Promoting hand hygiene in healthcare through national/subnational campaigns

Mathai, E.; Allegranzi, Benedetta; Kilpatrick, Claire; Nejad, S Bagheri; Graafmans, Wilco C.; Pittet, Didier

doi:10.1016/j.jhin.2010.10.012

Cited by 41 publications

(34 citation statements)

References 16 publications

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“…Most cross-infection takes place via the hands of health workers 1, 2 and it is agreed that cleansing hands can break the chain of infection, thus reducing rates of HCAI 1 . The importance of hand hygiene is recognised internationally 3,4 and guidelines developed by the World Health Organization (WHO) in 2009 5 are credited with exerting considerable impact on hand hygiene policy and practice globally 6 . The WHO 5 emphasises the importance of regular monitoring to assess health workers' hand hygiene performance.…”

Section: Introductionmentioning

confidence: 99%

Impact of observing hand hygiene in practice and research: a methodological reconsideration

Gould

Creedon

Jeanes

et al. 2017

Journal of Hospital Infection

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This is the accepted version of the paper.This version of the publication may differ from the final published version. Direct observation is the recommended audit method but is associated with a number of disadvantages, including potential for being observed to alter usual behaviour. The Hawthorne effect in relation to hand hygiene is equated with productivity by increasing the frequency that hand hygiene is undertaken. Permanent repository linkUnobtrusive and/or frequent observation to accustom staff to the presence of observers are considered acceptable ways of reducing the Hawthorne effect but little has been written about how to implement these techniques or assess their effectiveness. There is evidence that awareness of being watched can disrupt the usual behaviour of individuals in complex and unpredictable ways other than simple productivity effect. Health workers might defer or avoid activities that require hand hygiene in the presence of auditors but these issues are not

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Section: Introductionmentioning

confidence: 99%

Impact of observing hand hygiene in practice and research: a methodological reconsideration

Gould

Creedon

Jeanes

et al. 2017

Journal of Hospital Infection

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“…There should also be national campaigns at all levels to enable implementation, adaptability and sustainability of hand hygiene improvement efforts [11]. There is also a continual need to ensure that hand sanitizers, alcohol rubs and hand wash should be available to use at all times.…”

Section: Recommendationsmentioning

confidence: 99%

Assessment of hand hygiene levels among healthcare professionals in India

Rameswarapu¹,

K²,

Valsangkar³

2015

Int J of Biomed & Adv Res

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Introduction: Hand hygiene, either by hand disinfection or hand washing remains to be most pivotal in controlling infection in healthcare settings. Simple preventive measures have been proven effective to contain infections. The exiguity on studies done in healthcare settings in India has galvanized us to undertake this study on hand hygiene assessment among nurses in a healthcare setting in India Materials and methods: A cross sectional study was done in one of leading organization in preventive and promotive healthcare in India. . Hand Hygiene Self-Assessment Framework 2010 by World Health Organization was the tool used for the study. The tool had 5 components envisaging education and training, system change, institutional safety, reminders and evaluation and feedback for hand hygiene. Data was entered in Microsoft Excel and percentages were derived. Results: Among 120 medical rooms, 57% of the medical rooms had basic hygiene, while 32% had intermediate hygiene levels and 11% of the medical rooms had advanced hygiene levels. Conclusion: An advanced level of hand hygiene program with elements of infection control should be offered to the all the professionals working in healthcare setting. Cultural and behavioural issues would play in role in low compliance despite of the efforts to improve quality of healthcare.

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“…In 2009, it was repeated to evaluate the latest situation. Promotion of hand hygiene has become an important initiative with most of the countries; however, coordinated efforts are to be strengthened across the world (Mathai et al, 2011). WHO message remains -'Clean hands are safer hands'.…”

Section: Hand Washing and Hand Hygienementioning

confidence: 99%