Marie-Noelle Chraiti

Hôpitaux Universitaires de Genève | HUG · Service d'immunologie et d'allergologie

Background Increasing nosocomial infections during the COVID-19 pandemic have been reported. However, data describing peripheral venous catheter associated bloodstream infections (PVC-BSI) are limited. Aims To describe the epidemiology and risk factors for PVC-BSI during the COVID-19 pandemic. Methods We conducted retrospective cohort study of pr...

Background Most surveillance systems for catheter-related bloodstream infections (CRBSI) and central line-associated bloodstream infections (CLABSI) are based on manual chart review. Our objective was to validate a fully automated algorithm for CRBSI and CLABSI surveillance in intensive care units (ICU). Methods We developed a fully automated algo...

Studies suggest that central venous catheter bloodstream infections (BSIs) increased during the COVID-19 pandemic. We investigated catheter-related BSIs in Switzerland and found peripheral venous catheter (PVC) BSI incidence increased during 2021-2022 compared with 2020. These findings should raise awareness of PVC-associated BSIs and prompt inclus...

Background: The aim of this study was to evaluate the risk of catheter-associated bloodstream infection (CABSI) among different catheter types using a large prospective database in the neonatal intensive care unit (NICU) of a tertiary care centre in Switzerland. Methods: We included all neonates admitted to the NICU with at least one central int...

Introduction Little is known about the bloodstream infection (BSI) risk associated with short-term peripheral venous catheters (PVCs) and no large study investigated the insertion site-related risk for PVC-BSI. Methods We performed a cohort study at the University of Geneva Hospitals using the prospective hospital-wide BSI surveillance database. W...

Importance Peripheral intravenous catheters (PVCs) are the most frequently used indwelling devices in hospitals worldwide. Peripheral intravenous catheter bloodstream infections (PVC-BSIs) are rare, but severe and preventable, adverse events. Objective To investigate the incidence of PVC-BSIs after changing the policy of routine PVC replacement ev...

The World Health Organization (WHO) guidelines on drawing blood: best practices in phlebotomy [1] were developed in 2010. They incorporated two hand hygiene moments, 1 and 4, from ‘My five moments for hand hygiene’ [2,3] highlighted in the WHO guidelines on hand hygiene in health care [4]. An observational study of phlebotomy practices identified p...

Hand hygiene (HH) monitoring by direct observation is the gold standard for compliance measure but is highly resource consuming. Indirect indicators could help to overcome resource constraints that are identified as a major obstacle to evaluate and feedback on HH practices. HH compliance may impact on blood culture contamination (BCC) rate.

Heath care-associated infections constitute a public health problem. Hand hygiene is the most efficient measure for prevention and alcohol-based handrub (ABHR) is considered as the optimal measure. In setting the first World Challenge for the Patients Safety, the Point G University Hospital (PGUH) was one of the pilot sites of the OMS to implement...

The First Global Patient Safety Challenge Clean Care is Safer Care (CCiSC) was launched in 2005 and is now a WHO Patient Safety Programme with the aim to prevent a frequent and major adverse event in care delivery?healthcare associated-infection (HCAI).

Healthcare-associated bloodstream infection (BSI) is the 4th major infection complication in medical care. BSI-surveillance is thought to be useful in monitoring trends of healthcare-associated infections (HAI) including outbreaks, emerging multiresistant pathogens, and effects of HAI intervention programmes.

WHO African Partnerships for Patient Safety (APPS) nurtures sustainable partnerships between African and European hospitals to improve patient safety. Through APPS, Hopitaux Universitaires de Geneve (HUG) is partnered with hospitals in Cameroon, Mali and Senegal.

The education of healthcare workers is essential to improve practices and is an integral part of hand hygiene promotional strategies. According to the evidence reviewed here, healthcare worker education has a positive impact on improving hand hygiene and reducing healthcare-associated infection. Detailed practical guidance on steps for the organiza...

Background: The 1st GPSC "Clean Care is Safer Care" (CCiSC) patient safety program from 2005 to 2009 aimed to support the reduction of healthcare-associated infections (HAI) worldwide through hand hygiene (HH). Three objectives were defined: 1) raise global awareness on the importance of HAI; 2) galvanize political commitment by Member States; 3) p...

Monitoring hand hygiene adherence and providing performance feedback to health care workers is a critical component of multimodal hand hygiene promotion programs, but important variations exist in the way adherence is measured. Within the framework of the World Health Organization's (WHO) First Global Patient Safety Challenge known as "Clean Care i...

To assess the feasibility and effectiveness of the World Health Organization hand hygiene improvement strategy in a low-income African country. A before-and-after study from December 2006 through June 2008, with a 6-month baseline evaluation period and a follow-up period of 8 months from the beginning of the intervention. University Hospital, Bamak...

We prospectively evaluated 46 possible risk factors for methicillin-resistant Staphylococcus aureus (MRSA) surgical site infection (SSI) among patients with MRSA carriage in a large intervention study. Of 6,130 study patients, 68 (1.1%) developed MRSA SSI, which occurred a median of 14 days after surgery. Risk factors associated with MRSA SSI were...

To compare healthcare workers' skin tolerance for and acceptance of 3 alcohol-based hand rub formulations. Double-blind, randomized, crossover clinical trial. Intensive care unit in a university hospital. Thirty-eight healthcare workers (HCWs). A total of 3 alcohol-based hand rub formulations (hereafter, formulations A, B, and C) were used in rando...

To assess the level of knowledge regarding and attitudes toward standard and isolation precautions among healthcare workers in a hospital. A confidential, self-administered questionnaire survey was conducted in a random sample of 1500 nurses and 500 physicians in a large teaching hospital. A total of 1,241 questionnaires were returned (response rat...