Marked variability in adherence to hand hygiene: A 5-unit observational study in Tuscany

Saint, Sanjay; Bartoloni, Alessandro; Virgili, Gianni; Mannelli, Francesco; Fumagalli, Stefano; Martino, Paolo Di; Conti, Andrea A.; Kaufman, Samuel R.; Gensini, Gian Franco; Conti, Antonio

doi:10.1016/j.ajic.2008.08.004

Cited by 52 publications

(35 citation statements)

References 16 publications

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“…Thus, Saint, et al (2009) reported low compliance of hand hygiene (56.0%) in one region in Italy (Tuscany) similarly to my data [26]. The data highlighted that nurses were conscientious in their approach to infection prevention and control.…”

Section: Discussionsupporting

confidence: 56%

Health Care Personnel’s Attitude toward Hand Hygiene in Regard to the Prevention of Health-Care Associated Infections: A Cross Sectional Study at the University Hospital Pristine

Sopjani¹

2016

OJN

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Background: Hand hygiene is the leading measure for preventing the spread of antimicrobial resistance and reducing healthcare-associated infections, but health care worker compliance with optimal practices remains low in most settings. Objective: The main aim of this paper is to determine findings and start drafting policies in implementing them into practice after finding out nurses' opinions, beliefs and attitudes toward hand hygiene (HH). Methodology and methods: A cross sectional descriptive and observational study during November 2009. Results: From the total number of 175 health care workers employed in this unit, 67 (38.3%) were observed regarding adherence to hand hygiene. Regarding the knowledge, practices and attitudes of the nurses, data were collected from 54 (50.0%) among 108 nurses in four intensive care units within the University Clinical Centre of Kosovo (UCCK). From research findings, it was concluded that hand hygiene compliance in the intensive care units was low (51.3%). Conclusion: Research results show the necessity of organizing multimodal programs with intensive care units of University Clinical Centre of Kosovo (UCCK) on increase of knowledge level on health-care associated infections (HAI).

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Section: Discussionsupporting

confidence: 56%

Health Care Personnel’s Attitude toward Hand Hygiene in Regard to the Prevention of Health-Care Associated Infections: A Cross Sectional Study at the University Hospital Pristine

Sopjani¹

2016

OJN

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“…19 Appropriate hand hygiene was defined as the use of soap and water or alcohol-based hand rub before patient contact, which corresponds to the first moment of the WHO's 5 moments of hand hygiene. 11 Hand hygiene practice prior to patient contact for each individual provider-patient encounter was observed and recorded using the hand hygiene observation form adapted from a previous study by Saint et al 6,20 Identical to the preintervention study, 19 the form captured the following information: unit in which observations were performed, time of initiation and completion of observations, healthcare worker subgroup (physician or nurse), and the type of hand hygiene before patient contact (ie, hand washing with soap and water, use of alcohol-based hand rub, or no hand hygiene). Unit physicians and nurses were informed that their clinical practices were going to be observed, but were not informed of the purpose of the observations (eg, hand hygiene adherence).…”

Section: Observation Of Hand Hygiene Practicementioning

confidence: 99%

Improving healthcare worker hand hygiene adherence before patient contact: A multimodal intervention of hand hygiene practice in Three Japanese tertiary care centers

Sakihama

Honda

Saint

et al. 2015

Journal of Hospital Medicine

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BACKGROUND Though hand hygiene is an important method of preventing healthcare‐associated infection, we found suboptimal hand hygiene adherence among healthcare workers in 4 diverse Japanese hospitals (adherence rates of 11%–25%). OBJECTIVE Our goal was to assess multimodal hand hygiene intervention coupled with a contest to improve hand hygiene adherence. SETTING A total of 3 to 4 inpatient wards in 3 Japanese hospitals. DESIGN Pre‐post intervention study. INTERVENTION The intervention was a multimodal hand hygiene intervention recommended by the World Health Organization that was tailored to each facility. The hospital with the highest adherence after the intervention was given $5000 US dollars and a trophy, provided by an American coinvestigator unaffiliated with any of the Japanese hospitals. MEASUREMENT We tracked hand hygiene adherence rates before patient contact for each unit and hospital and compared these to pre‐intervention adherence rates. RESULTS We observed 2982 postintervention provider‐patient encounters in 10 units across 3 hospitals. Hand hygiene adherence rates were improved overall after the intervention (18% pre‐ to 33% postintervention; P < 0.001), but postintervention adherence rates varied considerably: hospital A + 29%, B + 5%, C + 8%. Hospital A won the contest with 40% adherence after the intervention. CONCLUSIONS Using a novel contest coupled with a multimodal intervention successfully improved hand hygiene rates among Japanese healthcare workers. Given the overall low rates, however, further improvement is necessary. Journal of Hospital Medicine 2016;11:199–205. © 2015 Society of Hospital Medicine

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“…2 ' 4 Concurrently, glove use has been shown to modify adherence to hand hygiene and to modify the perception of hand hygiene. 5 Although numerous studies concerning hand hygiene adherence have been performed in various settings, few data exist about either hand hygiene or gloving practices in rehabilitation units.…”

Section: Rates Of Adherence To Hand Hygiene and Gloving Practices In mentioning

confidence: 99%

Rates of Adherence to Hand Hygiene and Gloving Practices in 2 French Rehabilitation Hospitals by Differentiation between Single Contacts and Series of Successive Contacts with Patients or the Environment

Eveillard

Rabjeau

Pradelle

et al. 2010

Infect. Control Hosp. Epidemiol.

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Marked variability in adherence to hand hygiene: A 5-unit observational study in Tuscany

Cited by 52 publications

References 16 publications

Health Care Personnel’s Attitude toward Hand Hygiene in Regard to the Prevention of Health-Care Associated Infections: A Cross Sectional Study at the University Hospital Pristine

Health Care Personnel’s Attitude toward Hand Hygiene in Regard to the Prevention of Health-Care Associated Infections: A Cross Sectional Study at the University Hospital Pristine

Improving healthcare worker hand hygiene adherence before patient contact: A multimodal intervention of hand hygiene practice in Three Japanese tertiary care centers

Rates of Adherence to Hand Hygiene and Gloving Practices in 2 French Rehabilitation Hospitals by Differentiation between Single Contacts and Series of Successive Contacts with Patients or the Environment

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