Beyond entry and exit: Hand hygiene at the bedside.
Am J Infect Control
; 47(5): 487-491, 2019 05.
Article
en En
| MEDLINE
| ID: mdl-30584017
ABSTRACT
BACKGROUND:
We aimed to assess compliance, knowledge, and attitudes regarding the World Health Organization (WHO) 5 moments for hand hygiene (HH).METHODS:
We assessed HH compliance from July-August 2016, using a modified WHO HH observation form. A 26-question survey was used to assess health care personnel (HCP) knowledge, opinions, and barriers to HH. A subgroup of HCPs participated in a 2-round focused survey to assign priority to the moments.RESULTS:
Three hundred two HH opportunities were observed in 104 unique HCP-patient interactions. HH was performed at 106 (35%) opportunities, 37% (25 of 68) before touching a patient, 9% (6 of 70) before aseptic procedures, 5% (1 of 22) after body fluid exposure or risk, 63% (55 of 88) after touching a patient, and 35% (19 of 54) after touching patient surroundings. Two hundred eighteen HCPs completed the survey; 63 (29%) were familiar with the WHO 5 moments but only 13 (21%) were able to recall all 5 moments. In the focused surveys, 46% (6 of 13) ranked "before aseptic procedure" as the most important HH moment, and 86% (11 of 13) identified "after touching patient surroundings" as the least important.CONCLUSIONS:
We found frequent opportunities for HH with infrequent compliance. Lack of recognition of opportunities at the bedside and frequent glove use may contribute to lower compliance.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Control de Infecciones
/
Higiene de las Manos
/
Hospitales
Tipo de estudio:
Qualitative_research
Límite:
Humans
Idioma:
En
Revista:
Am J Infect Control
Año:
2019
Tipo del documento:
Article
País de afiliación:
Moldova