Measuring hand hygiene compliance in a hematology-oncology unit: a comparative study of methodologies.

Autor: Sodré da Costa LS; Onco-Hematology Unit, Hospital Israelita Albert Einstein, São Paulo, Brazil., Neves VM, Marra AR, Sampaio Camargo TZ, Fátima dos Santos Cardoso M, da Silva Victor E, Vogel C, Tahira Colman FA, Laselva CR, Pavão dos Santos OF, Edmond MB
Jazyk: angličtina
Zdroj: American journal of infection control [Am J Infect Control] 2013 Nov; Vol. 41 (11), pp. 997-1000. Date of Electronic Publication: 2013 Jun 14.
DOI: 10.1016/j.ajic.2013.03.301
Abstrakt: Background: In managing hematology-oncology patients, there is a great opportunity for performing hand hygiene (HH).
Methods: Over a 4-month period, we compared HH compliance measurement by 3 different methods: direct observation, electronic handwash counter for alcohol gel, and measuring the volume of product used (alcohol gel) in a 40-bed hematology-oncology unit at a tertiary care, private hospital.
Results: There were 388 directly observed opportunities for HH, and the overall HH compliance rate was 84.5%. A total of 235,923 HH episodes was recorded by the electronic devices. The mean HH episodes per patient-day was 77.7. There were 91.1 mL of alcohol gel used per patient-day in the unit. The correlation and P value between the percentage of HH compliance and HH episodes per 1,000 patient-days were ρ = 0.442 and P = .076, respectively. The correlation and P value between HH episodes per patient-days and alcohol gel consumption in milliliters per patient-days were ρ = 0.142 and P = .586.
Conclusion: HH compliance was high in this unit. Direct observation, although useful, has many drawbacks. Other measures must be considered, such as electronic devices and measurement of volume use per patient-day to stimulate health care workers to increase and sustain HH compliance.
(Copyright © 2013 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Mosby, Inc. All rights reserved.)
Databáze: MEDLINE
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