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1.
Antimicrob Resist Infect Control ; 9(1): 129, 2020 08 08.
Artigo em Inglês | MEDLINE | ID: mdl-32771064

RESUMO

OBJECTIVES: Hand sanitisers are urgently needed in the time of COVID-19, and as a result of shortages, some people have resorted to making their own formulations, including the repurposing of distilleries. We wish to highlight the importance of those producing hand sanitisers to avoid methylated spirits containing methanol and to follow WHO recommended formulations. METHODS: We explore and discuss reports of methanol toxicity through ingestion and transdermal absorption. We discuss the WHO formulations and explain the rationale behind the chosen ingredients. SHORT CONCLUSION: We advise those producing hand sanitisers to follow WHO recommended formulations, and advise those producing hand sanitisers using methylated spirits, to avoid formulations which contain methanol.


Assuntos
Betacoronavirus/efeitos dos fármacos , Infecções por Coronavirus/prevenção & controle , Desinfetantes/farmacologia , Etanol/farmacologia , Metanol/farmacologia , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Betacoronavirus/fisiologia , Infecções por Coronavirus/virologia , Desinfetantes/química , Desinfetantes/normas , Desinfetantes/toxicidade , Composição de Medicamentos , Etanol/química , Desinfecção das Mãos/instrumentação , Humanos , Metanol/química , Metanol/toxicidade , Pneumonia Viral/virologia , Organização Mundial da Saúde
2.
Washington; Organización Panamericana de la Salud; mayo 20, 2020. 3 p.
Não convencional em Inglês, Espanhol, Português | LILACS | ID: biblio-1096941

RESUMO

Proveer estaciones de lavado de manos a los privados de libertad y al personal de los centros penitenciarios para su uso constante. • Realizar lavado de las manos con agua y jabón durante 40-60 segundos frecuentemente y por lo menos en los momentos críticos (antes y después de comer; antes y después de preparar comida; después de ir al baño; antes y después de realizar una tarea de limpieza; antes y después de tocar dinero), secarse las manos con una toalla de papel y usar toalla de papel para cerrar el grifo. En caso de que no se encuentre disponible ni agua ni jabón, usar solución de gel de alcohol al 70%. • Asegurar la dotación permanentemente de agua segura, jabón, papel higiénico y papel toalla, para la higiene de manos, y pañuelos de papel para higiene respiratoria. • Evitar la sobrepoblación/hacinamiento en las celdas de la instalación penitenciaria correspondiente. • Asegurar la buena ventilación y luz natural de los espacios además de evitar condiciones de confinamiento. Esto puede incluir la apertura de ventanas al exterior cuando hay poca contaminación al aire libre. • Ofrecer dieta balanceada y asegurar la inocuidad de alimentos a los privados de libertad. • El personal de los centros penitenciarios con síntomas respiratorios no debe acudir a trabajar.


This technical note presents main considerations and recommendations regarding individual hygiene, self-care, and hand washing, and suggestions for cleaning and disinfecting places where people are confined and deprived of their liberty. Additionally, it contains recommendations for preparing 0.05% and 0.1% sodium hypochlorite solutions, depending on the needs for cleaning and prevention against SARS-COV-2 and other infectious agents.


Recomendações gerais: • Disponibilizar estações de lavagem de mãos para uso constante das pessoas privadas de liberdade e dos funcionários dos centros penitenciários. • Lavar frequentemente as mãos com água e sabão por 40 a 60 segundos e pelo menos nos momentos críticos (antes e depois de comer, antes e depois de preparar alimentos, depois de usar o banheiro, antes e depois de realizar uma tarefa de limpeza, antes e depois de tocar em dinheiro), secar as mãos com toalha de papel e usar toalha de papel para fechar a torneira. Se não houver água e sabão, usar álcool gel 70%. • Garantir o fornecimento permanente de água potável, sabão, papel higiênico e toalhas de papel, para a higiene das mãos, e lenços de papel para a higiene respiratória. • Evitar a superlotação nas celas da instalação prisional. • Garantir uma boa ventilação e iluminação natural dos espaços e evitar condições de confinamento. Isso pode incluir a abertura de janelas para ventilação, quando houver pouca poluição atmosférica externa. • Oferecer uma dieta balanceada e garantir a inocuidade dos alimentos servidos às pessoas privadas de liberdade. • Os funcionários dos centros penitenciários com sintomas respiratórios não devem ir ao trabalho.


Assuntos
Humanos , Pneumonia Viral/prevenção & controle , Prisões/organização & administração , Desinfecção das Mãos/instrumentação , Saúde Ambiental/instrumentação , Higiene/educação , Infecções por Coronavirus/prevenção & controle , Pandemias/prevenção & controle , Betacoronavirus
3.
Washington; Organización Panamericana de la Salud; mayo 4, 2020. 2 p.
Não convencional em Inglês, Espanhol | LILACS | ID: biblio-1096878

RESUMO

La promoción del lavado de manos es fundamental para minimizar la transmisión de SARS-COV-2 y para salvar vidas. Una de las maneras más frecuentes de trasmisión de SARS-COV-2 es a través de manos contaminadas al tocarse la boca, la nariz y los ojos. También se puede transferir el virus de una superficie a otra a través de las manos contaminadas. Acceso gratuito y uso mandatorio de estaciones de lavado de manos ayudaría a minimizar la transmisión del virus de COVID y a salvar vidas.


Promoting handwashing is essential to minimize transmission of SARS-COV-2, the virus that causes COVID-19, and to save lives. One of the most commons ways of transmission of SARS-COV-2 is from contaminated hands touching the mouth, nose and eyes. The virus can also be transferred from one surface to another through contaminated hands. Free access and mandatory use of handwashing stations would help to minimize SARS-COV-2 transmission and save lives.


Assuntos
Humanos , Pneumonia Viral/prevenção & controle , Desinfecção das Mãos/instrumentação , Desinfecção das Mãos/normas , Infecções por Coronavirus/prevenção & controle , Infecções por Coronavirus/transmissão , Pandemias/prevenção & controle , Betacoronavirus
4.
Am J Otolaryngol ; 41(4): 102507, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32354479

RESUMO

OBJECTIVE: The aim of this study was to determine if high-powered air hand dryers produce sufficient noise to warrant concern over acoustic trauma as determined by federally established standards. STUDY DESIGN: Prospective observational field data collection SETTING: Urban and suburban community SUBJECTS AND METHODS: Using a NIOSH developed and calibrated soundmeter app, powered hand dryers were measured throughout two metropolitan areas. Ear level measurements were performed while drying wet hands. Recorded variables included average LAeq, Time-Weighted Average, Max and Peak Levels, Noise Dose, and Projected Dose according to NIOSH and OSHA standards, and all three major weighting networks (A, C, and Z). RESULTS: Fifty-four trials were performed at 27 locations. Average dryer run time was 28.9 s (range 14-45 s). Average LAeq (dBA), average maximum level (dBA), and average TWA (dBA) were 90.46 ± 5.32, 94.86 ± 5.73, 59.90 ± 6.80, respectively. The noise generated exceeded published manufacturer specifications. However, even with estimated cumulative daily exposure, the noise generated by these dryers did not exceed federal safety standards. CONCLUSIONS: Air-powered hand dryers produce noise output at a level that many would find subjectively uncomfortable with some brands/models consistently producing noise in excess of 90 dBA. Nonetheless, these dryers do not produce sound exceeding NIOSH standards for noise exposure.


Assuntos
Eletrônica/instrumentação , Exposição Ambiental/normas , Desinfecção das Mãos/instrumentação , Mãos , Ruído/efeitos adversos , United States Occupational Safety and Health Administration/normas , Humanos , National Institute for Occupational Safety and Health, U.S./normas , Estados Unidos
5.
Infect Dis Health ; 24(4): 194-200, 2019 11.
Artigo em Inglês | MEDLINE | ID: mdl-31350196

RESUMO

BACKGROUND: Despite a lack of consensus around which type of preoperative wash is most effect in preventing surgical site infection, their use in clinical practice remains common. Chlorhexidine gluconate (CHG) is widely used however a previous study indicated issues with patient understanding and use of CHG. In response an intervention was developed which aimed to improve patient understanding and compliance with CHG. METHODS: A patient information sheet and a standardised script to guide preadmission phone calls were developed to improve the delivery of information to patients at the study hospital. These interventions were implemented for four months with adult surgical inpatients. A cross-sectional survey was then conducted to assess the effectiveness of the intervention. RESULTS: A 75% (n = 226) response rate was attained. The majority of participants (86%, n = 189) used CHG prior to their surgical procedure and of these 71% (n = 129) used CHG the recommended two times. The quality of information received from the preadmissions nurses was rated more highly than information delivered by other hospital staff. Openended questions revealed key issues including lack of information, time and access issues, and inconsistencies in CHG use. CONCLUSION: The value of standardised calls and information sheets was evident in participants who reported receiving these measures. A moderate increase was seen from the original study in the number of participants who used CHG washes the recommended two times. However, issues remained with inconsistent information across the hospital. Clinicians need to draw on high quality, contemporary research to inform clinical practice.


Assuntos
Clorexidina/análogos & derivados , Desinfecção das Mãos/instrumentação , Pacientes/psicologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Clorexidina/análise , Estudos Transversais , Feminino , Desinfecção das Mãos/métodos , Humanos , Masculino , Pessoa de Meia-Idade , Cooperação do Paciente , Período Pré-Operatório , Infecção da Ferida Cirúrgica/prevenção & controle , Adulto Jovem
6.
J Hosp Infect ; 103(1): e110-e114, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31278954

RESUMO

Splashing from handwash basins may be a source of bacteria in the healthcare environment. A novel splash-reducing basin was assessed for its ability to reduce droplet formation during simulated handwashing. The basin was compared to two conventional basins commonly used in healthcare. Basins were mounted in a test system and tap flushed for 30-s with and without handwashing. Droplets were visualized with fluorescent dye. With conventional basins, >1000 droplets were formed during 30-s flushes and found to spread further than 2-m. The novel basin significantly reduced the number of droplets formed during handwashing and reduced the distance spread.


Assuntos
Equipamentos e Provisões , Desinfecção das Mãos/instrumentação , Desinfecção das Mãos/métodos , Instalações de Saúde
7.
Artigo em Inglês | MEDLINE | ID: mdl-30867901

RESUMO

Background: Many people use handwashing and hand-drying facilities in public washrooms under the impression that these amenities are hygienic. However, such facilities may be potential sites for the transmission of pathogenic bacteria. This study aimed to examine the hygiene facilities provided including handwashing and hand-drying facilities in public washrooms. Total bacterial counts and species identification were determined for hand-drying facilities. Antimicrobial susceptibilities were performed. Methods: The bacterial contamination levels of 55 public washrooms ranging in category from low class communities to high end establishments, were examined. The hygienic environment and facilities of the washrooms were analysed using an electronic checklist to facilitate immediate data entry. Pre-moistened sterile swabs were used to collect samples from areas around the outlet of paper towel dispensers, air outlet of air dryers, exit door handles and paper towels in the washrooms. Total bacterial counts were performed and isolates identified using matrix-assisted laser desorption ionisation time-of-flight mass spectrometry. Antimicrobial susceptibility was determined by disk diffusion. Results: The high and middle-income categories washrooms generally had cleaner facilities and environment followed by those in low categories. Fifty-two bacterial species were identified from the 55 investigated washrooms. Over 97% of the pathogenic Staphylococcus spp. tested were resistant to at least one first-line antimicrobial therapeutic agent, including penicillin, cefoxitin, erythromycin, co-trimoxazole, clindamycin and gentamicin, and 22.6% demonstrated co-resistance to at least three antimicrobial agents, with co-resistance to penicillin, erythromycin and clindamycin being the most common. Conclusion: Our findings suggest that hand-drying facilities in public washrooms can act as reservoirs of drug-resistant bacteria. The importance of frequent cleaning and maintenance of public washrooms to promote safe hand hygiene practices for the public are emphasised.


Assuntos
Bactérias/isolamento & purificação , Contaminação de Equipamentos/estatística & dados numéricos , Desinfecção das Mãos/instrumentação , Toaletes , Antibacterianos/farmacologia , Bactérias/efeitos dos fármacos , Contagem de Colônia Microbiana , Estudos Transversais , Microbiologia Ambiental , Humanos , Testes de Sensibilidade Microbiana , Logradouros Públicos , Espectrometria de Massas por Ionização e Dessorção a Laser Assistida por Matriz
9.
Artigo em Inglês | MEDLINE | ID: mdl-30622703

RESUMO

Although critical to prevent healthcare-associated infections, hand hygiene (HH) compliance is poor in resource-limited settings. In 2012, three Kenyan hospitals began onsite production of alcohol-based handrub (ABHR) and HH promotion. Our aim is to determine the impact of local production of ABHR on HH compliance and perceptions of ABHR. We observed 25,738 HH compliance opportunities and conducted 15 baseline and post-intervention focus group discussions. Hand Hygiene compliance increased from 28% (baseline) to 38% (post-intervention, p = 0.0003). Healthcare workers liked the increased accessibility of ABHR, but disliked its smell, feel, and sporadic availability. Onsite production and promotion of ABHR resulted in modest HH improvement. Enhancing the quality of ABHR and addressing logistical barriers could improve program impact.


Assuntos
Infecção Hospitalar/prevenção & controle , Desinfecção das Mãos/métodos , Adulto , Etanol/análise , Feminino , Desinfecção das Mãos/instrumentação , Pessoal de Saúde/estatística & dados numéricos , Humanos , Quênia , Masculino , Pessoa de Meia-Idade , Avaliação de Programas e Projetos de Saúde , Adulto Jovem
10.
Infect Control Hosp Epidemiol ; 39(8): 1000-1002, 2018 08.
Artigo em Inglês | MEDLINE | ID: mdl-29895338

RESUMO

An anatomically based assessment scale of handwashing quality with alcohol-based hand rub was designed. Contents of the scale divided each hand into 40 zones. Psychometric measurements were studied in 30 participants (120 hand sides). The scale was both valid (Cronbach α: 0·83 dorsal side and 0·73 palmar side) and reproducible (linear regression R2, 0·91; intraclass correlation coefficient, 0·99).


Assuntos
Desinfecção das Mãos/instrumentação , Desinfecção das Mãos/normas , Controle de Infecções/instrumentação , Controle de Infecções/normas , Anti-Infecciosos Locais/uso terapêutico , Infecção Hospitalar/prevenção & controle , Desinfetantes , Etanol/uso terapêutico , França , Mãos , Humanos , Modelos Lineares , Estudos Prospectivos , Psicometria , Reprodutibilidade dos Testes
12.
Ergonomics ; 60(12): 1621-1633, 2017 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-28423996

RESUMO

Hand hygiene (HH) prevents harmful contaminants spreading in settings including domestic, health care and food handling. Strategies to improve HH range from behavioural techniques through to automated sinks that ensure hand surface cleaning. This study aimed to assess user experience and acceptance towards a new automated sink, compared to a normal sink. An adapted version of the technology acceptance model (TAM) assessed each mode of handwashing. A within-subjects design enabled N = 46 participants to evaluate both sinks. Perceived Ease of Use and Satisfaction of Use were significantly lower for the automated sink, compared to the conventional sink (p < 0.005). Across the remaining TAM factors, there was no significant difference. Participants suggested design features including jet strength, water temperature and device affordance may improve HH technology. We provide recommendations for future HH technology development to contribute a positive user experience, relevant to technology developers, ergonomists and those involved in HH across all sectors. Practitioner Summary: The need to facilitate timely, effective hand hygiene to prevent illness has led to a rise in automated handwashing systems across different contexts. User acceptance is a key factor in system uptake. This paper applies the technology acceptance model as a means to explore and optimise the design of such systems.


Assuntos
Atitude do Pessoal de Saúde , Descontaminação/instrumentação , Desinfecção das Mãos/instrumentação , Adulto , Automação , Comportamento do Consumidor , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Modelos Psicológicos , Tecnologia , Adulto Jovem
13.
J Environ Health ; 78(10): 14-20, 2016 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-27348978

RESUMO

Various methodologies have been utilized in hand- hygiene (HH) research to measure the quality and compliance rates of hand washing. Some notable examples are direct observation, self-report, image quantification of fluorescence, microbial sampling, automated systems, and electronically assisted devices. While direct observation is considered the gold standard of HH monitoring systems, its methodological limitations (e.g., high staffing demands, participant reactivity, and undersampling) have yet to be overcome. As a result, there is renewed interest in developing technologies or methods of assessment that are cost-effective, accurate, and not intrusive. This article provides a brief review of HH monitoring systems while presenting a less resource-intensive methodology utilizing image analysis of fluorescence to assess hand washing. Results indicate that the proposed HH protocol could be used to replace human visual analysis of fluorescence, as well as provide a less resource-intensive option to assess HH under controlled conditions. Future implications and the need for additional research, such as cross-validating the results in a real-world clinical setting, are discussed.


Assuntos
Desinfecção das Mãos/métodos , Processamento de Imagem Assistida por Computador/normas , Desinfecção das Mãos/instrumentação , Humanos , Processamento de Imagem Assistida por Computador/instrumentação , Imagem Óptica/instrumentação , Projetos Piloto
14.
Acta Microbiol Immunol Hung ; 63(2): 217-28, 2016 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-27352974

RESUMO

The aim of this study was to objectively assess the hand hygiene performance of medical students. Hand rubbing technique was evaluated by employing innovative UV-light-based imaging technology, identifying patterns and trends in missed areas after applying WHO's six-step protocol. This specially designed hand hygiene education and assessment program targeted 1,344 medical students at two distant sites in Central Europe. Students were introduced to a short video, presenting the basics of hand hygiene, and then received further demonstration from professional trainers, focusing on the correct execution of WHO's six-step technique. To verify the acquired skill, participants rubbed their hands with UV-marked alcohol-based solution. Digital images of the hands were recorded under UV light, followed by computer evaluation and assessment. Immediate objective visual feedback was given to the participants showing missed areas on their hands. The statistical analysis of missed spots was based on retrospective expert-driven manual evaluation. Significant difference in rubbing quality was found between female and male participants [35.3% (CI 95%: 33-38%) versus 29.0% (CI 95%: 27-31%), p < 0.001], dominant and non-dominant hands [43.4% (CI 95%: 39-48%) versus 34.9% (CI 95%: 32-38%), p = 0.002], and various zones of the hands' dorsal side. Based on the participants' feedback and the evaluation of the infection control specialists, it can be stated that the identification of typically missed patterns and the instant visual feedback have a vital role in improving the hand hygiene technique of prospective medical staff.


Assuntos
Desinfecção das Mãos/métodos , Corpo Clínico/estatística & dados numéricos , Adulto , Feminino , Mãos/efeitos da radiação , Desinfecção das Mãos/instrumentação , Humanos , Controle de Infecções , Masculino , Corpo Clínico/educação , Estudos Prospectivos , Estudos Retrospectivos , Raios Ultravioleta
15.
J Food Prot ; 79(2): 304-8, 2016 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-26818993

RESUMO

Hand washing and glove use are the main methods for reducing bacterial cross-contamination from hands to ready-to-eat food in a food service setting. However, bacterial transfer from hands to gloves is poorly understood, as is the effect of different durations of soap rubbing on bacterial reduction. To assess bacterial transfer from hands to gloves and to compare bacterial transfer rates to food after different soap washing times and glove use, participants' hands were artificially contaminated with Enterobacter aerogenes B199A at ∼9 log CFU. Different soap rubbing times (0, 3, and 20 s), glove use, and tomato dicing activities followed. The bacterial counts in diced tomatoes and on participants' hands and gloves were then analyzed. Different soap rubbing times did not significantly change the amount of bacteria recovered from participants' hands. Dicing tomatoes with bare hands after 20 s of soap rubbing transferred significantly less bacteria (P < 0.01) to tomatoes than did dicing with bare hands after 0 s of soap rubbing. Wearing gloves while dicing greatly reduced the incidence of contaminated tomato samples compared with dicing with bare hands. Increasing soap washing time decreased the incidence of bacteria recovered from outside glove surfaces (P < 0.05). These results highlight that both glove use and adequate hand washing are necessary to reduce bacterial cross-contamination in food service environments.


Assuntos
Contaminação de Alimentos/prevenção & controle , Luvas Protetoras/microbiologia , Desinfecção das Mãos/métodos , Mãos/microbiologia , Carga Bacteriana/efeitos dos fármacos , Enterobacter aerogenes/efeitos dos fármacos , Enterobacter aerogenes/crescimento & desenvolvimento , Contaminação de Alimentos/análise , Serviços de Alimentação/instrumentação , Desinfecção das Mãos/instrumentação , Humanos , Lycopersicon esculentum/microbiologia , Sabões/farmacologia
16.
J Appl Microbiol ; 120(2): 478-86, 2016 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-26618932

RESUMO

AIMS: To use a MS2 bacteriophage model to compare three hand-drying methods, paper towels (PT), a warm air dryer (WAD) and a jet air dryer (JAD), for their potential to disperse viruses and contaminate the immediate environment during use. METHODS AND RESULTS: Participants washed their gloved hands with a suspension of MS2 bacteriophage and hands were dried with one of the three hand-drying devices. The quantity of MS2 present in the areas around each device was determined using a plaque assay. Samples were collected from plates containing the indicator strain, placed at varying heights and distances and also from the air. Over a height range of 0·15-1·65 m, the JAD dispersed an average of >60 and >1300-fold more plaque-forming units (PFU) compared to the WAD and PT (P < 0·0001), respectively. The JAD dispersed an average of >20 and >190-fold more PFU in total compared to WAD and PT at all distances tested up to 3 m (P < 0·01) respectively. Air samples collected around each device 15 min after use indicated that the JAD dispersed an average of >50 and >100-fold more PFU compared to the WAD and PT (P < 0·001), respectively. CONCLUSIONS: Use of the JAD lead to significantly greater and further dispersal of MS2 bacteriophage from artificially contaminated hands when compared to the WAD and PT. SIGNIFICANCE AND IMPACT OF STUDY: The choice of hand-drying device should be considered carefully in areas where infection prevention concerns are paramount, such as healthcare settings and the food industry.


Assuntos
Desinfecção das Mãos/métodos , Mãos/virologia , Levivirus/fisiologia , Adulto , Feminino , Desinfecção das Mãos/instrumentação , Humanos , Masculino , Papel
17.
Disabil Rehabil Assist Technol ; 11(7): 581-7, 2016 10.
Artigo em Inglês | MEDLINE | ID: mdl-26135222

RESUMO

The changes in cognitive abilities that accompany dementia can make it difficult to use everyday products that are required to complete activities of daily living. Products that are inherently more usable for people with dementia could facilitate independent activity completion, thus reducing the need for caregiver assistance. The objectives of this research were to: (1) gain an understanding of how water tap design impacted tap usability and (2) create an automated computerized tool that could assess tap usability. 27 older adults, who ranged from cognitively intact to advanced dementia, completed 1309 trials on five tap designs. Data were manually analyzed to investigate tap usability as well as used to develop an automated usability analysis tool. Researchers collaborated to modify existing techniques and to create novel ones to accomplish both goals. This paper presents lessons learned through the course of this research, which could be applicable in the development of other usability studies, automated vision-based assessments and the development of assistive technologies for cognitively impaired older adults. Collaborative interdisciplinary teamwork, which included older adult with dementia participants, was key to enabling innovative advances that achieved the projects' research goals. Implications for Rehabilitation Products that are implicitly familiar and usable by older adults could foster independent activity completion, potentially reducing reliance on a caregiver. The computer-based automated tool can significantly reduce the time and effort required to perform product usability analysis, making this type of analysis more feasible. Interdisciplinary collaboration can result in a more holistic understanding of assistive technology research challenges and enable innovative solutions.


Assuntos
Demência/reabilitação , Desinfecção das Mãos/instrumentação , Comunicação Interdisciplinar , Equipamentos de Autoajuda , Abastecimento de Água , Atividades Cotidianas , Eficiência , Humanos , Satisfação do Paciente , Índice de Gravidade de Doença , Análise e Desempenho de Tarefas
19.
Am J Infect Control ; 43(9): 917-21, 2015 09 01.
Artigo em Inglês | MEDLINE | ID: mdl-26088769

RESUMO

BACKGROUND: Hand hygiene is the most important intervention to prevent infection in hospitals. Health care workers should clean their hands at least before and after contact with patients. Hand sanitizer dispensers are important to support hand hygiene because they can be made available throughout hospital units. The aim of this study was to determine whether the usability of sanitizer dispensers correlates with compliance of staff in using the sanitizer in a hospital. This study took place in a Midwest, 404-bed, private, nonprofit community hospital with 15 inpatient care units in addition to several ambulatory units. METHODS: The usability and standardization of sanitizers in 12 participating inpatient units were evaluated. The hospital measured compliance of staff with hand hygiene as part of their quality improvement program. Data from 2010-2012 were analyzed to measure the relationship between compliance and usability using mixed-effects logistic regression models. RESULTS: The total usability score (P = .0046), visibility (P = .003), and accessibility of the sanitizer on entrance to the patient room (P = .00055) were statistically associated with higher observed compliance rates. Standardization alone showed no significant impact on observed compliance (P = .37). CONCLUSION: Hand hygiene compliance can be influenced by visibility and accessibility of dispensers. The sanitizer location should be part of multifaceted interventions to improve hand hygiene.


Assuntos
Infecção Hospitalar/prevenção & controle , Fidelidade a Diretrizes , Higiene das Mãos/instrumentação , Higienizadores de Mão , Desinfecção das Mãos/instrumentação , Pessoal de Saúde , Unidades Hospitalares , Hospitais , Humanos , Quartos de Pacientes
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