Reducing Visitors- and Personnel-associated Infection Risk on Perinatal Care Station

Study Overview
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Brief Summary
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The rate of infectious diseases (amnioninfection syndrome (AIS), fetal inflammatory response syndrome (FIRS), early-onset neonatal sepsis (EONS)) in perinatal care / neonatology is steadily rising in Germany. The hands of the staff and visitors are the most important transmission vehicle of pathogens. Hence hand hygiene is one of the most important measures for the prevention of hospital infections. The different measures of hand hygiene serve to protect against the spread of contamination of the skin with obligate or potentially pathogenic pathogens. Since the use of antibiotics is generally only possible to a limited extent (especially in pregnant women and neonates in perinatal care centers) the primary prophylactic measures are of great importance. While the importance of hand disinfection in the staff has been undisputed, there is no data on the rate of hand disinfection for visitors of perinatal care centers. Visitor at these stations are common non-compliant persons (especially children!). On the other hand, pregnant women and young mothers and newborn babies are exposed to a large number of visitors compared to other stations. The investigators examine whether special measures (such as voice prompts) have a positive effect on the rate of performed hand disinfections or consecutively on the infection rate.

Official Title
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Reducing Visitors- and Personnel-associated Infection Risk by Special Agitation Incl. Voice Prompts for Hand Disinfection on Perinatal Care Stations

Conditions
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Hygiene

Intervention / Treatment
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* Behavioral: voice prompts
* Behavioral: agitation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Minimum age: 7 years informed consent Member of target group: Visitor or staff Exclusion Criteria: Insufficient language skills

Ages Eligible for Study
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Minimum Age: 7 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: voice prompts<br>Agitation (education, reminders and optimising materials) plus voice prompts | Behavioral: voice prompts<br>* voice prompts on disinfectant dispenser<br>Behavioral: agitation<br>* Education, reminders and optimising materials<br>|
| Other: no voice prompts<br>only Agitation (education, reminders and optimising materials); no voice prompts | Behavioral: agitation<br>* Education, reminders and optimising materials<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Total consumption of disinfectants per visitor | Total consumption of disinfectants per visitor (electronically counted) | 9 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Prevalence of highly positive Impact tests (swab tests) | Prevalence of highly positive Impact tests (swab tests) | 9 months | 
| Total consumption of disinfectants (only children) per visitor | Total consumption of disinfectants (only children) per visitor | 9 months | 
| Infection rate of typical maternal, fetal and newborn infections | Infection rate of typical maternal, fetal and newborn infections | 9 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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hygiene, prenatal care, postnatal care