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SAN DIEGO -- A simple educational campaign to encourage hospital workers to disinfect their hands with alcohol-based products saved $12 million in costs in a 3-year period, Dr. Didier Pittet said at the annual Interscience Conference on Antimicrobial Agents and Chemotherapy.
The University of Geneva Hospitals has employed 100-mL bottles of alcohol-based hand rub at patients' bedsides since 1970. In 1996 the hospital introduced 75-mL pocket-sized. The promotional campaign, started in 1995, made hand hygiene an institutional priority, produced posters encouraging hand hygiene that were hung on hospital walls, monitored adherence to hygiene policies twice a year, and provided feedback to hospital employees, said Dr. Pittet of the university.
Adherence to hand hygiene policies improved from 48% of hygiene opportunities in 1995 to 69% in 1997. The rate of nosocomial infection declined from 17% in 1994 to 10% in 1998, the investigators reported previously (Lancet 356[9238]:1307-12, 2000).
For the current economic analysis, they compared the cost of nosocomial infections--using a "conservative" estimate of $2,200 per infection--with the cost of the hand hygiene promotion program.
The program's direct costs included poster ...