• Hand hygiene and health-care-associated infections.

      Banfield, Kathleen R.; Kerr, Kevin G.; Jones, K.A.; Snelling, Anna M. (2009-10-19)
      Despite wide acknowledgment that hand hygiene is the pre-eminent measure in the control of health-care-associated infection, Didier Pittet and colleagues 1 have highlighted that there is still a need for a systematic programme of research that will allow the development of new¿as well as refinement of existing¿approaches to hand cleansing. One of the key priorities Pittet and colleagues identified is the need for investigations into the relative importance of between and within patient cross-transmission
    • The influence of nurse cohorting on hand hygiene effectiveness.

      Beggs, Clive B.; Noakes, C.J.; Shepherd, Simon J.; Kerr, Kevin G.; Sleigh, P.A.; Banfield, Kathleen R. (2006)
      Direct contact between health care staff and patients is generally considered to be the primary route by which most exogenously-acquired infections spread within and between wards. Handwashing is therefore perceived to be the single most important infection control measure that can be adopted, with the continuing high infection rates generally attributed to poor hand hygiene compliance. Methods Through the use of simple mathematical models, this paper demonstrates that under conditions of high patient occupancy or understaffing, handwashing alone is unlikely to prevent the transmission of infection. Conclusions The study demonstrates that applying strict nurse cohorting in combination with good hygiene practice is likely to be a more effective method of reducing transmission of infection in hospitals.