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Hand Hygiene Compliance of Healthcare Workers in a Children's Hospital
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  • Journal title : Pediatric Infection and Vaccine
  • Volume 22, Issue 3,  2015, pp.186-193
  • Publisher : The Korean Society of Pediatric Infectious Diseases
  • DOI : 10.14776/piv.2015.22.3.186
 Title & Authors
Hand Hygiene Compliance of Healthcare Workers in a Children's Hospital
Oh, Hyang Soon;
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 Abstract
Purpose: The aim of study was to estimate the hand hygiene (HH) compliance of healthcare workers (HCWs) in a children's hospital. Methods: This study was conducted in a hospital which is a tertiary and educational children's hospital with 313 beds and 533 HCWs. Data were collected by direct observation methods from November 1, 2010 to December 31, 2010. Results: A total of 2,999 opportunities for HH were observed, and the overall HH rate was 95.3%. HH rate of the registered nurse, physicians and transferer was 97.7%, 89.2%, and 72.1%, respectively (P<0.001). Among physicians, HH rate of the fellows, professors, residents and interns was 97.5%, 93.9%, 89.7%, and 80.9%, respectively (P<0.001). HH rate in the emergency room, operation room, outpatient department (OPD), and the intensive care unit (ICU) was 97.2%, 97.2%, 95.4%, and 92.5%, respectively (P<0.001). Hand rubbing was the most frequently used (81.1%), and hand washing was frequently used in the case of 'after body fluids exposure risk' (37.7%) and 'after touching patient surroundings' (28.5%). HH methods were not statistically different from each departments (P =0.083), however, they were significantly different according to the World Health Organization (WHO) 5 Moments (P<0.001). Distributions in WHO 5 Moments by the job titles were significantly different (P<0.001). The odds ratio of physicians, ICU and OPD was 0.353 (95% CI, 0.241-0.519), 0.291 (95% CI, 0.174-0.487), and 0.484 (95% CI, 0.281-0.834), respectively. Conclusions: Compliance of HH was different by the job titles and departments. Effective custom-tailored HH programs for each job title and department need to be developed.
 Keywords
Hand hygiene;Healthcare workers;Cross infection;Infection control;Pediatrics;
 Language
Korean
 Cited by
 References
1.
Middle East respiratory syndrome coronavirus (MERSCoV). Available from http://www.who.int/emergencies/mers-cov/en/[accessed on 15 July 2015].

2.
Bolyard EA, Tablan OC, Williams WW, Pearson ML, Shapiro CN, Deitchmann SD. Guideline for infection control in healthcare personnel, 1998. Hospital infection control practices advisory committee. Infect Control Hosp Epidemiol 1998;19:407-63. crossref(new window)

3.
Hong KB, Oh HS, Song JS, Lim JH, Kang DK, Son IS, et al. Investigation and control of an outbreak of imipenemresistant Acinetobacter baumannii infection in a pediatric intensive care unit. Pediatr Infect Dis J 2012;31:685-90. crossref(new window)

4.
Ciofi degli Atti ML, Cuttini M, Rava L, Ceradini J, Paolini V, Ciliento G, et al. Trend of healthcare-associated infections in children: annual prevalence surveys in a research hospital in Italy, 2007-2010. J Hosp Infect 2012;80:6-12. crossref(new window)

5.
WHO. WHO Guidelines on Hand Hygiene in Health Care: First global patient safety challenge clean care is safer care. Geneva: World Health Organization; 2009. Available from http://www.who.int/gpsc/5may/en/[accessed on 1 May 2015].

6.
Buser GL, Fisher BT, Shea JA, Coffin SE. Parent willingness to remind health care workers to perform hand hygiene. Am J Infect Control 2013;41:492-6. crossref(new window)

7.
Randle J, Firth J, Vaughan N. An observational study of hand hygiene compliance in paediatric wards. J Clin Nurs 2013;22:2586-92. crossref(new window)

8.
Ciofi degli Atti ML, Tozzi AE, Ciliento G, Pomponi M, Rinaldi S, Raponi M. Healthcare workers' and parents' perceptions of measures for improving adherence to hand-hygiene. BMC Public Health 2011;11:466. crossref(new window)

9.
Esteban E, Ferrer R, Urrea M, Suarez D, Rozas L, Balaguer M, et al. The impact of a quality improvement intervention to reduce nosocomial infections in a PICU. Pediatr Crit Care Med 2013;14:525-32. crossref(new window)

10.
Harris BD, Hanson C, Christy C, Adams T, Banks A, Willis TS, et al. Strict hand hygiene and other practices shortened stays and cut costs and mortality in a pediatric intensive care unit. Health Aff 2011;30:1751-61. crossref(new window)

11.
Oh HS, Park ES, Jeong SY, Cheon HG, Kim SR, Chang YS, et al. Activation of infection prevention and control program in hospital via healthcare accreditation system. Final report. Korea Association of Infection Control Nurses 2011.

12.
Sax H, Allegranzi B, Chraiti MN, Boyce J, Larson E, Pittet D. The World Health Organization hand hygiene observation method. Am J Infect Control 2009;37:827-34. crossref(new window)

13.
Pittet D, Simon A, Hugonnet S, Pessoa-Silva CL, Sauvan V, Perneger TV. Hand hygiene among physicians: performance, beliefs, and perceptions. Ann Intern Med 2014;141:1-8.

14.
Rosenthal VD, Pawar M, Leblebicioglu H, Navoa-Ng JA, Villamil-Gomez W, Armas-Ruiz A, et al. Impact of the international nosocomial infection control consortium (INICC) multidimensional hand hygiene approach over 13 years in 51 cities of 19 limited-resource countries from Latin America, Asia, the Middle East, and Europe. Infect Control Hosp Epidemiol 2013;34:415-23. crossref(new window)

15.
Graf K, Ott E, Wolny M, Tramp N, Vonberg RP, Haverich A, et al. Hand hygiene compliance in transplant and other special patient groups: an observational study. Am J Infect Control 2013;41:503-8. crossref(new window)

16.
Korniewicz DM, El-Masri M. Exploring the factors associated with hand hygiene compliance of nurses during routine clinical practice. Appl Nurs Res 2010;23:86-90. crossref(new window)

17.
Dierssen-Sotos T, de la Cal-Lopez M, Navarro-Cordoba M, Rebollo-Rodrigo H, Antolin-Juarez FM, Llorca J. Factors related with the performance of a proper hand hygiene. Med Clin 2010;135:592-5. crossref(new window)

18.
Alsubaie S, Maither Ab, Alalmaei W, Al-Shammari AD, Tashkandi M, Somily AM, et al. Determinants of hand hygiene noncompliance in intensive care units. Am J Infect Control 2013;41:131-5. crossref(new window)