A prospective multicenter study evaluating skin tolerance to standard hand hygiene techniques

Chamorey, Emmanuel; Marcy, Pierre-Yves; Dandine, M; Veyres, P.; Negrin, N.; Vandenbos, F.; Duval, Marie-Josée; Lambert, S.; Mazzoni, L.; Chapuis, Viviane; Bodokh, Isaac; Sacleux, P

doi:10.1016/j.ajic.2010.03.021

Cited by 25 publications

(18 citation statements)

References 33 publications

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“…Most nursing professionals did not report dermatitis or intolerance to alcohol-based products, which is consistent with other results reported in the literature (15) . This suggests that professionals should exhibit greater adherence to alcohol-based preparation use because of good tolerance to these products.…”

Section: Discussionsupporting

confidence: 82%

“…Most nursing professionals who participated in the study did not use moisturizer during care activities; this finding was inconsistent with those of other studies, in which professionals reported using moisturizers (15) . The use of moisturizer is strongly recommended by the WHO, because of the need to avoid skin dryness and irritation and provide a protective barrier against the irritating properties of HH products (1) .…”

Section: Discussioncontrasting

confidence: 57%

“…In most cases, self-reported rates reflect health professionals' intentions regarding HH or the belief that their HH adherence is good, rather than representing their actual HH adherence rates (2,(15)(16) . In this study, the nursing professionals' self-reported adherence rate was high, but the observed rate was low, which supports the position that self-report rates should be evaluated with caution.…”

Section: Discussionmentioning

confidence: 99%

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Adherence and factors related to acceptance of alcohol for antiseptic hand rubbing among nursing professionals

Oliveira

Gama

Paula

2017

Rev. esc. enferm. USP

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Objective: Identify rates of adhesion and related factors to acceptance of an alcohol based preparation to hands antiseptic friction among nursing professionals in a unit of intensive therapy. Method: A cross-sectional study, which involved direct observation of hand hygiene opportunities and nursing professionals' completion of questionnaires, was conducted at a university hospital between January and July 2015. Descriptive and univariate analyses were performed, with a 5% significance level. Results: It was observed 956 opportunities of hand hygiene among 46 nursing professionals. The rate of adhesion to alcohol-based handrub (ABH) was 34.8% and about 87.0% preferred handwashing. Nurses used ABH more frequently than nursing technicians (p <0.001), and the report of feeling of clean hands after using the alcohol product was directly related to higher rates of adherence to antiseptic friction through observation (P <0.05). Conclusion: The finding indicating low ABH usage highlights the need for greater institutional investment in strategies that help health professionals to recognize the advantages of this type of HH with respect to time spent, ease of access to dispensers, effectiveness in eliminating microorganisms, and maintaining skin moisturization.

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Section: Discussionsupporting

confidence: 82%

Section: Discussioncontrasting

confidence: 57%

Section: Discussionmentioning

confidence: 99%

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Adherence and factors related to acceptance of alcohol for antiseptic hand rubbing among nursing professionals

Oliveira

Gama

Paula

2017

Rev. esc. enferm. USP

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“…A recent prospective multicenter study involving 1932 assessments compared the impact on healthcare worker hands of ABHR with soap and water. While hand washing was a risk factor for dryness and irritation, ABHR was, if anything, protective [102].…”

Section: Study Protocol Specimens Resultsmentioning

confidence: 99%

Back to the Future: Rising to the Semmelweis Challenge in Hand Hygiene

et al. 2011

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Hand hygiene is the single most important intervention for reducing healthcare associated infections and preventing the spread of antimicrobial resistance. This sentence begins most publications regarding hand hygiene in the medical literature. But why - as we mark 150 years since the publication of Ignaz Semmelweis' landmark monograph on the subject - do we continue to repeat it? One might be tempted to regard it as a truism. However, while tremendous progress has certainly been made in this field, a significant amount of work is yet to be done in both strengthening the evidence regarding the impact of hand hygiene and maximizing its implementation. Hand hygiene cannot yet be taken for granted. This article summarizes historical perspectives, dynamics of microbial colonization and efficacy of hand cleansing methods and agents, elements and impacts of successful hand hygiene promotion, as well as scale-up and sustainability. We also explore hand hygiene myths and current challenges such as monitoring, behavior change, patient participation and research priorities.

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“…This has been identified as a barrier to hand hygiene compliance by multiple authors: Larson E et al ;18 Chamorey E et al ;5 Dulon, M et al ;9 Boyce, JM et al 3 and Williams C et al 33…”

Section: Lessons and Limitationsmentioning

confidence: 99%

SWITCH: Al Wakra Hospital Journey to 90% Hand Hygiene Practice Compliance, 2011 – 2015

Visan

Zakaria

Castro

et al. 2017

BMJ Qual Improv Report

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Hand Hygiene is the cheapest and simplest way to prevent the spread of infection, however international compliance is below than 40% (WHO, 2009). In the experience of Al Wakra Hospital, the improvement in hand hygiene compliance highlighted not just interventions towards training and education but also behavioral motivation and physical allocations of hand hygiene appliances and equipment.Through motivating the behavioral, emotional, physical and intellectual dimensions of the different healthcare worker professions, hand hygiene compliance has increased from 60.78% in 2011 to 94.14% by the end of December 2015. It took 25 months of continuous and collaborative work with different healthcare workers to reach the 90% hand hygiene target.“Together, we have reached our goals and together we fight against infections! Because we always strive for excellence in everything we do – that is our vision here in Al Wakra Hospital.”

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A prospective multicenter study evaluating skin tolerance to standard hand hygiene techniques

Cited by 25 publications

References 33 publications

Adherence and factors related to acceptance of alcohol for antiseptic hand rubbing among nursing professionals

Adherence and factors related to acceptance of alcohol for antiseptic hand rubbing among nursing professionals

Back to the Future: Rising to the Semmelweis Challenge in Hand Hygiene

SWITCH: Al Wakra Hospital Journey to 90% Hand Hygiene Practice Compliance, 2011 – 2015

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