Hand Hygiene in Pediatric Emergency Care Unit in a Teaching Hospital in Benin

Abstract

Introduction: Appropriate hand hygiene reduces healthcare associated infections (HCAI). The present study was an attempt to determine the real knowledge and practices of healthcare professionals of pediatric emergency care unit in Benin. Methods: This was a three-month observational study. First a trained interviewer observed both the premises and the healthcare professionals during their administering treatment, without their knowledge. Second, their level of knowledge about HCAI was examined using a self-administered questionnaire. Finally, bacteria were cultured/measured from their hands before and after hand-washing through swab samples. Outcome: The modes of microorganism transmission were poorly known (21.6%), but knowledge about the 5 moments for hand hygiene was satisfactory (84.1%). Hand hygiene adherence rate was 6.9% in the study population. Simple hand-washing was prevalent (82%). The healthcare professionals did not adhere to the recommended duration for hand-washing. The required hand-washing equipment was inadequate, and alcohol-based handrub dispenser was unavailable. Microorganism isolated from healthcare professionals before hand-washing included Klebsiella pneumonia and Enterobacter Cloacae. After hand-washing, the transient flora decreased. Conclusion: Hand hygiene adherence rate is low in the study population. An immediate action is required to improve observance of hand-washing. This may include: training healthcare professionals, displaying visual behavior reminder posters, providing alcohol-based handrub.