive relationship between the presence of an internal observer and more frequent feedback and reduced infection rates.

  • five hand hygiene indications
  • neonatal intensive care unit
  • preventive surveillance
  • healthcare-related infections
  • active feedback

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