Abstract
BackgroundHand hygiene is the most effective measure for preventing infections related to healthcare, and its impact on the reduction of these infections is estimated at 50%. Non-compliance has been highlighted in several studies in hospitals, although none have been carried out in primary healthcare.Main objectiveTo evaluated the effect of a "Hand Hygiene for the reduction of healthcare-associated infections" training program for primary healthcare workers, measured by variation from correct hand hygiene compliance, according to regulatory and specific criteria, 6 months after the baseline, in the intervention group (group receiving a training program) and in the control group (a usual clinical practice).Secondary objectives-To describe knowledges, attitudes and behaviors as regards hand hygiene among the professionals, and their possible association with "professional burnout", stratifying the results by type of group (intervention and usual clinical practice).-To estimate the logistic regression model that best explains hand hygiene compliance.Methods/DesignExperimental study of parallel groups, with a control group, and random assignment by Health Center.Area of study.- Health centers in north-eastern Madrid (Spain).Sample studied.- Healthcare workers (physicians, odontostomatologists, pediatricians, nurses, dental hygienists, midwife and nursing auxiliaries).Intervention.- A hand hygiene training program, including a theoretical-practical workshop, provision of alcohol-based solutions and a reminder strategy in the workplace.Other variables: sociodemographic and professional knowledges, attitudes, and behaviors with regard to hand hygiene.Statistical Analysis: descriptive and inferential, using multivariate methods (covariance analysis and logistic regression).DiscussionThis study will provide valuable information on the prevalence of hand hygiene non-compliance, and improve healthcare.
Highlights
According to data from the Survey on Prevalence of Nosocomial Infection in Spain (EPINE study) for 2006 [4], Nosocomial Infections (NI) affected between 7% and 9% of patients admitted to Spanish hospitals
The Hand hygiene (HH) is considered the most important measure, because of its proven efficiency, its effectiveness, and its low cost [10]
There is poor compliance with HH regulations by healthcare workers all over the world, and all the studies carried out in hospitals suggest that the frequency of compliance is lower than 50% of the opportunities in which the practice is considered a priority [11,12]
Summary
Hand hygiene is the most effective measure for preventing infections related to healthcare, and its impact on the reduction of these infections is estimated at 50%. Main objective: To evaluated the effect of a "Hand Hygiene for the reduction of healthcareassociated infections" training program for primary healthcare workers, measured by variation from correct hand hygiene compliance, according to regulatory and specific criteria, 6 months after the baseline, in the intervention group (group receiving a training program) and in the control group (a usual clinical practice). According to data from the Survey on Prevalence of Nosocomial Infection in Spain (EPINE study) for 2006 [4], NI affected between 7% and 9% of patients admitted to Spanish hospitals. These data are very similar to those for developed countries in terms of frequency, economic cost and mortality [5]. NI present many of the characteristics that define a significant problem in patient safety: affect millions of people all over the world, complicate patient care, contribute to the patient death or temporary/permanent disability, increase resistance to antimicrobials and generate substantial additional costs in the treatment of the patient disease
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