Improving hand hygiene compliance among healthcare workers: an intervention study in a Hospital in Guizhou Province, China
Braz. j. infect. dis
; 20(5): 413-418, Sept.-Oct. 2016. tab, graf
Article
em En
| LILACS
| ID: biblio-828134
Biblioteca responsável:
BR1.1
ABSTRACT
Abstract Objective Hand hygiene (HH) is a critical component for controlling hospital-acquired infection (HAI). The present study was designed to develop an intervention approach to improve compliance with HH among healthcare workers in a hospital setting. Methods The HH intervention study was conducted in Guizhou Provincial People's Hospital, Guiyang, China and organized by its Department of HAI Management. It was an observational, prospective, quasiexperimental (before-after intervention) study. The study was divided into two phases the baseline phase and the intervention phase. The investigative team included clinical monitoring staff and infection control practitioners who received a series of instructions on HH compliance, monitoring skills, and measurement of the use of HH products. Results Based on 27,852 observations in a 17-month period, the rate of compliance with HH improved from 37.78% at baseline to 75.90% after intervention. Significant improvement in compliance and an increase in consumption of HH products was observed after intervention. The per patient-day consumption of alcohol-based hand rub products and handwash agents increased by 4.75 mL and 4.55 mL, respectively. The consumption of paper towels increased 3.41 sheets per patient-day. During the same period, the prevalence rate of HAI decreased 0.83%. Conclusions This study demonstrates that a significant improvement in compliance with HH can be achieved through a systemic, multidimensional intervention approach involving all categories of healthcare workers in a hospital setting, which may result in a decrease of the HAI rate.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
LILACS
Assunto principal:
Recursos Humanos em Hospital
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Controle de Infecções
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Transmissão de Doença Infecciosa do Profissional para o Paciente
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Fidelidade a Diretrizes
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Higiene das Mãos
Tipo de estudo:
Evaluation_studies
/
Observational_studies
/
Risk_factors_studies
Aspecto:
Implementation_research
Limite:
Humans
País/Região como assunto:
Asia
Idioma:
En
Revista:
Braz. j. infect. dis
Assunto da revista:
DOENCAS TRANSMISSIVEIS
Ano de publicação:
2016
Tipo de documento:
Article
País de afiliação:
China