Abstract
BackgroundAfter the Middle East respiratory syndrome coronavirus outbreak in Korea in 2015, the Government established a strategy for infection prevention to encourage infection control activities in hospitals. The new policy was announced in December 2015 and implemented in September 2016. The aim of this study is to evaluate how infection control activities improved within Korean hospitals after the change in government policy.MethodsThree cross-sectional surveys using the WHO Hand Hygiene Self-Assessment Framework (HHSAF) were conducted in 2013, 2015, and 2017. Using a multivariable linear regression model, we analyzed the change in total HHSAF score according to survey year.ResultsA total of 32 hospitals participated in the survey in 2013, 52 in 2015, and 101 in 2017. The number of inpatient beds per infection control professionals decreased from 324 in 2013 to 303 in 2015 and 179 in 2017. Most hospitals were at intermediate or advanced levels of progress (90.6% in 2013, 86.6% in 2015, and 94.1% in 2017). In the multivariable linear regression model, total HHSAF score was significantly associated with hospital teaching status (β coefficient of major teaching hospital, 52.6; 95% confidence interval [CI], 8.9 to 96.4; P = 0.018), beds size (β coefficient of 100 beds increase, 5.1; 95% CI, 0.3 to 9.8; P = 0.038), and survey time (β coefficient of 2017 survey, 45.1; 95% CI, 19.3 to 70.9; P = 0.001).ConclusionsAfter the new national policy was implemented, the number of infection control professionals increased, and hand hygiene promotion activities were strengthened across Korean hospitals.
Highlights
After the Middle East respiratory syndrome coronavirus outbreak in Korea in 2015, the Government established a strategy for infection prevention to encourage infection control activities in hospitals
In 2013, the National Hand Hygiene Promotion Campaign was launched in Korea with the support of the Korean Centers for Disease Control and Prevention (KCDC) and the Korean Society for
The campaign aims to implement a standardized program for changing hand hygiene based upon the World Health organization (WHO) multimodal hand hygiene improvement strategy
Summary
After the Middle East respiratory syndrome coronavirus outbreak in Korea in 2015, the Government established a strategy for infection prevention to encourage infection control activities in hospitals. The aim of this study is to evaluate how infection control activities improved within Korean hospitals after the change in government policy. In 2013, the National Hand Hygiene Promotion Campaign was launched in Korea with the support of the Korean Centers for Disease Control and Prevention (KCDC) and the Korean Society for Healthcare-associated Infection Control and Prevention. The campaign aims to implement a standardized program for changing hand hygiene based upon the World Health organization (WHO) multimodal hand hygiene improvement strategy. The Implementation Toolkit includes a Hand Hygiene Self-Assessment Framework (HHSAF): a validated tool for evaluating the implementation level of the WHO multimodal hand hygiene improvement strategy [4, 5].
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