Multicentre study on hand hygiene facilities and practice in the Mediterranean area: results from the NosoMed Network

Amazian, K.; Abdelmoumène, T.; Sekkat, Souad; Terzaki, S.; Njah, Mansour; Dhidah, L; Caillat-Vallet, Emmanuelle; Saadatian‐Elahi, Mitra; Fabry, J.

doi:10.1016/j.jhin.2005.09.023

Cited by 36 publications

(40 citation statements)

References 31 publications

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“…Results of hand-washing facilities survey in outpatient department were inaccessible and/or broken. This is unlike the results of Kesavan et al [26], who found 11% of sinks inaccessible and Amazian et al [25], who reported 10% of sinks were non-functional. Caniza et al [24] reported that access was good at only 18.9% of the time points observed.…”

Section: Discussioncontrasting

confidence: 88%

“…This study is the first of its kind in India. Three studies evaluating hand-washing facilities in indoor settings have been previously published, with the findings that facilities for hand hygiene were inadequate: Amazian et al [25] investigated hand-washing facilities in 22 hospitals of four Mediterranean countries; Kesavan et al [26] evaluated hand-washing facilities in the elderly care wards of 7 UK hospitals; and Caniza et al [24] assessed hand-washing facilities at a resource-poor pediatric hospital in El Salvador. Amazian et al [25] assessed 908 sinks; Kesavan et al [26] assessed 264, and Caniza et al [24] assessed 17 sinks in 5 wards at each point of use (132 time points, 2-15 observations/sink).…”

Section: Discussionmentioning

confidence: 99%

“…After a literature review was performed [19,[24][25][26][27], a survey checklist ( Table 1) that assessed the conditions at each sink was prepared. The accessibility of each sink was evaluated for its blockage by equipment or any other material, or faulty architectural design.…”

Section: Methodsmentioning

confidence: 99%

“…Although some studies are available on handwashing facilities in inpatient settings, including intensive and critical care areas [24][25][26][27], this is the first study evaluating hand-washing facilities in the outpatient setting of a large tertiary care teaching hospital in India.…”

Section: Introductionmentioning

confidence: 99%

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A survey of hand-washing facilities in the outpatient department of a tertiary care teaching hospital in India

Devnani

Kumar

Sharma

et al. 2010

J Infect Dev Ctries

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Introduction: Inadequate hand-washing facilities have been reported as a barrier to hand washing. This study aimed to evaluate the availability and accessibility of hand-washing facilities and supplies of hand-washing agents in the outpatient department (OPD) complex of a tertiary care teaching hospital. Methodology: A checklist containing 13 variables was prepared and all rooms of direct patient care in the OPD were assessed on one occasion. Results: Out of 211 rooms surveyed, a hand-washing facility was available in 209 (99.05%) rooms. Among these, 206 (98.56%) sinks were easily accessible and were placed close to users. Almost all sinks (99.5%) had hand-operated taps. Thirty-five (16.75%) sinks had no soap stand, and at 21 (10.5%) sinks, soap stands were found to be broken. At 14 (6.70%) sinks, soap bars were not available, while an antiseptic agent was available at 6 (2.87%) sinks. Four (1.91%) sinks had no towel stand, and at 8 (3.83%) sinks the towel stands were broken. At 43 (20.57%) sinks no towel was available, and at 23 (11%) sinks the towels provided were dirty. No sink drain was found to be blocked. No sink had hand-washing instructions displayed demonstrating the correct technique of hand washing. Conclusion: Physical facilities required for hand washing were adequate though not perfect. There is a need to shift from hand-operated taps to non-manual taps and from cloth towels to paper towels. Hospital managers in developing countries should continuously strive to provide the best possible hand-washing facilities within their financial resources.

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Section: Discussioncontrasting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A survey of hand-washing facilities in the outpatient department of a tertiary care teaching hospital in India

Devnani

Kumar

Sharma

et al. 2010

J Infect Dev Ctries

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“…657,684,701,750,767,809,815,816 There is also clear evidence that adequate physical facilities for hand cleansing could affect the success of the programme itself and must certainly be in place. 335,810,817 However, these considerations do not negate the critical role of the formal education programme for achieving better adherence to hand hygiene.…”

Section: Organizing An Educational Programme To Promote Hand Hygienementioning

confidence: 99%

Hand Hygiene

Longtin¹,

Sax²,

Allegranzi³

et al. 2011

N Engl J Med

107

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Educating healthcare workers to optimal hand hygiene practices: addressing the need

et al. 2010

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The education of healthcare workers is essential to improve practices and is an integral part of hand hygiene promotional strategies. According to the evidence reviewed here, healthcare worker education has a positive impact on improving hand hygiene and reducing healthcare-associated infection. Detailed practical guidance on steps for the organization of education programmes in healthcare facilities and teaching-learning strategies are provided using the World Health Organization (WHO) Guidelines for Hand Hygiene in Health Care as the basis for recommendations. Several key elements for a successful educational programme are also identified. A particular emphasis is placed on concepts included in the tools developed by WHO for education, monitoring and performance feedback.

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Multicentre study on hand hygiene facilities and practice in the Mediterranean area: results from the NosoMed Network

Cited by 36 publications

References 31 publications

A survey of hand-washing facilities in the outpatient department of a tertiary care teaching hospital in India

A survey of hand-washing facilities in the outpatient department of a tertiary care teaching hospital in India

Hand Hygiene

Educating healthcare workers to optimal hand hygiene practices: addressing the need

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