Abstract
Objective: Implementing a multimodal campaign could be resulted in a sustained increase in hand hygiene (HH) compliance rates. However, most studies of HH campaign have been conducted in the developed countries. This study was aimed to evaluate the effectiveness of hand hygiene campaign in a university hospital in China. Methods: During the period of the HH campaign, the WHO hand hygiene improvement strategy was implemented to improve hand hygiene compliance. We collected and evaluated the effect of hand hygiene campaign by the questionnaire of WHO hand hygiene observation, consumption of alcohol-based hand rub (AHR), liquid soap and gloves, and the quality of HH by adenosine triphosphate (ATP) test. Results: Of the 4,177 opportunities of hand hygiene evaluated, the HH compliance improved significantly from 24.2% to 41.0% after the intervention. Health care workers in the ICU showed higher hand hygiene compliance compared with those in other departments. In general, Nurses’ hand hygiene compliance was higher than those of physicians and surgeons. The consumption of AHR and the ATP pass rate increased after the intervention. Conclusion: Through the intervention, medical staff hand hygiene compliance was greatly improved from 24.2% to 41.0%. The WHO Hand Hygiene Strategy was also effective in hospital of China.
Highlights
Healthcare-associated infection (HAI) accounts for one of the most common complications in hospitalized patients, and is a major contributor to prolonged hospital stay and increased healthcare costs [1,2].In recent years, improving patient safety has received more and more attention, and the first goal of the World Health Organization (WHO) World Alliance for Patient Safety is “the Clean Care is Safer Care” [3]
Hand hygiene (HH) compliance rates Overall, 4177 opportunities events requiring HH were observed during all phases of the study, with 1914 opportunities before the intervention and 2263 after
There were more than 700 health care workers (HCW) attended the hand hygiene slogan and promotional items solicitation, and hand hygiene knowledge contest
Summary
In recent years, improving patient safety has received more and more attention, and the first goal of the World Health Organization (WHO) World Alliance for Patient Safety is “the Clean Care is Safer Care” [3]. Hand hygiene (HH), i.e. washing hand with soap and water, or disinfecting hands with alcohol-based hand rub (AHR), is considered to be a simple, but most effective method of preventing HAI and cutting off the spread of antimicrobial-resistant pathogens [4,5,6]. In 2009, the WHO has issued hand hygiene guidelines for health care workers (HCW) [2]. The efficiency of HH is well-known, numerous studies have shown that without any intervention the rate of HH compliance remained low [7,8]. It’s been reported that implementing a multimodal campaign could resulted in a sustained increase in HH compliance rates.
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