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SHSB is a 160 bed private hospital in Surabaya, Indonesia. The average length of stay (ALOS) is 9.52 d. In 2010, HAI rates at SHSB were high (3.12%) and HH compliance among healthcare workers (HCW) was low (73.34%). At the same time, SHSB had MDRAB outbreak among ICU patients with VAP rate of 10.99/device-days. Therefore, there was a need for quality improvement to reduce HAI and VAP caused by MDRAB.

antimicrobial resistance and infection control

Implementation of WHO multimodal hand hygiene (HH) improvement strategy to reduce healthcare-associated infections (HAI) and VAP (ventilator-associated pneumonia) caused by multi-drug resistant acinetobacter baumanii (MDRAB) at Siloam Hospitals Surabaya (SHBS), Indonesia