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Improvement of hand hygiene compliance among health care workers in intensive care units.
Anwar, M M; Elareed, H R.
Affiliation
  • Anwar MM; Department of Public Health and Community Medicine, Faculty of Medicine, Beni-Suef University, Egypt.
  • Elareed HR; Department of Public Health and Community Medicine, Faculty of Medicine, Beni-Suef University, Egypt.
J Prev Med Hyg ; 60(1): E31-E35, 2019 Mar.
Article in En | MEDLINE | ID: mdl-31041408
ABSTRACT

AIM:

Hand hygiene (HH) is an essential component in preventing healthcare associated infections. The purpose of this study was to evaluate HH compliance among health care workers (HCWs) in intensive care units at Beni-Suef university hospital, Egypt before and after an intervention educational program.

METHODS:

Data were collected by using the standardized WHO method for direct observation ''Five moments for HH'' approach. Observations were conducted in six ICUs before intervention (March to April 2017) and after the intervention (July to August 2017). The study included 608 opportunities (observations) among 177 HCWs collected before and 673 opportunities among 163 HCWs collected after the intervention.

RESULTS:

Overall HH compliance increased significantly from 30.9 (95% CI 27.2-34.6%) before intervention to 69.5 (95% CI 65.2-72.6%) post intervention; with the highest HH compliance rate among nurses compared to physicians and workers (P = 0.001). Significantly higher HH compliance rates were observed after body fluid exposure, before aseptic procedures, and after patient contact compared to before patient contact and after patient surrounding contact (P = 0.001). In binary logistic regression analyses a statistically significant difference was shown (P = 0.047) for HH compliance among events before and after patient contact (OR = 1.399, 95% CI 1.004-1.948).

CONCLUSIONS:

The interventional educational program improved the HH compliance among ICUs-HCWs at Beni-Suef university hospital. The hospital should conduct monthly observational monitoring for the ICUs units sharing the findings to spread best practices. Provision of sustained training programs to help efficient and effective HH for care delivery is mandatory.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Cross Infection / Health Personnel / Guideline Adherence / Hand Hygiene / Intensive Care Units Type of study: Guideline Aspects: Implementation_research Limits: Adult / Female / Humans / Male Country/Region as subject: Africa Language: En Journal: J Prev Med Hyg Journal subject: SAUDE PUBLICA Year: 2019 Document type: Article Affiliation country:

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Cross Infection / Health Personnel / Guideline Adherence / Hand Hygiene / Intensive Care Units Type of study: Guideline Aspects: Implementation_research Limits: Adult / Female / Humans / Male Country/Region as subject: Africa Language: En Journal: J Prev Med Hyg Journal subject: SAUDE PUBLICA Year: 2019 Document type: Article Affiliation country: