Beginning the journey of hand hygiene compliance monitoring at a 2,100-bed tertiary hospital in Vietnam

Salmon, Sharon; Tran, Huu Luyen; Bùi, Đức Phú; Pittet, Didier; McLaws, Mary‐Louise

doi:10.1016/j.ajic.2013.07.011

Cited by 22 publications

(16 citation statements)

References 14 publications

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“…Research has shown variations in the compliance rates with hand hygiene reported by healthcare professionals, with percentages ranging from 8% to 84.5% (5,(7)(8)(9)16,(22)(23)(24) . However, different factors may be related to low compliance (4,25) .…”

Section: Hand Hygiene Compliancementioning

confidence: 99%

Hand hygiene compliance of healthcare professionals in an emergency department

Zottele

Magnago

Dullius

et al. 2017

Rev. esc. enferm. USP

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Objective:To analyze compliance with hand hygiene by healthcare professionals in an emergency department unit. Method: This is a longitudinal quantitative study developed in 2015 with healthcare professionals from a university hospital in the state of Rio Grande do Sul. Each professional was monitored three times by direct non-participant observation at WHO's five recommended moments in hand hygiene, taking the concepts of opportunity, indication and action into account. Descriptive and analytical statistics were used. Results: Fifty-nine healthcare professionals participated in the study. The compliance rate was 54.2%. Nurses and physiotherapists showed a compliance rate of 66.6% and resident physicians, 41.3%. When compliance was compared among professional categories, nurses showed greater compliance than resident physicians (OR=2.83, CI=95%:1.09-7.34). Conclusion: Hand hygiene compliance was low. Multidisciplinary approaches could be important strategies for forming partnerships to develop learning and implementation of hand hygiene practices. Hand hygiene compliance of healthcare professionals in an emergency department* Adesão dos profissionais de saúde à higienização das mãos em pronto-socorro Adhesión de los profesionales sanitarios a la higienización de las manos en servicio de urgencias DESCRIPTORS INTRODUCTIONHealthcare-related infections (HCRI) are adverse events that occur in healthcare services worldwide, even when broadly avoidable (1) . A study of the prevalence of HCRI, coordinated by the World Health Organization (WHO) in 55 hospitals in 14 countries in Asia, Europe, the Eastern Mediterranean and the Western Pacific revealed that on average 8.7% of patients experience infections during hospitalization (2) . In developed countries, HCRI rates ranged from 5% to 15% in hospitalized patients, and may have affected from 9% to 37% of patients admitted to intensive care units (ICUs) (2) . In 2004, the World Alliance for Patient Safety launched their First Global Challenge, with a central focus on HCRI prevention. In Brazil, the challenge was entitled "Clean Care is Safer Care." It was implemented in the biennium [2005][2006], aiming at promoting hand hygiene as a sensitive and effective method to prevent infections (2) . Even 10 years later, the proposal focused on patient safety, which points to hand hygiene as a simple and effective measure in the prevention of HCRI still has an impact on current clinical and care practices in different services (3) . Although scientific evidence points to a relationship between an increase in hand hygiene and reduction of HCRI rates, consistency and compliance rates remain low (4)(5) . There are efforts to increase this practice; however, the general rate of hand hygiene compliance has been around 40%, varying from 5% to 81% (6) . Scientific evidence has shown a compliance rate of 20% by ICU healthcare professionals (nurses, physicians and physiotherapists) (7)(8) , 29% in emergency rooms (9) , and 40% among medical students in open units (10) , confirmin...

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Section: Hand Hygiene Compliancementioning

confidence: 99%

Hand hygiene compliance of healthcare professionals in an emergency department

Zottele

Magnago

Dullius

et al. 2017

Rev. esc. enferm. USP

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“…A similar study done at Hue General Hospital in 2010 showed an overall compliance of 47% [8]. The significant higher compliance rate observed in the Pediatric Department of Quang Tri General Hospital could be explained by multiple reasons.…”

Section: Discussionmentioning

confidence: 70%

“…Hence, one solution to increase hand-washing compliance at QTGH consists of installing more sinks in the patient bed areas, where the health care staff could easily access them. Presently, for each patient room in the inpatient ward (7)(8)(9)(10) Clearly, our study has several limitations. Hand hygiene compliance was observed only in one department, of a single hospital.…”

Section: Discussionmentioning

confidence: 99%

Challenges Encountered in Compliance to Hand Hygiene in the Pediatric Department of a Hospital in Central Vietnam

2017

ARC Journal of Public Health and Community Medicine

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“…Quando executada a HM, há controvérsias na literatura quanto ao tipo mais utilizado pelos profissionais, variando de acordo com a localização, tipo de estudo e intervenções. Em alguns estudos o uso da higienização simples foi mais frequente, atingindo taxas superiores a 90%, sendo que em outros, a fricção antisséptica com solução alcoólica teve um maior uso, sendo influenciadas por intervenções para melhoria da HM 17,19,21 .…”

Section: Discussionunclassified

Adesão à higiene de mãos entre profissionais de um serviço de pronto atendimento

Oliveira

Paula

Souza

et al. 2016

Rev. Med. (São Paulo)

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Objetivo: avaliar a taxa de adesão à higiene de mãos de uma equipe multiprofissional. Materiais e métodos: estudo transversal, realizado em uma unidade de pronto atendimento de um hospital universitário de Belo Horizonte-MG, entre maio e agosto de 2013, por meio de observação direta das equipes médicas e de enfermagem. As observações se basearam nos cinco momentos para higienização das mãos da Organização Mundial de Saúde, utilizando-se um instrumento estruturado. Os dados foram analisados no SPSS, realizando-se análise descritiva e univariada. Resultados: registraram-se 931 oportunidades de higienização das mãos, 88,9% entre os técnicos de enfermagem, 6,9% médicos, 3,7% enfermeiros e 0,5% para auxiliares de enfermagem, obtendo-se uma taxa de adesão global de 19,4%. A higienização simples com água e sabão foi mais utilizada pelos profissionais (47%). Conclusão: a taxa de adesão à higienização das mãos foi considerada baixa, observando-se a necessidade e treinamentos para melhoria da mesma.

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Beginning the journey of hand hygiene compliance monitoring at a 2,100-bed tertiary hospital in Vietnam

Cited by 22 publications

References 14 publications

Hand hygiene compliance of healthcare professionals in an emergency department

Hand hygiene compliance of healthcare professionals in an emergency department

Challenges Encountered in Compliance to Hand Hygiene in the Pediatric Department of a Hospital in Central Vietnam

Adesão à higiene de mãos entre profissionais de um serviço de pronto atendimento

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