caa a22 4500 606157697 CHVBK 20210128100615.0 cr unu---uuuuu 210128e20150501xx s 000 0 eng 10.1007/s10096-015-2313-1 doi (NATIONALLICENCE)springer-10.1007/s10096-015-2313-1 Efficacy of interventions to improve hand hygiene compliance in neonatal units: a systematic review and meta-analysis [Elektronische Daten] [N. Ofek Shlomai, S. Rao, S. Patole] Healthcare-associated infections (HCAIs) cause significant morbidity and mortality in neonatal intensive care units (NICUs). Meticulous hand hygiene is the most effective strategy to prevent HCAI. However, hand hygiene compliance (HHC) is low, especially in ICUs. Hence, we aimed to evaluate the efficacy of strategies for improving HHC in NICUs. A systematic review of the literature and meta-analysis were carried out. PubMed, EMBASE, Cochrane CENTRAL and CINAHL were searched in October 2013. PRISMA guidelines were followed. The quality of included studies was assessed by the Newcastle-Ottawa scale (NOS). Sixteen eligible non-randomised studies were included. A total of 27,155 hand hygiene moments were observed. Meta-analysis using a random effects model indicated that a range of strategies, such as educational campaigns, musical parodies, reminders, easy access to hand hygiene sanitisers, UV sensors and performance feedback, improved HHC [odds ratio (OR) 2.04; 95% confidence interval (CI) 1.40, 2.97]. Significant statistical heterogeneity was noted. Studies which specifically provided performance feedback at either the individual or group levels reported a more significant improvement in HHC compared to those that did not (OR 2.81; 95% CI 1.32, 5.96 vs. OR 1.55; 95% CI 1.13-2.11). Strategies to improve HHC in NICUs seem to be more effective when they include performance feedback at the personal or group levels. Randomised controlled trials (RCTs) specifically assessing the benefits of performance feedback in improving HHC are needed. Springer-Verlag Berlin Heidelberg, 2015 Ofek Shlomai N. Department of Neonatal Paediatrics, KEM Hospital for Women, Perth, Australia aut Rao S. Department of Neonatal Paediatrics, KEM Hospital for Women, Perth, Australia aut Patole S. Department of Neonatal Paediatrics, KEM Hospital for Women, Perth, Australia aut European Journal of Clinical Microbiology & Infectious Diseases Springer Berlin Heidelberg 34/5(2015-05-01), 887-897 0934-9723 34:5<887 2015 34 10096 https://doi.org/10.1007/s10096-015-2313-1 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 review-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10096-015-2313-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Ofek Shlomai N. Department of Neonatal Paediatrics, KEM Hospital for Women, Perth, Australia aut NATIONALLICENCE 700 1- Rao S. Department of Neonatal Paediatrics, KEM Hospital for Women, Perth, Australia aut NATIONALLICENCE 700 1- Patole S. Department of Neonatal Paediatrics, KEM Hospital for Women, Perth, Australia aut NATIONALLICENCE 773 0- European Journal of Clinical Microbiology & Infectious Diseases Springer Berlin Heidelberg 34/5(2015-05-01), 887-897 0934-9723 34:5<887 2015 34 10096