Abstract
BackgroundHand hygiene compliance is the basis of infection control programs. In developing countries models to improve hand hygiene compliance to reduce healthcare acquired infections are required. The aim of this study was to determine hand hygiene compliance following an educational program in an obstetric and gynecological hospital in Vietnam.MethodsHealth care workers from neonatal intensive care, delivery suite and a surgical ward from Hung Vuong Hospital, Ho Chi Minh City, Vietnam undertook a 4-h educational program targeting hand hygiene. Compliance was monitored monthly for six months following the intervention. Hand hygiene knowledge was assessed at baseline and after six months of the study.ResultsThere were 7124 opportunities over 370 hand hygiene recording sessions with 1531 opportunities at baseline and 1620 at 6 months following the intervention. Hand hygiene compliance increased significantly from baseline across all sites (43.6% [95% Confidence interval CI: 41.1–46.1] to 63% [95% CI: 60.6–65.3]; p < 0.0001). Health care worker hand hygiene compliance increased significantly after intervention (p < 0.0001). There were significant improvements in knowledge scores from baseline to 2 months post educational intervention with mean difference standard deviations (SD): 1.5 (2.5); p < 0.001).ConclusionsA simple educational model was implemented in a Vietnamese hospital that revealed good hand hygiene compliance for an extended period of time. Hand hygiene knowledge increased during the intervention. This hand hygiene model could be used in developing countries were resources are limited.
Highlights
Hand hygiene compliance is the basis of infection control programs
Comprehensive guidelines for Hand hygiene (HH) have been developed by the World Health Organisation (WHO) [4], and evidence has shown that interventions such as training, providing hand hygiene facilities, and posting hand hygiene reminders, significantly improved hand hygiene compliance [6,7,8,9,10,11]
The increase was more dramatic in the delivery suite and surgical ward compared with the Neonatal intensive care unit (NICU), which had higher baseline HH compliance rates
Summary
Hand hygiene compliance is the basis of infection control programs. In developing countries models to improve hand hygiene compliance to reduce healthcare acquired infections are required. The health burden of healthcareacquired infections are enormous, with estimates that up to 15% of patients admitted to hospitals in developing countries acquire HCAI, leading to significant mortality rates [1]. Comprehensive guidelines for HH have been developed by the WHO [4], and evidence has shown that interventions such as training, providing hand hygiene facilities, and posting hand hygiene reminders, significantly improved hand hygiene compliance [6,7,8,9,10,11] In both developed and developing countries, dramatic increases in hand hygiene compliance have been observed using the WHO guidelines [12,13,14,15]. An extensive literature review found multimodal, Phan et al BMC Infectious Diseases (2018) 18:116 implemented HH strategies resulted in higher efficiency than only one intervention in HH behavior change [16]
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