Hand Hygiene Compliance Rate During the COVID-19 Pandemic

Makhni, Sonya; Umscheid, Craig A; Soo, Jackie; Chu, Vera; Bartlett, Allison H.; Landon, Emily; Marrs, Rachel

doi:10.1001/jamainternmed.2021.1429

Cited by 55 publications

(41 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Despite the fact that the studies were not systematic reviews, the results were consistent with a study conducted in Ghana before and during the COVID-19 pandemic in selected primary hospitals (51%) [ 27 ], Tamale Teaching Hospital (49%) [ 28 ], and among exposed healthcare workers in COVID-19 treatment centers (97.5%) [ 29 ]. The findings contradicted a research undertaken by the University of Chicago Medical Center during the COVID-19 pandemic (compliance = 100%) [ 30 ]. The plausible explanation is that there was a high degree of infection prevention and control promotion (hand hygiene), as well as training for healthcare workers during the COVID-19 pandemic.…”

Section: Discussioncontrasting

confidence: 87%

Hand Hygiene Compliance and Associated Factors among Healthcare Workers in Ethiopia: A Systematic Review and Meta-Analysis

Soboksa

Negassa

Kanno

et al. 2021

Advances in Preventive Medicine

View full text Add to dashboard Cite

Background. Promoting hand hygiene compliance should be a priority for health authorities and all healthcare facilities at all levels. Therefore, this systematic review and meta-analysis aimed to provide a pooled estimate of hand hygiene compliance and associated factors among healthcare professionals in Ethiopia. Methods. PubMed, Science Direct, EMBASE, the Google search engine, and Google Scholar were used to retrieve studies that were eligible for the study. The searches included all studies published in English prior to July 2021. Using a structured data extraction format, two authors independently extracted the required data. STATA Version 16 software has been used for statistical analysis. To measure the heterogeneity of the studies, the Cochrane Q-test statistics and I2 test were used. Because of the significant heterogeneity, a random-effects model was used. Results. The pooled hand hygiene compliance among healthcare workers in Ethiopia was 38% (95% CI: 0.16–0.59). According to the study’s subgroup analysis, Addis Ababa City administration health workers had the highest hand hygiene compliance, at 73% (95% CI: 0.50–0.96), while SNNP regional state had the lowest, at 9% (95% CI: 0.05–0.13). Presence of hand hygiene promotion (OR: 2.14, 95% CI: 1.04–3.24), towel/tissue paper availability (OR: 3.97, 95% CI: 2.09–5.86), having a positive attitude toward hand hygiene (OR: 1.79, 95% CI: 1.28–2.30), having good knowledge about hand hygiene (OR: 3.45, 95% CI: 1.26–5.64), and being trained for hand hygiene (OR:4.97, 95% CI:1.81–8.14) were significantly associated with hand hygiene compliance. Conclusion. In this analysis, hand hygiene compliance among healthcare workers in Ethiopia was less than half. Providing hand hygiene promotion, towel/tissue paper presence, having a positive attitude toward hand hygiene, having good knowledge about hand hygiene, and being trained for hand hygiene were important variables for the increment of hand hygiene compliance.

show abstract

Section: Discussioncontrasting

confidence: 87%

Hand Hygiene Compliance and Associated Factors among Healthcare Workers in Ethiopia: A Systematic Review and Meta-Analysis

Soboksa

Negassa

Kanno

et al. 2021

Advances in Preventive Medicine

View full text Add to dashboard Cite

show abstract

“…On the other hand, in our experience, elective orthopedic surgery was not a clinical hotspot of the COVID-19 pandemic. Moreover, improvements of hand hygiene compliance during the first wave of the COVID-19 pandemic were not always sustained [ 21 ]. Thus, the impact may have been not so substantial.…”

Section: Discussionmentioning

confidence: 99%

Compliance with hand disinfection in the surgical area of an orthopedic university clinic: results of an observational study

Baier

Tinne

Lengerke

et al. 2022

Antimicrob Resist Infect Control

View full text Add to dashboard Cite

Background Hand hygiene using alcoholic hand rub solution is essential for the prevention of surgical site infections. There are several opportunities for hygienic hand disinfection (termed “hand hygiene” in the following) during immediate pre-, intra- and postoperative orthopedic patient care. However, the level of hand hygiene compliance among surgical and anesthesia staff in this context is unclear. Therefore, we conducted an observational study in operating theatres of an orthopedic university clinic in northern Germany during July and August 2020. Methods One trained person directly and comprehensively observed hand hygiene compliance of surgical and anesthesia staff according to the WHO “My 5 moments for hand hygiene” model (WHO-5). In addition to cross-tabulations with Chi2 tests, multiple logistic regression models were used to study associations between occupational group, medical specialty, and compliance (both overall and for each WHO-5 indication). Models were adjusted for hand hygiene opportunities being associated with female or male healthcare workers, being located within or outside the operation room, and occurring in adult or pediatric surgery. Results In total, 1145 hand hygiene opportunities during 16 surgeries were observed. The overall compliance was 40.8% (95% CI 37.9–43.6%), with a larger difference between surgical versus anesthesia staff (28.4% vs. 46.1%, p < 0.001) than between physicians versus nurses (38.5% vs. 42.9%, p = 0.13). Adjusting for sex, place of observation, and adult versus pediatric operation theatre, logistic regression analyses revealed a significant interaction between medical specialty and occupational group (p < 0.001). In particular, the odds for compliance were higher for anesthesiologists (47.9%) than for surgeons (19.6%) (OR = 4.8, 95% CI 3.0–7.6). In addition, compliance was higher in pediatric surgery (OR = 1.9, 95% CI 1.4–2.6). In general, WHO-5-stratified results were in line with these overall patterns. Conclusions Hygienic hand disinfection compliance was approximately 41%. Notably, surgeons performed worse than anesthesiologists did. These results indicate that hand hygiene compliance in orthopedic surgery needs to be improved. Tailored interventions promise to be an appropriate way to address each occupational group’s specific needs.

show abstract

“…One report quoted an increase in hand hygiene rate from 54.5% to 100% in the initial months of the pandemic and only to decline to pre-pandemic rates in the subsequent months [12].…”

Section: Discussionmentioning

confidence: 99%

The Influence of Emotions and Behavioral Theories behind Hand Hygiene in COVID-19 Pandemic

Kiew¹,

Yek²,

Singh³

et al. 2021

OJPM

View full text Add to dashboard Cite

Background: Hand hygiene (HH) is essential in preventing healthcare-associated infections, especially during the COVID-19 pandemic, where SARS-CoV2 has shown the ability to survive on surfaces for days. In this study, we explore HH compliance rate and the factors associated with its increase during COVID-19 pandemic. Methods: HH compliance was assessed amongst doctors in Anesthesia and Surgical Intensive Care Unit by direct observation between 2018 and 2021. An anonymous survey was then sent to the doctors to understand factors influencing the observed improvement in HH compliance during the pandemic. Results: Compliance towards the five moments of HH has shown a statistically significant rising trend from a median HH compliance of 60% in 2018, to 70% in 2019 to 94% in 2020. However, HH compliance subsequently declined in the first quarter of 2021 to median of 87%. The follow-up survey had a response rate of 96% (n = 53). 90% of survey participants responded that their HH frequency had increased during the COVID-19 pandemic with 47% stating they were performing HH 11 -20 times/day. 64% responded that this increased frequency had affected their skin condition. 62% responded that this increased frequency was sustainable even after the pandemic ends. Participants ranked considerations influencing HH compliance. "Prevent transmitting the infection to vulnerable patients" was ranked highest followed by "High infection rate", "Fear of contracting COVID-19" and lastly, "Public health guidelines". Conclusions: Despite the absence of new campaigns, HH compliance reached an all-time high. The pandemic has provided opportunity for behavioral change through "reflective" drivers of behavior such as emotions ("Fear") and knowledge ("High infection rate"). Understanding the motivations behind current increased HH compliance and riding on the increased initial uptake of behavior may help convert HH into a habitual action and not just a reaction to the pandemic.

show abstract

Hand Hygiene Compliance Rate During the COVID-19 Pandemic

Cited by 55 publications

References 6 publications

Hand Hygiene Compliance and Associated Factors among Healthcare Workers in Ethiopia: A Systematic Review and Meta-Analysis

Hand Hygiene Compliance and Associated Factors among Healthcare Workers in Ethiopia: A Systematic Review and Meta-Analysis

Compliance with hand disinfection in the surgical area of an orthopedic university clinic: results of an observational study

The Influence of Emotions and Behavioral Theories behind Hand Hygiene in COVID-19 Pandemic

Contact Info

Product

Resources

About