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Seven year experience with a mandatory training course within the Vigigerme® infection control program

Introduction / objectives

VigiGerme® is an infection control program built on social marketing principles at the University of Geneva Hospital (HUG). The 2-hour training course was introduced in 2003 and has been mandatory for all healthcare workers (HCWs) since.


All participants completed a 23-item questionnaire assessing their attitudes (A) towards and knowledge (K) of infection control at the onset and end of the course, and a course evaluation. We performed a descriptive analysis of all questionnaires from 2003 to 2010. Likert scales (1-7) were transformed to binomial values (1-5=0; >6=1).


Of 10373 participants, complete responses were obtained from 9455 (91.4%): 42% nurses, 20% physicians, 26% nursing assistants, and 12% other professional categories. The proportion of participants providing correct responses to questions on hand hygiene, glove use, and mask use increased after the course from 86-97%, 69-93%, and 58-77%, respectively (all p<.001). Perceived high institutional safety culture (SC) and HCW accountability for infectious outcomes (ACC) changed from 20-57% and 55-87% respectively. Furthermore, there was a shift in baseline (pre-course) SC and ACC responses over time (2003-10) from16 to 35% and from 50 to 72%, respectively (all P<.001). Clinical scenarios testing knowledge of isolation precautions (IP) increased from 0.5 to 10.4% (aggregate of 4 correct responses; p<.001). Course evaluation averaged at 6 of 7 points.


The course is highly appreciated by HCW and influences attitude and knowledge positively. Identification of correct IP remains challenging for HCWs. Interestingly, there was a spontaneous evolution in perception of safety culture and HCW accountability over the 7 years.

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This article is published under license to BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Pasricha, J., Pietro, S.Ld. & Sax, H. Seven year experience with a mandatory training course within the Vigigerme® infection control program. BMC Proc 5 (Suppl 6), P278 (2011).

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