scholarly journals Healthcare-associated infections and compliance of hand hygiene among healthcare workers in a tertiary health facility, southwest Nigeria

2019 ◽  
Vol 20 (6) ◽  
pp. 289-296
Author(s):  
Emmanuel O Irek ◽  
Alhaji A Aliyu ◽  
Tukur Dahiru ◽  
Temitope O Obadare ◽  
Aaron O Aboderin
Keyword(s):  
Hand Hygiene ◽  
Healthcare Workers ◽  
Point Prevalence ◽  
University Teaching ◽  
World Health ◽  
Good Knowledge ◽  
P Value ◽  
Healthcare Associated Infections ◽  
Positive Perception ◽  
Healthcare Associated

Introduction: Healthcare-associated infections (HAIs) are threats in healthcare settings contributing to increased morbidity, mortality and antimicrobial resistance worldwide. Hand hygiene (HH) is the simplest and most important single intervention to reduce HAIs. Aims/objectives: This study sought to determine rates of HAIs as well as compliance of HH among healthcare workers (HCWs) in Obafemi Awolowo University Teaching Hospitals Complex (OAUTHC). Methods: A cross-sectional study was conducted among 227 HCWs (59 doctors, 129 nurses and 39 ward attendants) selected by multistage sampling across 10 hospital wards. Electronic interviewer-administered questionnaire, HH compliance checklist and point prevalence of HAI were done using World Health Organization and Centers for Disease Control and Prevention toolkits, respectively. Results: Only 20.33% (n = 12) of doctors, 3.88% (n = 5) of nurses and 2.56% (n = 1) of ward attendants had good knowledge of HH (χ2 = 22.22, P value = 0.01). Among doctors, 11.86% (n = 7), 6.98% (n = 9) of nurses and 2.56% (n = 1) of ward attendants had positive perception towards HH (χ2 = 7.87, P value = 0.25). Of the 174 opportunities for HH observed, compliance rates were 42.37%, 55.81% and 68.97% among doctors, nurses and ward attendants, respectively. Point prevalence of HAI was 16.38%. Discussion: Good knowledge and positive perception about HH were uncommon among doctors, nurses and ward attendants. However, ward attendants had the highest compliance to HH. There was a high prevalence of HAIs in this institution.

scholarly journals Observational Study of Hand Hygiene Compliance at a Trauma Hospital in Iraqi Kurdistan

J ◽  
2021 ◽  
Vol 4 (4) ◽  
pp. 794-802
Author(s):  
Ines Moued ◽  
Rawand M. Haweizy ◽  
Lawand S. Miran ◽  
Mustafa G. Mohammed ◽  
Johan von Schreeb ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Healthcare Workers ◽  
Hand Hygiene Compliance ◽  
Healthcare Systems ◽  
World Health ◽  
Healthcare Associated Infections ◽  
Iraqi Kurdistan ◽  
Resource Limited ◽  
Hygiene Compliance ◽  
Healthcare Associated

Healthcare-associated infections, commonly caused by poor hand hygiene, represent a significant source of disease and economic burden for healthcare systems, especially those in resource-limited settings. The few existing studies on hand hygiene compliance in resource-limited hospital settings suggest that compliance is insufficient. The difference in compliance rates between units in resource-limited trauma hospitals is largely unknown. We aimed to assess hand hygiene compliance rates among healthcare workers at a trauma hospital in Iraqi Kurdistan and compare the levels of compliance between the emergency room (ER), the intensive care unit (ICU), and the acute care ward (ACW). We carried out overt observations in 2018 using the validated World Health Organization ‘five moments for hand hygiene’ observational tool. We observed a total of 622 hand hygiene opportunities performed by 149 healthcare workers. Hand hygiene compliance was defined as handwashing with soap and water or the use of alcohol-based hand rub, in accordance with the ‘five moments for hand hygiene’ concept. Overall, the hand hygiene compliance rate was found to be 6.8% (95% confidence interval 5.0–9.1). Compliance was significantly lower in the ER (1.0%), compared with the ICU (8.1%) (p = 0.0012), and the ACW (11.1%) (p < 0.0001). In all three units, the availability of alcohol-based hand rub and handwashing sinks was insufficient in relation to the number of patient beds. We conclude that the overall level of hand hygiene compliance was low, with the lowest level of compliance in the ER. Our findings call for improved resource allocation and strengthened hand hygiene routines. These relatively simple measures could potentially lower the incidence of healthcare-associated infections and improve the mortality and morbidity of patients in already overburdened healthcare systems.

scholarly journals Compliance with Hand Hygiene Among Healthcare Workers in Preventing Healthcare Associated Infections

2021 ◽  
Vol 7 (1) ◽  
pp. 57-69
Author(s):  
Ema Buković ◽  
Damir Važanić ◽  
Adriano Friganović ◽  
Vesna Svirčević ◽  
Cecilija Rotim ◽  
...  
Keyword(s):  
Systematic Review ◽  
Hand Hygiene ◽  
Healthcare Workers ◽  
Hand Hygiene Compliance ◽  
World Health ◽  
Healthcare Associated Infections ◽  
Review Of Literature ◽  
Hand Hygiene Improvement ◽  
Hygiene Compliance ◽  
Healthcare Associated

Introduction: Healthcare associated infections (HCAIs) represent a major public health issue. In Europe, 37 000 patients are affected annually by some sort of HCAI. HCAIs are preventable, and hand hygiene is an important measure in their prevention. During daily clinical practice, hands of healthcare workers (HCWs) are exposed to surfaces, various substances and objects; therefore, proper hand hygiene is the first step in preventing microorganism transmission. Aim: To determine the HCWs hand hygiene compliance with the guidelines of the World Health Organization through a systematic review of literature. Methods: A systematic review of literature based on the PRISMA statement guidelines using the PubMed database in a search for articles that evaluate the hand hygiene compliance among HCWs. Results: Six articles were taken into consideration by the availability of full-text articles and years of publication between 2010 and 2020. Results showed that compliance rate was the highest in studies that implemented World Health Organisation’s Multimodal Hand Hygiene Improvement Strategy or its modifications. Conclusion: The multimodal approach, as World Health Organisation’s multimodal strategy or its local modifications, has been shown as the best approach addressing the problem of hand hygiene compliance. Further areas for research include finding a better method of measuring compliance, technology-driven solutions for both delivery of alcohol-based handrub and monitoring of its use, a greater focus on evaluating proper hand hygiene techniques, and insuring longer-term programs of training and education to achieve the best effectiveness of hand hygiene compliance among HCWs.

scholarly journals Hand hygiene compliance among rural healthcare workers of Nepal

2018 ◽  
Vol 5 (1) ◽  
pp. 90-95
Author(s):  
Ajay Kumar Rajbhandari ◽  
Reshu Agrawal Sagtani ◽  
Kedar Prasad Baral
Keyword(s):  
Health Care ◽  
Hand Hygiene ◽  
Healthcare Workers ◽  
Compliance Rate ◽  
Hand Washing ◽  
World Health ◽  
Cross Sectional ◽  
Hygiene Compliance ◽  
Health Organization ◽  
Healthcare Associated

Introductions: Transmission of healthcare associated infections through contaminated hands of healthcare workers are common. This study was designed to explore the existing compliance of hand hygiene among the healthcare workers workings in different level of health care centers of Makwanpur district of Nepal. Methods: This was a cross sectional observational study conducted in Makwanpur district, Nepal, during 2015. Healthcare workers from nine healthcare centers were selected randomly for the study. Standard observation checklists and World Health Organization guidelines on hand hygiene were used to assess the compliance of hand hygiene during patient care. Results: There were 74 participants. Overall compliance for hand washing was 24.25% (range 19.63 to 45.56). Complete steps of hand washing were performed by 38.3% of health care workers. The factors associated for noncompliance were lack of time (29.3%), example set by seniors (20%), absence or inadequate institution protocol (20%) and unfavourable health care setting (> 20%). Conclusions: Overall hand washing compliance rate amongst the healthcare workers in rural health facilities of Nepal were low (24.25%).

Patients' Beliefs and Perceptions of Their Participation to Increase Healthcare Worker Compliance with Hand Hygiene

2009 ◽  
Vol 30 (9) ◽  
pp. 830-839 ◽  
Author(s):  
Yves Longtin ◽  
Hugo Sax ◽  
Benedetta Allegranzi ◽  
Stéphane Hugonnet ◽  
Didier Pittet
Keyword(s):  
Hand Hygiene ◽  
Healthcare Worker ◽  
Patient Participation ◽  
Healthcare Workers ◽  
Patient Empowerment ◽  
Healthcare Associated Infections ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Active Involvement ◽  
Healthcare Associated

Background.Research suggests that patients could improve healthcare workers' compliance with hand hygiene recommendations by reminding them to cleanse their hands.Objective.To assess patients' perceptions of a patient-participation program to improve healthcare workers' compliance with hand hygiene.Design.Cross-sectional survey of patient knowledge and perceptions of healthcare-associated infections, hand hygiene, and patient participation, defined as the active involvement of patients in various aspects of their health care.Setting.Large Swiss teaching hospital.Results.Of 194 patients who participated, most responded that they would not feel comfortable asking a nurse (148 respondents [76%]) or a physician (150 [77%]) to perform hand hygiene, and 57 (29%) believed that this would help prevent healthcare-associated infections. In contrast, an explicit invitation from a healthcare worker to ask about hand hygiene doubled the intention to ask a nurse (from 34% to 83% of respondents; P < .001) and to ask a physician (from 30% to 78%; P < .001). In multivariate analysis, being nonreligious, having an expansive personality, being concerned about healthcare-associated infections, and believing that patient participation would prevent healthcare-associated infections were associated with the intention to ask a nurse or a physician to perform hand hygiene (P < .05). Being of Jewish, Eastern Orthodox, or Buddhist faith was associated also with increased intention to ask a nurse (P < .05), compared with being of Christian faith.Conclusions.This study identifies several sociodemographic characteristics associated with the intention to ask nurses and physicians about hand hygiene and underscores the importance of a direct invitation from healthcare workers to increase patient participation and foster patient empowerment. These findings could guide the development of future hand hygiene-promotion strategies.

scholarly journals Influence of Handprint Culture Training on Compliance of Healthcare Workers with Hand Hygiene

2018 ◽  
Vol 2018 ◽  
pp. 1-6
Author(s):  
Hala Fouad ◽  
Mona M. A. Halim ◽  
HebatAllah F. Algebaly ◽  
Nardeen A. Elmallakh
Keyword(s):  
Cardiac Surgery ◽  
Cohort Study ◽  
Hand Hygiene ◽  
Bacterial Growth ◽  
Healthcare Workers ◽  
Visual Observation ◽  
Blood Cultures ◽  
Healthcare Associated Infections ◽  
Before And After ◽  
Healthcare Associated

Objective. We aimed to study the effect of visual observation of bacterial growth from handprints on healthcare workers’ (HCWs) compliance with hand hygiene (HH).Settings. Medical and postoperative cardiac surgery units.Design. Prospective cohort study.Subject. The study included 40 HCWs.Intervention. Each HCW was interviewed on 3 separate occasions. The 1st interview was held to obtain a handprint culture before and after a session demonstrating the 7 steps of HH using alcohol-based hand rub, allowing comparison of results before and after HH. A 2nd interview was held 6 weeks later to obtain handprint culture after HH. A 3rd interview was held to obtain a handprint culture before HH. One month before implementation of handprint cultures and during the 12-week study period, monitoring of HCWs for compliance with HH was observed by 2 independent observers.Main Results. There was a significant improvement in HH compliance following handprint culture interview (p<0.001). The frequency of positive cultures, obtained from patients with suspected healthcare-associated infections, significantly declined (blood cultures:p=0.001; wound cultures:p= 0,003; sputum cultures:p=0.005).Conclusion. The visual message of handprint bacterial growth before and after HH seems an effective method to improve HH compliance.

scholarly journals Hubungan Pengetahuan Perawat Tentang Hais (Healthcare Associated Infections) dengan Kepatuhan Hand Hygiene di Ruang Rawat Inap RSUD Encik Mariyam Tahun 2020

2021 ◽  
Vol 2 (1) ◽  
pp. 118-126
Author(s):  
SARAH
Keyword(s):  
Hand Hygiene ◽  
P Value ◽  
Healthcare Associated Infections ◽  
Cross Sectional ◽  
Healthcare Associated

ABSTRAK Hand hygiene merupakan teknik dasar yang penting dalam pencegahan HAIs namun tingkat kepatuhan perawat dalam melakukan hand hygiene masih rendah. Tujuan penelitian ini adalah mengetahui hubungan pengetahuan perawat tentang HAIs dengan kepatuhan hand hygiene di ruang rawat inap RSUD Encik Mariyam tahun 2020. Penelitian ini menggunakan desain deskriptif korelasional dan pendekatan cross-sectional. Metode sampling yang digunakan adalah total sampling dengan besar sample 32 orang perawat di ruang rawat inap RSUD Encik Mariyam. Data penelitian dikumpulkan melalui metode observasi oleh peneliti dan pengisian kuesioner oleh responden. Data hasil penelitian dianalisa dengan uji Somers’ D. Hasil analisa univariat didapatkan gambaran pengetahuan perawat tentang HAIs pada kategori sedang (53.1%) dan gambaran kepatuhan hand hygiene pada kategori dilakukan dengan baik (71.9%). Hasil analisa bivariate didapatkan  p value= 0.007 sehingga dapat disimpulkan ada hubungan yang signifikan antara pengetahuan perawat tentang HAIs dengan kepatuhan hand hygiene di ruang rawat inap RSUD Encik Mariyam tahun 2020. Berdasarkan hasil penelitian ini diharapkan agar meningkatkan pengetahuan perawat tentang HAIs dan manajemennya melalui seminar / sosialisasi dan pelatihan guna meningkatkan kesadaran perawat akan pentingnya pencegahan HAIs dengan hal-hal sederhana seperti hand hygiene.

scholarly journals National Hand Hygiene Campaigns in Europe, 2000-2009

2009 ◽  
Vol 14 (17) ◽  
Author(s):  
A P Magiorakos ◽  
C Suetens ◽  
L Boyd ◽  
C Costa ◽  
R Cunney ◽  
...  
Keyword(s):  
Patient Safety ◽  
Disease Prevention ◽  
Hand Hygiene ◽  
Prevention And Control ◽  
World Health ◽  
Healthcare Associated Infections ◽  
The World ◽  
Health Organization ◽  
Healthcare Associated ◽  
And Control

Hand hygiene represents the single most effective way to prevent healthcare-associated infections. The World Health Organization, as part of its First Global Patient Safety Challenge, recommends implementation of multi-faceted strategies to increase compliance with hand hygiene. A questionnaire was sent by the European Centre for Disease Prevention and Control to 30 European countries, regarding the availability and organisation of their national hand hygiene campaigns. All countries responded. Thirteen countries had organised at least one national campaign during the period 2000-2009 and three countries were in the process of organising a national campaign. Although the remaining countries did not have a national campaign, several reported regional and local hand hygiene activities or educational resources on national websites.

An Infection Preventionist’s View of the Compendium of Strategies to Prevent Healthcare-Associated Infections: Structure, Process, and Outcome

2014 ◽  
Vol 35 (8) ◽  
pp. 961-963
Author(s):  
Janet P. Haas
Keyword(s):  
Hand Hygiene ◽  
Infection Prevention ◽  
World Health ◽  
Guidance Document ◽  
Healthcare Associated Infections ◽  
Healthcare Associated Infection ◽  
Hospital Epidemiology ◽  
Process And Outcome ◽  
Health Organization ◽  
Healthcare Associated

The set of articles included in the 2008 “A Compendium of Strategies to Prevent Healthcare-Associated Infections in Acute Care Hospitals” was groundbreaking because the articles distilled the latest information about 6 of the most pressing healthcare-associated infection (HAI) prevention problems into a compelling framework, with guidance for immediate interventions. Further, they were all included as a supplement to the regular monthly issue of Infection Control and Hospital Epidemiology that could be kept neatly in healthcare professionals' offices for reference. Importantly, colleagues from all disciplines could access these articles online free of charge, along with patient educational material available in English, Spanish, and several additional languages. One central topic missing from the 2008 Compendium was hand hygiene, a cornerstone of infection prevention. The World Health Organization (WHO) Clean Care Is Safer Care initiative was then the focus for hand hygiene monitoring and improvement, and it was unclear at that point whether another guidance document on the topic would have provided additional useful information.

scholarly journals Impediments to Compliance with Hand Hygiene among Medical and Dental Students in Medical and Dental College

2021 ◽  
Vol 11 (10) ◽  
pp. 260-266
Author(s):  
Harshita Hemant Sisodiya ◽  
Sneha Hemant Sisodiya ◽  
Nikhil Jaykumar Gandhi
Keyword(s):  
Hand Hygiene ◽  
Undergraduate Students ◽  
Healthcare Providers ◽  
Cost Effective ◽  
Dental Students ◽  
P Value ◽  
Healthcare Associated Infections ◽  
Chi Square ◽  
Adequate Knowledge ◽  
Healthcare Associated

Introduction: Hand hygiene is the first line of defense and a cost-effective method for reducing healthcare-associated infections (HCAIs) and antibiotic resistance. It is essential for healthcare professionals to have adequate knowledge regarding hand hygiene. Ensuring proper education of trainees is required as they are the healthcare providers of the future. Aim: To assess the impediments that both medical and dental trainees face in performing effective hand hygiene. Materials and Methods: The study questionnaire based on WHO’s concepts of "Five Moments for Hand Hygiene" and “Six Steps of Hand Hygiene” was sent to 225 participants from 2nd & 3rd MBBS and BDS courses. Associations between variables of interest were tested using the chi-square (χ2) test. Statistical analysis was carried out using the Statistical Package for the Social Sciences version 17. The p-value <0.05 was considered statistically significant. Results: Total 184 (81.9%) students from medical and 41(18.2%) from dental stream participated, 118 out of 225 were females and 107 were males. Out of 225, 175 (77.8%) participants used soap and water, 32 (14.2%) used hand rub. Also 98 out of 225 (43.6%) participants think that because of workload the steps of handwashing were missed. The various facilities like access to water, wash basin, soap, hand-rub, facilities for drying hands required for hand hygiene may be lacking as per 31.6% participants. It was noticed that 96 out of 225 (42.7%) use hand rub for less than 10 seconds duration, 86 (38.2%) for 11-20 seconds, 30 (13.3%) for 21-30 seconds while only 13(5.8%) used hand-rub for than 30 seconds. For performing handwash, 141 out of 225 (62.7%) used cloth towel, 62(27.6%) used paper-towel and 22(9.8%) used dryer for drying hands. 205 out of 225 (91.1%) participants think increasing the frequency of training and audits will help in improving the hand hygiene. Conclusion: Formal training in of hand hygiene needs to be incorporated in teaching at the undergraduate level which would ensure adequate and appropriate utilization of resources. Provision of adequate hand hygiene supplies, particularly soap and facilities for drying hands needs to be ensured. Key words: Healthcare associated infections, Hand rub, Hand wash, Undergraduate students.

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