A multicentric survey and single-centre observational study of usage behaviour of sinks in intensive care: training is needed to minimize risk

Abstract Introduction Sinks have been introduced near patients to improve hand hygiene as part of infection prevention and control measures. However, sinks are a known reservoir for gram-negative bacterial pathogens in particular and their removal to prevent bacterial infections in intensive care pa...

Full description

Saved in:
Bibliographic Details
Main Authors: Giovanni-Battista Fucini, Robert Abe, Elke Lemke, Petra Gastmeier
Format: Article
Language:English
Published: BMC 2024-11-01
Series:Antimicrobial Resistance and Infection Control
Subjects:
Online Access:https://doi.org/10.1186/s13756-024-01493-3
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1846158277005541376
author Giovanni-Battista Fucini
Robert Abe
Elke Lemke
Petra Gastmeier
author_facet Giovanni-Battista Fucini
Robert Abe
Elke Lemke
Petra Gastmeier
author_sort Giovanni-Battista Fucini
collection DOAJ
description Abstract Introduction Sinks have been introduced near patients to improve hand hygiene as part of infection prevention and control measures. However, sinks are a known reservoir for gram-negative bacterial pathogens in particular and their removal to prevent bacterial infections in intensive care patients is currently recommended by several international guidelines. Methods Healthcare workers (HCWs) in 15 intensive care units (ICUs) in Germany were given the opportunity to complete an anonymous survey on the use of sinks between August 2022 and January 2023. Observations were then made in three participating ICUs to determine the frequency and reason for contact with the sink. Results 258 questionnaires were returned (nurses 87%). 90% found it useful to very useful to have a sink in the patient room, and 56% reported using it daily for hand hygiene. We observed 33 contacts between nurses and sinks over 17 h. In 20/33 (60%) cases, the sink was used for waste disposal. In 3/33 (10%) it was used for hand washing. Discussion Sinks are still used for daily care in intensive care units. Educational Interventions in existing buildings to minimise risk through “sink hygiene” (i.e. separation of sinks for water disposal and uptake) can make an important contribution to infection prevention.
format Article
id doaj-art-dec0e68c42de4cd6a3e579d5ed6cebfd
institution Kabale University
issn 2047-2994
language English
publishDate 2024-11-01
publisher BMC
record_format Article
series Antimicrobial Resistance and Infection Control
spelling doaj-art-dec0e68c42de4cd6a3e579d5ed6cebfd2024-11-24T12:43:23ZengBMCAntimicrobial Resistance and Infection Control2047-29942024-11-011311610.1186/s13756-024-01493-3A multicentric survey and single-centre observational study of usage behaviour of sinks in intensive care: training is needed to minimize riskGiovanni-Battista Fucini0Robert Abe1Elke Lemke2Petra Gastmeier3Institute of Hygiene and Environmental Medicine, Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu BerlinInstitute of Hygiene and Environmental Medicine, Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu BerlinInstitute of Hygiene and Environmental Medicine, Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu BerlinInstitute of Hygiene and Environmental Medicine, Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu BerlinAbstract Introduction Sinks have been introduced near patients to improve hand hygiene as part of infection prevention and control measures. However, sinks are a known reservoir for gram-negative bacterial pathogens in particular and their removal to prevent bacterial infections in intensive care patients is currently recommended by several international guidelines. Methods Healthcare workers (HCWs) in 15 intensive care units (ICUs) in Germany were given the opportunity to complete an anonymous survey on the use of sinks between August 2022 and January 2023. Observations were then made in three participating ICUs to determine the frequency and reason for contact with the sink. Results 258 questionnaires were returned (nurses 87%). 90% found it useful to very useful to have a sink in the patient room, and 56% reported using it daily for hand hygiene. We observed 33 contacts between nurses and sinks over 17 h. In 20/33 (60%) cases, the sink was used for waste disposal. In 3/33 (10%) it was used for hand washing. Discussion Sinks are still used for daily care in intensive care units. Educational Interventions in existing buildings to minimise risk through “sink hygiene” (i.e. separation of sinks for water disposal and uptake) can make an important contribution to infection prevention.https://doi.org/10.1186/s13756-024-01493-3SinksInfection preventionICUHand hygiene
spellingShingle Giovanni-Battista Fucini
Robert Abe
Elke Lemke
Petra Gastmeier
A multicentric survey and single-centre observational study of usage behaviour of sinks in intensive care: training is needed to minimize risk
Antimicrobial Resistance and Infection Control
Sinks
Infection prevention
ICU
Hand hygiene
title A multicentric survey and single-centre observational study of usage behaviour of sinks in intensive care: training is needed to minimize risk
title_full A multicentric survey and single-centre observational study of usage behaviour of sinks in intensive care: training is needed to minimize risk
title_fullStr A multicentric survey and single-centre observational study of usage behaviour of sinks in intensive care: training is needed to minimize risk
title_full_unstemmed A multicentric survey and single-centre observational study of usage behaviour of sinks in intensive care: training is needed to minimize risk
title_short A multicentric survey and single-centre observational study of usage behaviour of sinks in intensive care: training is needed to minimize risk
title_sort multicentric survey and single centre observational study of usage behaviour of sinks in intensive care training is needed to minimize risk
topic Sinks
Infection prevention
ICU
Hand hygiene
url https://doi.org/10.1186/s13756-024-01493-3
work_keys_str_mv AT giovannibattistafucini amulticentricsurveyandsinglecentreobservationalstudyofusagebehaviourofsinksinintensivecaretrainingisneededtominimizerisk
AT robertabe amulticentricsurveyandsinglecentreobservationalstudyofusagebehaviourofsinksinintensivecaretrainingisneededtominimizerisk
AT elkelemke amulticentricsurveyandsinglecentreobservationalstudyofusagebehaviourofsinksinintensivecaretrainingisneededtominimizerisk
AT petragastmeier amulticentricsurveyandsinglecentreobservationalstudyofusagebehaviourofsinksinintensivecaretrainingisneededtominimizerisk
AT giovannibattistafucini multicentricsurveyandsinglecentreobservationalstudyofusagebehaviourofsinksinintensivecaretrainingisneededtominimizerisk
AT robertabe multicentricsurveyandsinglecentreobservationalstudyofusagebehaviourofsinksinintensivecaretrainingisneededtominimizerisk
AT elkelemke multicentricsurveyandsinglecentreobservationalstudyofusagebehaviourofsinksinintensivecaretrainingisneededtominimizerisk
AT petragastmeier multicentricsurveyandsinglecentreobservationalstudyofusagebehaviourofsinksinintensivecaretrainingisneededtominimizerisk