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Leblebicioglu H, Koksal I, Rosenthal VD, et al. Impact of the International Nosocomial Infection Control Consortium (INICC) Multidimensional Hand Hygiene Approach, over 8 years, in 11 cities of Turkey. J Infect Prev. 2014;16(4):146-154doi: 10.1177/1757177414560249.
Leblebicioglu, H., Koksal, I., Rosenthal, V. D., Akan, �. �. A., Özgültekin, A., Kendirli, T., Erben, N., Yalcin, A. N., Ulusoy, S., Sirmatel, F., Ozdemir, D., Alp, E., Yıldızdaş, D., Esen, S., Ulger, F., Dilek, A., Yilmaz, H., Yýlmaz, G., Kaya, S., Ulusoy, H., Tulunay, M., Oral, M., Ünal, N., Turan, G., Akgün, N., İnan, A., Ince, E., Karbuz, A., Çiftçi, E., Taşyapar, N., Güneş, M., Ozgunes, I., Usluer, G., Turhan, O., Gunay, N., Gumus, E., Dursun, O., Arda, B., Bacakoglu, F., Cengiz, M., Yilmaz, L., Geyik, M. F., Şahin, A., Erdogan, S., Kılıc, A. U., & Horoz, O. O. (2015). Impact of the International Nosocomial Infection Control Consortium (INICC) Multidimensional Hand Hygiene Approach, over 8 years, in 11 cities of Turkey. Journal of infection prevention, 16(4), 146-154. https://doi.org/10.1177/1757177414560249
Leblebicioglu, Hakan, et al. "Impact of the International Nosocomial Infection Control Consortium (INICC) Multidimensional Hand Hygiene Approach, over 8 years, in 11 cities of Turkey." Journal of infection prevention vol. 16,4 (2015): 146-154. doi: https://doi.org/10.1177/1757177414560249
Leblebicioglu H, Koksal I, Rosenthal VD, Akan ÖA, Özgültekin A, Kendirli T, Erben N, Yalcin AN, Ulusoy S, Sirmatel F, Ozdemir D, Alp E, Yıldızdaş D, Esen S, Ulger F, Dilek A, Yilmaz H, Yýlmaz G, Kaya S, Ulusoy H, Tulunay M, Oral M, Ünal N, Turan G, Akgün N, İnan A, Ince E, Karbuz A, Çiftçi E, Taşyapar N, Güneş M, Ozgunes I, Usluer G, Turhan O, Gunay N, Gumus E, Dursun O, Arda B, Bacakoglu F, Cengiz M, Yilmaz L, Geyik MF, Şahin A, Erdogan S, Kılıc AU, Horoz OO. Impact of the International Nosocomial Infection Control Consortium (INICC) Multidimensional Hand Hygiene Approach, over 8 years, in 11 cities of Turkey. J Infect Prev. 2015 Jul;16(4):146-154. doi: 10.1177/1757177414560249. Epub 2014 Dec 10. PMID: 28989420; PMCID: PMC5074192.
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J Infect Prev. 2015 Jul;16(4):146-154. doi: 10.1177/1757177414560249. Epub 2014 Dec 10.

Impact of the International Nosocomial Infection Control Consortium (INICC) Multidimensional Hand Hygiene Approach, over 8 years, in 11 cities of Turkey.

Journal of infection prevention

Hakan Leblebicioglu, Iftihar Koksal, Victor D Rosenthal, Özay Arıkan Akan, Asu Özgültekin, Tanil Kendirli, Nurettin Erben, Ata Nevzat Yalcin, Sercan Ulusoy, Fatma Sirmatel, Davut Ozdemir, Emine Alp, Dinçer Yıldızdaş, Saban Esen, Fatma Ulger, Ahmet Dilek, Hava Yilmaz, Gürdal Yýlmaz, Selçuk Kaya, Hülya Ulusoy, Melek Tulunay, Mehmet Oral, Necmettin Ünal, Güldem Turan, Nur Akgün, Asuman İnan, Erdal Ince, Adem Karbuz, Ergin Çiftçi, Nevin Taşyapar, Melek Güneş, Ilhan Ozgunes, Gaye Usluer, Ozge Turhan, Nurgul Gunay, Eylul Gumus, Oguz Dursun, Bilgin Arda, Feza Bacakoglu, Mustafa Cengiz, Leyla Yilmaz, Mehmet Faruk Geyik, Ahmet Şahin, Selvi Erdogan, Aysegul Ulu Kılıc, Ozden Ozgur Horoz

Affiliations

  1. Ondokuz Mayis University Medical School, Samsun, Turkey.
  2. Karadeniz Technical University School of Medicine, Trabzon, Turkey.
  3. International Nosocomial Infection Control Consortium (INICC), Buenos Aires, Argentina.
  4. Ankara University School of Medicine, Ibni-Sina Hospital, Ankara, Turkey.
  5. Haydarpa?a Numune Training and Research Hospital, Istanbul, Turkey.
  6. Department of Pediatric Critical Care Medicine, Ankara University School of Medicine, Ankara, Turkey.
  7. Eskisehir Osmangazi University, Eskisehir, Turkey.
  8. Akdeniz University, Antalya, Turkey.
  9. Ege University Medical Faculty, Izmir, Turkey.
  10. Abant Izzet Baysal University, Bolu, Turkey.
  11. Duzce University Medical School Infectious Diseases and Clinical Microbiology, Duzce, Turkey.
  12. Erciyes University, Faculty of Medicine, Kayseri, Turkey.
  13. Çukurova University Balcali Hospital, Adana, Turkey.
  14. Harran University, Faculty of Medicine, Sanliurfa, Turkey.

PMID: 28989420 PMCID: PMC5074192 DOI: 10.1177/1757177414560249

Abstract

AIMS: To evaluate the effectiveness of the International Nosocomial Infection Control Consortium (INICC) Multidimensional Hand Hygiene Approach in Turkey and analyse predictors of poor hand hygiene compliance.

DESIGN: An observational, prospective, interventional, before-and-after study was conducted from August 2003 to August 2011 in 12 intensive care units (ICU) of 12 hospitals in 11 cities. The study was divided into a baseline and a follow-up period and included random 30-minute observations for hand hygiene compliance in ICU. The hand hygiene approach included administrative support, supplies availability, education and training, reminders in the workplace, process surveillance, and performance feedback.

RESULTS: We observed 21,145 opportunities for hand hygiene. Overall hand hygiene compliance increased from 28.8% to 91% (95% CI 87.6-93.0,

CONCLUSIONS: Adherence to hand hygiene was significantly increased with the INICC Hand Hygiene Approach. Specific programmes should be directed to improve hand hygiene in variables found to be predictors of poor hand hygiene compliance.

Keywords: Developing countries; International Nosocomial Infection Control Consortium; hand hygiene; infection control; intensive care unit; multidimensional approach

Conflict of interest statement

Declaration of conflicting interest: All authors report no conflicts of interest related to this article. Every hospital’s Institutional Review Board agreed to the study protocol, and participants’ co

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