scholarly journals Hand Hygiene Compliance in a Medical-Surgical Intensive Care Unit in La Habana

2019 ◽  
Vol 4 (3) ◽  
pp. 102-104
Author(s):  
Humberto Guanche Garcell ◽  
Luis Gonzalez Alvarez ◽  
Anayka González Valdés ◽  
Katerine Cardenas Goulet ◽  
Gloria Fresneda Septiem ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
World Health ◽  
Surgical Intensive Care Unit ◽  
Patient Contact ◽  
Healthcare Associated Infection ◽  
Surgical Intensive Care ◽  
Hygiene Practices ◽  
Surgical Critical Care ◽  
Critical Patients ◽  
Health Organization

Background: Hand hygiene plays a key role in the prevention of healthcare-associated infection in critical patients. Objective: The current study aimed to evaluate compliance with hand hygiene practices. Methods: An observational and descriptive study was carried out in a 35-bed medical-surgical critical care unit in La Habana (Cuba) from January 2017 to December 2018. The observational method recommended by the World Health Organization (WHO) was used. Results: Overall compliance was 34.2% (5516/16125), with better compliance among physicians (39%) compared with nurses (31.4%) and ancillary staff (19.5%). Better compliance was observed after patient contact (65.7%) and after contact with patients’ surroundings (42.0%) in comparison with greater focus on patient safety as before patient contact (23.3%) and before an aseptic task (11.4%). Hand washing was performed more frequently than hand rubs. Conclusion: Compliance with hand hygiene practices is low and no improvement in compliance was observed during the study period. This practice is related to the high risk of transmission of healthcare-related infections in critical patients and requires quality improvement interventions.

scholarly journals Has the COVID 19 Virus Changed Adherence to Hand Washing among Healthcare Workers?

2021 ◽  
Vol 11 (4) ◽  
pp. 53
Author(s):  
Rosalia Ragusa ◽  
Marina Marranzano ◽  
Alessandro Lombardo ◽  
Rosalba Quattrocchi ◽  
Maria Alessandra Bellia ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Healthcare Workers ◽  
Hand Washing ◽  
World Health ◽  
Patient Contact ◽  
Who Guidelines ◽  
Descriptive Data ◽  
Different Types ◽  
Health Organization ◽  
Hospital Wards

The aim of the study was to assess adherence to hand washing by healthcare workers (HCWs) and its variations over time in hospital wards. We wanted to check whether the pandemic had changed the behavior of HCWs. The study was conducted between 1 January 2015, and 31 December 2020. The HCWs were observed to assess their compliance with the Five Moments for Hand Hygiene. We described the percentage of adherence to World Health Organization (WHO) guidelines stratified per year, per specialty areas, per different types of HCWs. We also observed the use of gloves. Descriptive data were reported as frequencies and percentages. We observed 13,494 hand hygiene opportunities. The majority of observations concerned nurses who were confirmed as the category most frequently involved with patients. Hospital’s global adherence to WHO guidelines did not change in the last six years. During the pandemic, the rate of adherence to the procedure increased significantly only in Intensive Care Unit (ICU). In 2020, the use of gloves increased in pre-patient contact. The hand-washing permanent monitoring confirmed that it is very difficult to obtain the respect of correct hand hygiene in all opportunities, despite the ongoing pandemic and the fear of contagion.

scholarly journals Pathways to clean hands: highlights of successful hand hygiene implementation strategies in Europe

2010 ◽  
Vol 15 (18) ◽  
Author(s):  
A P Magiorakos ◽  
E Leens ◽  
V Drouvot ◽  
L May-Michelangeli ◽  
C Reichardt ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Implementation Strategies ◽  
World Health ◽  
Surveillance Systems ◽  
The European Union ◽  
Hygiene Practices ◽  
Governmental Support ◽  
Hygiene Compliance ◽  
Health Organization ◽  
Healthcare Associated

Hand hygiene is the most effective way to stop the spread of microorganisms and to prevent healthcare-associated infections (HAI). The World Health Organization launched the First Global Patient Safety Challenge - Clean Care is Safer Care - in 2005 with the goal to prevent HAI globally. This year, on 5 May, the WHO’s initiative SAVE LIVES: Clean Your Hands, which focuses on increasing awareness of and improving compliance with hand hygiene practices, celebrated its second global day. In this article, four Member States of the European Union describe strategies that were implemented as part of their national hand hygiene campaigns and were found to be noteworthy. The strategies were: governmental support, the use of indicators for hand hygiene benchmarking, developing national surveillance systems for auditing alcohol-based hand rub consumption, ensuring seamless coordination of processes between health regions in countries with regionalised healthcare systems, implementing the WHO's My Five Moments for Hand Hygiene, and auditing of hand hygiene compliance.

scholarly journals Compliance of Healthcare Workers with Hand Hygiene Practices in Neonatal and Pediatric Intensive Care Units: Overt Observation

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Ayşe Karaaslan ◽  
Eda Kepenekli Kadayifci ◽  
Serkan Atıcı ◽  
Uluhan Sili ◽  
Ahmet Soysal ◽  
...  
Keyword(s):  
Intensive Care ◽  
Hand Hygiene ◽  
Healthcare Workers ◽  
Pediatric Intensive Care ◽  
University Hospital ◽  
World Health ◽  
Routine Patient Care ◽  
Hygiene Practices ◽  
Health Organization ◽  
Observation Period

Background.The objective of this study was to assess the compliance of hand hygiene (HH) of healthcare workers (HCWs) in the neonatal and pediatric intensive care unit in a tertiary university hospital in Istanbul.Methods.An observational study was conducted on the compliance of HH for the five World Health Organization (WHO) indications. HCWs were observed during routine patient care in day shift. The authors also measured the technique of HH through hand washing or hand hygiene with alcohol-based disinfectant.Results.A total of 704 HH opportunities were identified during the observation period. Overall compliance was 37.0% (261/704). Compliance differed by role: nurses (41.4%) and doctors (31.9%) [P=0.02, OR: 1.504, CI 95%: 1.058–2.137]. HCWs were more likely to use soap and water (63.6%) compared to waterless-alcohol-based hand hygiene (36.3%) [P<0.05].Conclusion.Adherence to hand hygiene practice and use of alcohol-based disinfectant was found to be very low. Effective education programs that improve adherence to hand hygiene and use of disinfectants may be helpful to increase compliance.

scholarly journals Assessing Hand Hygiene Practices Among Nurses in the Kingdom of Saudi Arabia

2020 ◽  
Vol 13 (1) ◽  
pp. 220-226
Author(s):  
Mohammed AL Mohaithef
Keyword(s):  
Internal Medicine ◽  
Saudi Arabia ◽  
Hand Hygiene ◽  
Health Care Professionals ◽  
World Health ◽  
Hygiene Practice ◽  
Visual Aids ◽  
Kingdom Of Saudi Arabia ◽  
Hygiene Practices ◽  
Health Organization

Background: Hand hygiene is a simple and effective practice that reduces the transmission of hospital acquired infections. However, adherence to hand hygiene guidelines among health care professionals is low. The aim of this study is to assess hand hygiene practices among nurses working in hospitals in the Kingdom of Saudi Arabia. Methodology: The standardized version of the World Health Organization (WHO) questionnaire was administered to nurses from six hospitals in the region of Asir. Results: 300 nurses were approached to enroll 243 participants so the response rate was 81%. The study found that 65.4% (159) of the participants followed a good hand hygiene practice while 10.3% (25) showed inadequate hand hygiene practice. Good hand hygiene practice was found to be significantly higher among female participants (88%) than the male participants (44%). The participants from the department of internal medicine (43.5%) showed the highest percentage of inadequate hand hygiene practice while participants from the department of pediatrics reported a 100% good hand hygiene practice. Conclusion: The male nurses and nurses working in the department of internal medicine require in-service educational intervention regarding hand hygiene to increase their compliance with its practice . Posters and other visual aids highlighting the significance of hand hygiene need to be displayed in all the departments to sensitize the importance of hand hygiene among nurses.

scholarly journals New Contact Sensorization Smart System for IoT e-Health Applications Based on IBC IEEE 802.15.6 Communications

Sensors ◽  
2020 ◽  
Vol 20 (24) ◽  
pp. 7097
Author(s):  
David Hernández ◽  
Rafael Ors ◽  
Juan V. Capella ◽  
Alberto Bonastre ◽  
José C. Campelo
Keyword(s):  
Health Care ◽  
Hand Hygiene ◽  
Monitoring System ◽  
World Health ◽  
Smart System ◽  
Hygiene Practices ◽  
Skin Contact ◽  
Care Workers ◽  
Health Organization

This paper proposes and demonstrates the capabilities of a new sensorization system that monitors skin contact between two persons. Based on the intrabody communication standard (802.15.6), the new system allows for interbody communication, through the transmission of messages between different persons through the skin when they are touching. The system not only detects if there has been contact between two persons but, as a novelty, is also able to identify the elements that have been in contact. This sensor will be applied to analyze and monitor good follow-up of hand hygiene practice in health care, following the “World Health Organization Guidelines on Hand Hygiene in Health Care”. This guide proposes specific recommendations to improve hygiene practices and reduce the transmission of pathogenic microorganisms between patients and health-care workers (HCW). The transmission of nosocomial infections due to improper hand hygiene could be reduced with the aid of a monitoring system that would prevent HCWs from violating the protocol. The cutting-edge sensor proposed in this paper is a crucial innovation for the development of this automated hand hygiene monitoring system (AHHMS).

scholarly journals Compliance of Healthcare Workers with Hand Hygiene Practices in the Northeast of Iran: An Overt Observation

2018 ◽  
Vol 7 (4) ◽  
pp. 289
Author(s):  
Reza Vafaei Nezhad ◽  
Atieh Yaghoubi ◽  
Kiarash Ghazvini
Keyword(s):  
Hand Hygiene ◽  
Healthcare Workers ◽  
Health Workers ◽  
Intervention Programs ◽  
World Health ◽  
Clinical Settings ◽  
Affecting Factors ◽  
Hygiene Practices ◽  
Observation Method ◽  
Health Organization

<p><span>Hand hygiene (HH) is one of the most effective methods to prevent transmission and spread of microorganisms from one patient to another, also, it used to reduce the spread of pathogens in clinical settings and to help control outbreaks but compliance is usually poor</span><span lang="EN-US">. The purpose of this study was to analyze the compliance of hand hygiene and affecting factors among healthcare workers (HCWs) of northeast hospitals in Iran. This study was conducted based on observation method for the compliance of hand hygiene according to the World Health Organization (WHO) guidelines. HCWs were observed during routine patient care in different shifts, also the technique of hand hygiene was assessed through hand washing with alcohol-based disinfectant. </span><span>Data were collected during 1 year, from June 2014 to July 2015 by the infection control teams in the northeast hospital of Iran.</span><span> <span lang="EN-US">By direct observation, we evaluated a total of 92518 hand hygiene opportunities from 29 hospitals in the northeast of Iran during 1 year, with overall compliance rates in these hospitals were 43.42%. Compliance rates differed by role: nurses43%, doctors 19 % and other health workers 29%. In this observational study, we identified that adherence to hand hygiene practice and use of alcohol-based disinfectant was very low in this hospitals, so effective intervention programs to promote adherence to hand hygiene and use of disinfectants could be effective to increase compliance.</span></span></p>

scholarly journals WHO Year of the Nurse and Midwife: More clean and educated hands for all

2020 ◽  
Vol 21 (5) ◽  
pp. 166-169
Author(s):  
Alexandra Peters ◽  
Victor Cegarra Palao ◽  
Nasim Lotfinejad ◽  
Didier Pittet
Keyword(s):  
Hand Hygiene ◽  
World Health Organization ◽  
World Health ◽  
World Health Assembly ◽  
Global Impact ◽  
Healthcare Settings ◽  
Hygiene Practices ◽  
The World ◽  
Health Organization ◽  
Nurses And Midwives

For the last 10 years, the World Health Organization has been celebrating World Hand Hygiene Day on the 5th of May, bringing together the global healthcare ecosystem to celebrate hand hygiene. This day was created to raise awareness about the importance of hand hygiene in healthcare settings, as well as to focus on a specific annual topic to be highlighted to a global audience. The World Health Assembly designated 2020 as the Year of the Nurse and Midwife, and the slogan of this year’s 5th of May was “Nurses and Midwifes: Clean Care is in Your Hands”. This 5th of May helped us to highlight the need for increased staffing and hand hygiene training. In this paper we aimed to raise awareness about the global impact linked to adherence to proper hand hygiene practices by nurses and midwives.

Electronic Hand Hygiene Quality and Duration Monitoring in Pre-School Children: A Feasibility Study

2021 ◽  
pp. 0272684X2110334
Author(s):  
Mohd Dzulkhairi Mohd Rani ◽  
Nurul Azmawati Mohamed ◽  
Tengku Zetty Maztura Tengku Jamaluddin ◽  
Zarini Ismail ◽  
Shalinawati Ramli ◽  
...  
Keyword(s):  
Data Collection ◽  
Hand Hygiene ◽  
Electronic Device ◽  
Hand Washing ◽  
World Health ◽  
Who Guidelines ◽  
Hygiene Practices ◽  
Hand Wash ◽  
The World ◽  
Health Organization

Background Hand hygiene is regarded as the most important measure to prevent spread of infectious diseases. The aim of this study was to assess the feasibility of a prototype application in an electronic device in educating, stimulating and monitoring hand hygiene quality in young children. Method A pre-school was provided with an interactive hand hygiene application for two months. The device features an online administrator dashboard for data collection and for monitoring the children’s hand washing steps and duration. A good hand washing is defined as hand washing which comprise all of the steps outlined in the World Health Organization (WHO) guidelines. Results The prototype managed to capture 6882 hand wash performed with an average of 20.85 seconds per hand wash. Washing hands palm to palm was the most frequent (79.9%) step performed, whereas scrubbing fingernails and wrists were the least (56%) steps performed. Conclusions The device is a good prototype to educate, stimulate and monitor good hand hygiene practices. However, other measures should be undertaken to ensure sustainability of the practices.

An Infection Preventionist’s View of the Compendium of Strategies to Prevent Healthcare-Associated Infections: Structure, Process, and Outcome

2014 ◽  
Vol 35 (8) ◽  
pp. 961-963
Author(s):  
Janet P. Haas
Keyword(s):  
Hand Hygiene ◽  
Infection Prevention ◽  
World Health ◽  
Guidance Document ◽  
Healthcare Associated Infections ◽  
Healthcare Associated Infection ◽  
Hospital Epidemiology ◽  
Process And Outcome ◽  
Health Organization ◽  
Healthcare Associated

The set of articles included in the 2008 “A Compendium of Strategies to Prevent Healthcare-Associated Infections in Acute Care Hospitals” was groundbreaking because the articles distilled the latest information about 6 of the most pressing healthcare-associated infection (HAI) prevention problems into a compelling framework, with guidance for immediate interventions. Further, they were all included as a supplement to the regular monthly issue of Infection Control and Hospital Epidemiology that could be kept neatly in healthcare professionals' offices for reference. Importantly, colleagues from all disciplines could access these articles online free of charge, along with patient educational material available in English, Spanish, and several additional languages. One central topic missing from the 2008 Compendium was hand hygiene, a cornerstone of infection prevention. The World Health Organization (WHO) Clean Care Is Safer Care initiative was then the focus for hand hygiene monitoring and improvement, and it was unclear at that point whether another guidance document on the topic would have provided additional useful information.

scholarly journals Hand Hygiene Effectiveness in Surgical Units in Salmaniya Medical Complex

2017 ◽  
Vol 2 (1) ◽  
Keyword(s):  
Health Care ◽  
Hand Hygiene ◽  
Skin Irritation ◽  
Surgical Care ◽  
World Health ◽  
Disciplinary Action ◽  
Hygiene Practices ◽  
Surgical Units ◽  
Secondary Health Care ◽  
Health Organization

Hand hygiene is the primary measure in preventing and controlling health care-associated infections. World Health Organization (WHO) Guidelines have focused on staff awareness for the five moments and on improving compliance with hand hygiene; the objective of this study was to identify that HH is effective in surgical units of the secondary health care at one of the governmental hospital in the Kingdom of Bahrain. Materials and Methods: Hand hygiene survey was conducted in surgical care units, from 26-11-2015 till 29-11- 2015. Questionnaire was distributed to all health care workers. Total participants are 150. Results: Forty percent because of excess workload, thirty seven percent of the participants surveyed no disciplinary action for non-compliance and thirty six percent due to dryness and skin irritation. Conclusion: The results of study survey will determine to start the strategy plan additional to that, continuous observation, monitoring, feedback and awareness education programs will improve HCW compliance to hand hygiene practices.

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