scholarly journals Higienização das Mãos: Adesão dos Profissionais Antes e Após Programa de Capacitação

2017 ◽  
Vol 19 (2) ◽  
pp. 126
Author(s):  
Juliane De Souza Scherer ◽  
Patrícia Machado Gleit ◽  
Christian Negeliskii ◽  
André Luis Machado Bueno
Keyword(s):  
Hand Hygiene ◽  
Care Quality ◽  
Direct Care ◽  
Adherence Rate ◽  
Hospital Infection Control ◽  
Before And After ◽  
Service Training ◽  
Terapia Intensiva ◽  
Nursing Professionals ◽  
Control Service

Capacitação e educação são essenciais aos profissionais de saúde sobre a importância da higienização das mãos (HM) durante a assistência direta, no intuito de, constantemente, provocar reflexão e o aumento na adesão à HM. Este estudo comparou a taxa de adesão à HM, após uma campanha de capacitação em Centro de Terapia Intensiva Adulto (CTI). Foram comparadas as taxas de adesão de HM verificadas em março e junho de 2012, do CTI Adulto, respectivamente, antes e após a campanha de capacitação realizada pelo Serviço de Controle de Infecção Hospitalar nos meses de abril e maio do mesmo ano. Os resultados apontam uma maior adesão à HM pelos profissionais enfermeiros (67,57%) e fisioterapeutas (72,73%) antes da campanha. Após a campanha de educação, a resposta em relação à higiene correta pelos profissionais da enfermagem aumentou (79,31%), enquanto para os fisioterapeutas houve uma redução (56,25%) na taxa de adesão. Mesmo com todas as evidências convincentes publicadas sobre a importância da adesão à higienização de mãos no combate às infecções, ainda não se atingiu a adesão total à técnica. Portanto, a capacitação específica e periódica influência nos índices de adesão de HM e na melhoria da qualidade da assistência, resultando em maior segurança dos processos assistenciais.Palavras-chave: Desinfecção das Mãos. Controle de Infecções. Educação Continuada. Capacitação em Serviço.AbstractTraining and education are essential for health professionals on the importance of hand hygiene (HM) during direct care, in order to constantly instigate reflection and HM increase adherence. This study compared the HM adherence rate after a training campaign at the Center for Adult Intensive Care (ICU). The HM adherence rates verified in March and June 2012, respectively were compared, before and after the training campaign carried out by the Hospital Infection Control Service in April and May of the same year. The results indicate a higher nurses’ HM adherence (67.57%) and physiotherapists (72.73%) before the campaign. After the education campaign, the response to correct hygiene by nursing professionals increased (79.31%), while for physiotherapists there was a reduction (56.25%) in the adherence rate. Even with all the compelling evidence published on the importance of adherence to hand hygiene in combating infections, complete adherence to the technique has not been achieved yet. Therefore, specific and periodic training influences HM adherence rates and improves the care quality, resulting in greater security of care processes.Keywords: Hand Disinfection. Infection Control.Continuing Education. In-service Training.

scholarly journals Adherence to the five moments for hand hygiene among intensive care professionals

2015 ◽  
Vol 36 (4) ◽  
pp. 21-28 ◽  
Author(s):  
Luccas Melo de Souza ◽  
Maríndia Fernandes Ramos ◽  
Evelin Santos da Silva Becker ◽  
Lisiani Celina da Silva Meirelles ◽  
Suzana Aparecida Oliveira Monteiro
Keyword(s):  
Intensive Care ◽  
Hand Hygiene ◽  
Secondary Data ◽  
Multidrug Resistant ◽  
Hand Washing ◽  
Adherence Rate ◽  
Cross Sectional ◽  
Hospital Infection Control ◽  
Current Scenario ◽  
Control Service

Objective: to identify the adherence of health professionals of an intensive care unit to the five moments for hand hygiene. Method: cross-sectional analytical study with a quantitative approach, based on secondary data from a database of a hospital infection control service at an institution in southern Brazil. A total of 793 observations were analyzed from July to December 2012. Results: hand washing was not performed in 446 (56.2%) of the observations, and the adherence rate was 43.7%. The greatest adherence to hand hygiene was among the physiotherapists (53.5%) and the lowest adherence was among the nursing staff (29.2%). The indications with the lowest adherence rates to hand hygiene were "before touching the patient" (18.4%) and "before aseptic procedure" (20.9%). Conclusion: we conclude that adherence to hand washing does not comply with the national and international guidelines, especially when we consider the current scenario of growing infections caused by multidrug-resistant microorganisms.

scholarly journals Higienização das mãos em uma unidade de terapia intensiva neonatal

2021 ◽  
Vol 11 (34) ◽  
pp. 41-51
Author(s):  
Chiara Silmara Santos Silva ◽  
Alexandre Aguiar Pereira ◽  
Andressa Tavares Parente ◽  
Akyson Zidane Merca Silva ◽  
Edficher Margotti ◽  
...  
Keyword(s):  
Intensive Care ◽  
Hand Hygiene ◽  
Neonatal Intensive Care ◽  
Field Research ◽  
Care Process ◽  
Hygiene Practices ◽  
Before And After ◽  
Neonatal Icu ◽  
Terapia Intensiva ◽  
Relationship Of

Identificar, por meio da observação, a prática de higienização das mãos durante as ações cuidativas realizadas pela equipe de saúde ao recém-nascido pré-termo em UTI neonatal, traçando o perfil dos profissionais, registrando as práticas de higienização das mãos e avaliando a adesão ao uso do álcool gel e adorno zero. Trata-se de pesquisa de campo observacional, descritiva e exploratória, de natureza quantitativa. Amostra: 62 profissionais da saúde: enfermeiros, técnicos de enfermagem, médicos e fisioterapeutas. Realizadas 358 observações nos turnos: manhã, tarde e noite. Cerca de 64,52% dos profissionais tinham de 1 a 10 anos de atuação em Unidade de Terapia Intensiva Neonatal. Registrou-se que 88% realizaram higienização das mãos antes e depois à manipulação, com 93,85% de adesão ao adorno zero. Prima-se pela realização de educação permanente, reforçando a relação do processo de cuidado no cenário neonatal e seus impactos no prognóstico de saúde do RN.Descritores: Desinfecção das Mãos, Unidades de Terapia Intensiva Neonatal, Cuidados de Enfermagem. Hand hygienization in a neonatal intensive care unitAbstract: Identify, through observation, the practice of hand hygiene during the care actions performed by the health team to the preterm newborn in a neonatal ICU, tracing the profile of the professionals, recording hand hygiene practices and rating adherence to the use of hand sanitizer and zero adornment. It is an observational, descriptive and exploratory field research, of a quantitative nature. Sample: 62 health professionals: nurses, nursing technicians, doctors and physiotherapists. 358 observations were made in the shifts: morning, afternoon and night. Approximately 64.52% of professionals had 1 to 10 years of experience in the Neonatal Intensive Care Unit. It was registered that 88% performed hand hygiene before and after manipulation. With 93.85% adherence to zero adornment. It excels the realization of permanent education, reinforcing the relationship of the care process in the neonatal scenario and its impacts on the health prognosis of the newborn.Descriptors: Hand Disinfection, Intensive Care Units Neonatal, Nursing Care. Higienización de manos en una unidad de cuidado intensivo neonatalResumen: Identificar, por medio de la observación, la práctica de higienización de manos durante la labor por parte del equipo de salud al neonato prematuro en UCI neonatal, perfilando los profesionales, registrando las prácticas de higienización de manos y evaluando la adhesión a la utilización del alcohol gel y cero adornos. Se trata de una pesquisa de campo observacional, descriptiva, exploratória y de naturaleza cuantitativa. Amuestra: 62 profesionales del área de salud, de entre ellos, enfermeros, técnicos de enfermería, médicos y fisioterapeutas. Han sido realizadas 358 observaciones en los turnos: mañana, tarde y noche. Aproximadamente 64.52% de los profesionales tenían de 1 a 10 años de actuación en Unidades de Cuidado Intensivo Neonatal. Registramos que 88% realizaron higienización de manos antes y después de la manipulación y 93.85% no usaron adornos. Se estima por la realización de educación permanente, reforzando la relación al proceso de cuidado en el escenario neonatal y sus impactos en el pronóstico de salud del neonato.Descriptores: Desinfección de las Manos, Unidades de Cuidado Intensivo Neonatal, Atención de Enfermería.

scholarly journals Monitoramento da adesão à higiene das mãos em uma unidade de terapia intensiva [Monitoring hand hygiene adherence in an intensive care unit] [Monitoreo de la adhesión a la higiene de las manos en una unidad de terapia intensiva]

2018 ◽  
Vol 26 ◽  
pp. e33087
Author(s):  
Bruna Rocha da Silva ◽  
Monica De Almeida Carreiro ◽  
Bruno Francisco Teixeira Simões ◽  
Danielle Galdino de Paula
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Hand Hygiene ◽  
Health Professionals ◽  
Rio De Janeiro ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Before And After ◽  
Terapia Intensiva ◽  
Correct Technique

Objetivo: caracterizar a adesão da prática de higienização das mãos pelos profissionais de saúde.  Método: estudo transversal, com a equipe multidisciplinar da unidade de terapia intensiva de um hospital do Rio de Janeiro, entre janeiro e fevereiro de 2017. A coleta de dados foi através da observação direta com um formulário adaptado. Foram realizadas 165 observações analisadas pelo software R. O projeto foi aprovado por Comitê de Ética em Pesquisa. Resultados: em 13% das observações foi alcançado o padrão ouro que corresponde a higiene das mãos antes e após o contato com o paciente com a técnica correta. Todas as categorias profissionais realizaram mais a higienização das mãos após o contato com o paciente. Conclusão: verificou-se baixa taxa de adesão à higienização das mãos pelos profissionais de saúde. Contudo, a categoria enfermeiro é a que mais higieniza as mãos antes e após o contato com o paciente, conforme a técnica correta.ABSTRACTObjective: to characterize health professionals’ adherence to hand hygiene procedure. Method: this cross-sectional study with the multidisciplinary team of an intensive care unit at a hospital in Rio de Janeiro was conducted between January and February 2017. Data were collected in 165 direct observations using an adapted form, and analyzed by R software. The project was approved by the research ethics committee. Results: the gold standard (hand hygiene before and after contact with the patient using the correct technique) was achieved in 13% of the observations. All categories of health personnel performed hand hygiene more after contact with the patient. Conclusion: the rate of adherence to hand hygiene by health professionals was low. However, the category that most hygienized hands before and after contact with patients, using the correct technique, was nurses.RESUMENObjetivo: caracterizar la adhesión de la práctica de higienización de las manos por los profesionales de salud. Método: estudio transversal, con el equipo multidisciplinario de la unidad de terapia intensiva de un hospital de Río de Janeiro, entre enero y febrero de 2017. La recolección de datos fue a través de la observación directa con un formulario adaptado. Fueron realizadas 165 observaciones analizadas por el software R. El proyecto fue aprobado por el Comité de Ética en Investigación. Resultados: en el 13% de las observaciones se alcanzó el patrón oro que corresponde a la higiene de las manos antes y después del contacto con el paciente, utilizando la técnica correcta. Todas las categorías profesionales realizaron más la higienización de las manos después del contacto con el paciente. Conclusión: se verificó baja tasa de adhesión a la higienización de las manos por los profesionales de salud. Sin embargo, la categoría enfermera es la que más higieniza las manos antes y después del contacto con el paciente según la técnica correcta.

Universal Masking to Prevent Nosocomial Respiratory Viral Infections in Malignant Hematology Inpatient Units

2020 ◽  
Vol 41 (S1) ◽  
pp. s501-s502
Author(s):  
Vishnuka Arulsundaram ◽  
Kelsey Houston ◽  
Elisa Vicencio ◽  
Carly Rebelo ◽  
Alon Vaisman ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Infection Control ◽  
Influenza Vaccination ◽  
Hand Hygiene Compliance ◽  
Vaccination Rates ◽  
Increased Risk ◽  
Hospital Infection Control ◽  
Before And After ◽  
Hygiene Compliance ◽  
The Impact

Background: Patients with hematologic malignancies are at increased risk for respiratory virus infections (RVIs) and may experience prolonged asymptomatic viral shedding contributing to transmission. In response to 2 extensive RVI outbreaks in our adult cancer center, a universal masking policy was implemented whereby inpatients on malignant hematology units and their visitors were required to wear procedure masks whenever they were walking outside their rooms. Visitors were required to mask when inside patient rooms. Staff were not included in the policy. Here, we describe the impact of universal masking on the incidence of nosocomial RVI in malignant hematology patients. Methods: In this before-and-after study, we examined the effects of universal masking in malignant hematology units of a 170-bed adult cancer hospital in Toronto, Canada, between January 1, 2015, and September 30, 2019. Nosocomial RVI incidence, RVI outbreak descriptions, and hand hygiene compliance rates were collected from hospital infection control databases. Mask utilization was extracted from hospital purchasing records. Staff influenza vaccination rates were obtained from occupational health records. RVI incidence rates before and after the intervention were compared using Wilcoxon rank-sum test. Results: The preimplementation phase ran from January 1, 2015, to February 28, 2017, and the postimplementation phase spanned March 1, 2017, to September 30, 2019. Monthly mask utilization on malignant hematology units increased by 105% after implementing the universal masking policy. Nosocomial RVI incidence decreased significantly after implementing the universal masking policy, and the number of cases involved in RVI outbreaks also decreased (Table 1). There was a 14% increase in nasopharyngeal swab orders after implementation. Staff influenza vaccination rates, hand hygiene compliance and infection control policies remained stable throughout the study. Conclusions: A reduction in the incidence of nosocomial RVI and number of RVI cases in outbreaks was observed after implementing the universal masking policy. Although we were unable to directly measure compliance with the intervention, increased mask utilization after the intervention implied adherence to the policy. Our experience suggests that universal masking in malignant hematology inpatients may be an effective RVI prevention strategy. Further rigorous study is warranted.Funding: NoneDisclosures: Susy Hota reports contract research for Finch Therapeutics.

Saúde ocupacional dos profissionais de enfermagem em unidade de terapia intensiva

2013 ◽  
Vol 4 (2) ◽  
pp. 115 ◽  
Author(s):  
Natasha Marques Frota ◽  
Lívia Moreira Barros ◽  
Luana Nunes Caldini ◽  
Thiago Moura De Araújo ◽  
Joselany Áfio Caetano
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Occupational Hazards ◽  
Inclusion Criteria ◽  
Occupational Risks ◽  
Worker Health ◽  
Final Sample ◽  
Terapia Intensiva ◽  
Health Nursing ◽  
Nursing Professionals

Resumo: Objetivou-se identificar os riscos ocupacionais em profissionais de enfermagem em Unidade de Terapia Intensiva. Trata-se de uma revisão integrativa realizada no período de fevereiro a março de 2012. A amostra final do estudo contou com 12 artigos que atenderam os critérios de inclusão. Foi possível identificar que os riscos ocupacionais mais presentes na UTI estão associados aos riscos de acidentes, seguido do biológico, químico e ergonômico. Frente a esta realidade é necessário a implementação de medidas para a prevenção dos riscos, para diminuição do absenteísmo e a promoção da saúde do trabalhador de enfermagem.Palavras-Chave: Enfermagem do trabalho, Riscos ocupacionais, Unidades de Terapia Intensiva.Occupational health of nurses in the Intensive Care UnitAbstract: This study aimed to identify occupational hazards in nursing professionals in the Intensive Care Unit. It is an integrative review carried out during February-March 2012. The final sample included 12 articles that met the inclusion criteria. It was possible to identify the occupational hazards present in the ICU are more associated with the risk of accidents, followed by biological, chemical and ergonomic. Faced with this reality is necessary to implement measures to prevent risks, to reduce absenteeism and promote worker health nursing.Keywords: Occupational Health Nursing, Occupational Risks, Intensive Care Units.Salud en el trabajo de las enfermeras en la Unidad de Cuidados IntensivosResumen: Este estudio tuvo como objetivo identificar los riesgos laborales en los profesionales de enfermería en la Unidad de Cuidados Intensivos. Se trata de una revisión integradora llevada a cabo durante febrero y marzo de 2012. La muestra final incluyó 12 artículos que cumplieron los criterios de inclusión. Fue posible identificar los riesgos laborales presentes en la UCI son más asociado con el riesgo de accidentes, seguido por agentes biológicos, químicos y ergonómicos. Frente a esta realidad es necesario aplicar medidas para prevenir los riesgos, para reducir el absentismo y fomentar la enfermería profesional de la salud.Palabras Clave: Enfermería del Trabajo, Riesgos Laborales, Unidades de Cuidados Intensivos.

scholarly journals Effect of Adherence to Physical Exercise on Cardiometabolic Profile in Postmenopausal Women

2021 ◽  
Vol 18 (2) ◽  
pp. 656
Author(s):  
Valentina Bucciarelli ◽  
Francesco Bianco ◽  
Francesco Mucedola ◽  
Andrea Di Blasio ◽  
Pascal Izzicupo ◽  
...  
Keyword(s):  
Physical Exercise ◽  
Diastolic Function ◽  
Postmenopausal Women ◽  
Serum Glucose ◽  
Moderate Intensity ◽  
Adherence Rate ◽  
Before And After ◽  
Estrogen Depletion ◽  
The Impact ◽  
Cardiometabolic Profile

Background: Menopause is associated with negative cardiovascular adaptations related to estrogen depletion, which could be counteracted by physical exercise (PhE). However, the impact of total adherence-rate (TA) to PhE and sedentary time (SedT) on cardiometabolic profile in this population has not been elucidated. Methods: For 13-weeks, 43 women (57.1 ± 4.7 years) participated in a 4-days-a-week moderate-intensity walking training. They underwent laboratory, anthropometric and echocardiographic assessment, before and after training (T0–T1). Spontaneous physical activity (PhA) was assessed with a portable multisensory device. The sample was divided according to TA to PhE program: <70% (n = 17) and ≥70% (n = 26). Results: TA ≥ 70% group experienced a significant T1 improvement of relative wall thickness (RWT), diastolic function, VO2max, cortisol, cortisol/dehydroandrostenedione-sulphate ratio and serum glucose. After adjusting for SedT and 10-min bouts of spontaneous moderate-to-vigorous PhA, TA ≥ 70% showed the most significant absolute change of RWT and diastolic function, body mass index, weight and cortisol. TA ≥ 70% was major predictor of RWT and cortisol improvement. Conclusions: In a group of untrained, postmenopausal women, a high TA to a 13-weeks aerobic PhE program confers a better improvement in cardiometabolic profile, regardless of SedT and PhA levels.

The impact of a multimodel approach to designing a new orthopedic department

2020 ◽  
pp. 1-6
Author(s):  
Elad Keren ◽  
Abraham Borer ◽  
Lior Nesher ◽  
Tali Shafat ◽  
Rivka Yosipovich ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Antibiotic Stewardship ◽  
Infection Prevention ◽  
Tertiary Care ◽  
Surgical Site Infections ◽  
Antibiotic Use ◽  
Prevention Measures ◽  
Orthopedic Department ◽  
Before And After ◽  
The Impact

Abstract Objective: To determine whether a multifaceted approach effectively influenced antibiotic use in an orthopedics department. Design: Retrospective cohort study comparing the readmission rate and antibiotic use before and after an intervention. Setting: A 1,000-bed, tertiary-care, university hospital. Patients: Adult patients admitted to the orthopedics department between January 2015 and December 2018. Methods: During the preintervention period (2015–2016), 1 general orthopedic department was in operation. In the postintervention period (2017–2018), 2 separate departments were created: one designated for elective “clean” surgeries and another that included a “complicated wound” unit. A multifaceted strategy including infection prevention measures and introducing antibiotic stewardship practices was implemented. Admission rates, hand hygiene practice compliance, surgical site infections, and antibiotic treatment before versus after the intervention were analyzed. Results: The number of admissions and hospitalization days in the 2 periods did not change. Seven-day readmissions per annual quarter decreased significantly from the preintervention period (median, 7 days; interquartile range [IQR], 6–9) to the postintervention period (median, 4 days; IQR, 2–7; P = .038). Hand hygiene compliance increased and surgical site infections decreased in the postintervention period. Although total antibiotic use was not reduced, there was a significant change in the breakdown of the different antibiotic classes used before and after the intervention: increased use of narrow-spectrum β-lactams (P < .001) and decreased use of β-lactamase inhibitors (P < .001), third-generation cephalosporins (P = .044), and clindamycin (P < .001). Conclusions: Restructuring the orthopedics department facilitated better infection prevention measures accompanied by antibiotic stewardship implementation, resulting in a decreased use of broad-spectrum antibiotics and a significant reduction in readmission rates.

scholarly journals The impact of a ‘milking the COW’ campaign in a regional hospital in Singapore

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Surinder Kaur M. S. Pada ◽  
Poh Lishi ◽  
Kim Sim Ng ◽  
Sarathamani Rethenam ◽  
Lilibeth Silagan Alenton ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Pathogenic Bacteria ◽  
Mixed Model ◽  
Mixed Model Analysis ◽  
Colony Forming Units ◽  
Skin Flora ◽  
Before And After ◽  
The Difference ◽  
And Control ◽  
The Impact

Abstract Background Computerisation of various processes in hospitals and reliance on electronic devices raises the concern of contamination of these devices from the patient environment. We undertook this study to determine if an attached hand hygiene device that unlocks the screen of a computer on wheels (COW) on usage can be effective in decreasing the microbiological burden on computer keyboards. Methods An electronic hand sanitizer was integrated onto the COW. A prospective cohort study with a crossover design involving 2 control and 2 intervention wards was used. The study end point was the number of colony forming units found on the keyboards. Bacteria were classified into 4 main groups; pathogenic, skin flora, from the environment or those thought to be commensals in healthy individuals. We then used a mixed effects model for the statistical analysis to determine if there were any differences before and after the intervention. Results Thirty-nine keyboards were swabbed at baseline, day 7 and 14, with 234 keyboards cultured, colony forming units (CFUs) counted and organisms isolated. By mixed model analysis, the difference of mean bacteria count between intervention and control for week 1 was 32.74 (− 32.74, CI − 94.29 to 28.75, p = 0.29), for week 2 by 155.86 (− 155.86, CI − 227.45 to − 83.53, p < 0.0001), and after the 2-week period by 157.04 (− 157.04, CI − 231.53 to − 82.67, p < 0.0001). In the sub-analysis, there were significant differences of pathogenic bacteria counts for the Intervention as compared to the Control in contrast with commensal counts. Conclusion A hand hygiene device attached to a COW may be effective in decreasing the microbiological burden on computer keyboards.

scholarly journals Access to Alcohol-Based Hand Rub Is Associated With Improved Hand Hygiene in an Ebola-Threatened District of Western Uganda

2020 ◽  
Vol 41 (S1) ◽  
pp. s457-s457
Author(s):  
Mohammed Lamorde ◽  
Matthew Lozier ◽  
Maureen Kesande ◽  
Patricia Akers ◽  
Olive Tumuhairwe ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Healthcare Workers ◽  
Hand Hygiene Compliance ◽  
Wide Distribution ◽  
Patient Contact ◽  
Improve Hand Hygiene ◽  
Before And After ◽  
Hygiene Compliance ◽  
Handwashing With Soap

Background: Ebola virus disease (EVD) is highly transmissible and has a high mortality rate. During outbreaks, EVD can spread across international borders. Inadequate hand hygiene places healthcare workers (HCWs) at increased risk for healthcare-associated infections, including EVD. In high-income countries, alcohol-based hand rub (ABHR) can improve hand hygiene compliance among HCWs in healthcare facilities (HCF). We evaluated local production and district-wide distribution of a WHO-recommended ABHR formulation and associations between ABHR availability in HCF and HCW hand hygiene compliance. Methods: The evaluation included 30 HCF in Kabarole District, located in Western Uganda near the border with the Democratic Republic of the Congo, where an EVD outbreak has been ongoing since August 2018. We recorded baseline hand hygiene practices before and after patient contact among 46 healthcare workers across 20 HCFs in August 2018. Subsequently, in late 2018, WHO/UNICEF distributed commercially produced ABHR to all 30 HCFs in Kabarole as part of Ebola preparedness efforts. In February 2019, our crossover evaluation distributed 20 L locally produced ABHR to each of 15 HCFs. From June 24–July 5, 2019, we performed follow-up observations of hand hygiene practices among 68 HCWs across all 30 HCFs. We defined hand hygiene as handwashing with soap or using ABHR. We conducted focus groups with healthcare workers at baseline and follow-up. Results: We observed hand hygiene compliance before and after 203 and 308 patient contacts at baseline and follow-up, respectively. From baseline to follow-up, hand hygiene compliance before patient contact increased for ABHR use (0% to 17%) and handwashing with soap (0% to 5%), for a total increase from 0% to 22% (P < .0001). Similarly, hand hygiene after patient contact increased from baseline to follow-up for ABHR use (from 3% to 55%), and handwashing with soap decreased (from 12% to 7%), yielding a net increase in hand hygiene compliance after patient contact from 15% to 62% (P < .0001). Focus groups found that HCWs prefer ABHR to handwashing because it is faster and more convenient. Conclusions: In an HCF in Kabarole District, the introduction of ABHR appeared to improve hand hygiene compliance. However, the confirmation of 3 EVD cases in Uganda 120 km from Kabarole District 2 weeks before our follow-up hand hygiene observations may have influenced healthcare worker behavior and hand hygiene compliance. Local production and district-wide distribution of ABHR is feasible and may contribute to improved hand hygiene compliance among healthcare workers.Funding: NoneDisclosures: Mohammed Lamorde, Contracted Research - Janssen Pharmaceutica, ViiV, Mylan

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