Evidence-based practices to increase hand hygiene compliance in health care facilities: An integrated review

2016 ◽  
Vol 44 (6) ◽  
pp. 691-704 ◽  
Author(s):  
Jun Rong Jeffrey Neo ◽  
Rana Sagha-Zadeh ◽  
Ole Vielemeyer ◽  
Ella Franklin
Keyword(s):  
Health Care ◽  
Hand Hygiene ◽  
Hand Hygiene Compliance ◽  
Health Care Facilities ◽  
Evidence Based ◽  
Evidence Based Practices ◽  
Care Facilities ◽  
Hygiene Compliance

scholarly journals Intranasal Antiseptic and Universal Antiseptic Baths Are Effective in Reducing MRSA Acquisition in Extended-Care Facilities

2020 ◽  
Vol 41 (S1) ◽  
pp. s304-s305
Author(s):  
Angela Chow ◽  
Wei Zhang ◽  
Joshua Wong ◽  
Brenda Ang
Keyword(s):  
Hand Hygiene ◽  
Hand Hygiene Compliance ◽  
Compliance Rate ◽  
Care Facility ◽  
Clinical Problem ◽  
Clinical Samples ◽  
Extended Care ◽  
Care Facilities ◽  
The Mean ◽  
Hygiene Compliance

Background: Methicillin-resistant Staphylococcus aureus (MRSA) is a growing clinical problem in rehabilitation hospitals, where patients stay for extended periods for intensive rehabilitation therapy. In addition to cutaneous sites, the nares could be a source for nosocomial MRSA transmission. Decolonization of nasal and cutaneous reservoirs could reduce MRSA acquisition. We evaluated the effectiveness of topical intranasal octenidine gel, coupled with universal chlorhexidine baths, in reducing MRSA acquisition in an extended-care facility. Methods: We conducted a quasi-experimental before-and-after study from January 2013 to June 2019. All patients admitted to a 100-bed rehabilitation hospital specialized in stroke and trauma care in Singapore were screened for MRSA colonization on admission. Patients screened negative for MRSA were subsequently screened at discharge for MRSA acquisition. Screening swabs were obtained from the nares, axillae, and groin and were cultured on selective chromogenic agar. Patients who tested positive for MRSA from clinical samples collected >3 days after admission were also considered to have hospital-acquired MRSA. Universal chlorhexidine baths were implemented throughout the study period. Intranasal application of octenidine gel for MRSA colonizers for use for 5 days from admission was added to the hospital’s protocol beginning in September 2017. An interrupted time series with segmented regression analysis was performed to evaluate the trends in MRSA acquisition before the intervention (January 2013–July 2017) and after the intervention (September 2017–June 2019) with intranasal octenidine. August 2017 was excluded from the analysis because the intervention commenced midmonth. Results: In total, 77 observational months (55 before the intervention and 22 after the intervention) were included. The mean monthly MRSA acquisition rates were 7.0 per 1,000 patient days before the intervention and 4.4 per 1,000 patient days after the intervention (P < .001), with a mean number of patient days of 2,516.3 per month before the intervention and 2,427.2 per month after the intervention (P = .0172). The mean monthly number of MRSA-colonized patients on admission to the hospital decreased from 24.8 before the intervention to 18.7 after the intervention (P < .001). Mean monthly hand hygiene compliance rate increased significantly from 65.7% before the intervention to 87.4% after the intervention (P < .001). After adjusting for the number of MRSA-colonized patients on admission and hand hygiene compliance rates, a constant trend was observed from January 2013 to July 2017 (adjusted mean coefficient, 0.012; 95% CI, −0.037 to 0.06), with an immediate drop in September 2017 (adjusted mean coefficient, −2.145; 95% CI, −0.248 to −0.002; P = .033), followed by a significant reduction in MRSA acquisition after the intervention from September 2017 through June 2019 (adjusted mean coefficient, −0.125; 95% CI, -4.109 to -0.181; P = .047). Conclusions: Topical intranasal octenidine, coupled with universal chlorhexidine baths, can reduce MRSA acquisition in extended-care facilities. Further studies should be conducted to validate the findings in other healthcare settings.Funding: NoneDisclosures: None

A nationwide covert observation study using a novel method for hand hygiene compliance in health care

2017 ◽  
Vol 45 (3) ◽  
pp. 240-244 ◽  
Author(s):  
Kuan-Sheng Wu ◽  
Yao-Shen Chen ◽  
Huey-Shyan Lin ◽  
E-Lun Hsieh ◽  
Jui-Kuang Chen ◽  
...  
Keyword(s):  
Health Care ◽  
Hand Hygiene ◽  
Hand Hygiene Compliance ◽  
Observation Study ◽  
Novel Method ◽  
Hygiene Compliance ◽  
Covert Observation

scholarly journals Can We Expect Patients to Question Health Care Workers' Hand Hygiene Compliance?

2012 ◽  
Vol 33 (5) ◽  
pp. 531-532 ◽  
Author(s):  
Natalie Reid ◽  
Jason Moghaddas ◽  
Michael Loftus ◽  
Rhonda L. Stuart ◽  
Despina Kotsanas ◽  
...  
Keyword(s):  
Health Care ◽  
Hand Hygiene ◽  
Health Care Workers ◽  
Hand Hygiene Compliance ◽  
Care Workers ◽  
Hygiene Compliance

scholarly journals Hand hygiene compliance among healthcare workers in Ghana’s health care institutions: An observational study

2020 ◽  
Vol 25 (5) ◽  
pp. 177-186
Author(s):  
Aaron Asibi Abuosi ◽  
Samuel Kaba Akoriyea ◽  
Gloria Ntow-Kummi ◽  
Joseph Akanuwe ◽  
Patience Aseweh Abor ◽  
...  
Keyword(s):  
Health Care ◽  
Observational Study ◽  
Hand Hygiene ◽  
Outcome Measures ◽  
Healthcare Workers ◽  
Hand Hygiene Compliance ◽  
Hand Washing ◽  
Job Aids ◽  
The Mean ◽  
Hygiene Compliance

Objective To assess hand hygiene compliance in selected primary hospitals in Ghana. Design A cross-sectional health facility-based observational study was conducted in primary health care facilities in five regions in Ghana. A total of 546 healthcare workers including doctors, nurses, midwives and laboratory personnel from 106 health facilities participated in the study. Main outcome measures The main outcome measures included availability of hand hygiene materials and alcohol job aids; compliance with moments of hand hygiene; and compliance with steps in hygienic hand washing. These were assessed using descriptive statistics. Results The mean availability of hand hygiene material and alcohol job aids was 75% and 71% respectively. This was described as moderately high, but less desirable. The mean hand hygiene compliance with moments of hand hygiene was 51%, which was also described asmoderately high, but less desirable. It was observed that, generally, hand hygiene was performed after procedures than before. However, the mean compliance with steps in hygienic hand washing was 86%, which was described as high and desirable. Conclusion Healthcare workers are generally competent in performance of hygienic hand washing. However, this does not seem to influence compliance with moments of hand hygiene. Efforts must therefore be made to translate the competence of healthcare workers in hygienic hand washing into willingness to comply with moments of hand hygiene, especially contact with patients.

Smartphone text message service to foster hand hygiene compliance in health care workers

2017 ◽  
Vol 45 (3) ◽  
pp. 234-239 ◽  
Author(s):  
Jad Kerbaj ◽  
Youssoupha Toure ◽  
Alberto Soto Aladro ◽  
Sophia Boudjema ◽  
Roch Giorgi ◽  
...  
Keyword(s):  
Health Care ◽  
Hand Hygiene ◽  
Health Care Workers ◽  
Hand Hygiene Compliance ◽  
Text Message ◽  
Care Workers ◽  
Message Service ◽  
Hygiene Compliance

Enhancement of hand hygiene compliance among health care workers from a hemodialysis unit using video-monitoring feedback

2016 ◽  
Vol 44 (8) ◽  
pp. 868-872 ◽  
Author(s):  
Laura Arelí Sánchez-Carrillo ◽  
Juan Manuel Rodríguez-López ◽  
Dionisio Ángel Galarza-Delgado ◽  
Laura Baena-Trejo ◽  
Magaly Padilla-Orozco ◽  
...  
Keyword(s):  
Health Care ◽  
Hand Hygiene ◽  
Health Care Workers ◽  
Hand Hygiene Compliance ◽  
Video Monitoring ◽  
Hemodialysis Unit ◽  
Care Workers ◽  
Hygiene Compliance

scholarly journals Hygiene perception and motivational factors of influence on high-quality hand hygiene performance among emergency medical service providers: Results from an international survey

2019 ◽  
Vol 2 (3) ◽  
pp. 53
Author(s):  
Heidi Storm Vikke
Keyword(s):  
Health Care ◽  
Hand Hygiene ◽  
Self Efficacy ◽  
Hand Hygiene Compliance ◽  
Motivational Factors ◽  
High Quality ◽  
Training And Education ◽  
Hygiene Compliance ◽  
And Control ◽  
And Training

Background: Hand hygiene a cornerstone in infection prevention and control lacks quality in the EMS. Improvement is complicated and includes both individual and institutional aspects. However, little is known about EMS providers' perception and motivational factors leading to a high-quality hand hygiene.  We aimed to describe 1) EMS providers’ perception on hand hygiene, 2) practical measures’ feasibility to improve compliance and 3) motivational factors related to high-quality hand hygiene among the cohort. Methods: A cross-sectional, self-administered questionnaire consisting of 24 items (developed from WHOs Perception Survey for Health-Care Workers) provided information on demographics, improvement feasibility of practical measures, and various subjective, normative and control beliefs among EMS providers from Finland, Sweden, Denmark and Australia. Results: Overall, 933 questionnaires were returned (response rate 15%). Most respondents were advanced-care providers, male and had > 5 years EMS experience. In total, 61% received hand hygiene training < 3 years ago, and 93% perceived hand hygiene a routine. Most perceived access to hand hygiene supplies, and training and education as feasible practical measures to improve overall hand hygiene compliance.  The majority acknowledged the scope and severity of health-care associated infections and the preventive effect of hand hygiene. Overall, 55% believed that hand hygiene was an organizational priority, 26% that it was important to their managers, 36% to colleges, and 58% to patients. Also, 44% perceived their colleges' hand hygiene compliance high (≥ 80% compliance rate), 71% perceived hand hygiene relatively easy to perform. Organizational priority, peer pressure, and self-efficacy were separately associated with self-reported high-quality hand hygiene. Conclusions: Hand hygiene supplies, simple and clear instructions, and training and education are highly warranted. Moreover, organizational priority, role models, and self-efficacy are motivational components with the potential to empower hand hygiene compliance within this cohort. Future interventional studies are needed to investigate the effect of a multimodal improvement strategy including both practical and behavioral aspects.

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