Compliance with a novel hand hygiene protocol tailored to non-sterile healthcare workers in the operating theatre.

Autor: van Dijk MD; Department of Medical Microbiology and Infectious Diseases, Erasmus MC University Medical Centre Rotterdam, Rotterdam, the Netherlands. Electronic address: m.d.vandijk@erasmusmc.nl., Waltmans-den Breejen CM; Department of Medical Microbiology and Infectious Diseases, Erasmus MC University Medical Centre Rotterdam, Rotterdam, the Netherlands., Vermeeren JMJJ; Department of Quality and Patient Care, Erasmus MC University Medical Centre Rotterdam, Rotterdam, the Netherlands., van den Berg S; Department of Anaesthesiology, Ikazia Hospital Rotterdam, Rotterdam, the Netherlands., van Beeck EF; Department of Public Health, Erasmus MC University Medical Centre Rotterdam, Rotterdam, the Netherlands., Vos MC; Department of Medical Microbiology and Infectious Diseases, Erasmus MC University Medical Centre Rotterdam, Rotterdam, the Netherlands.
Jazyk: angličtina
Zdroj: The Journal of hospital infection [J Hosp Infect] 2023 Jan; Vol. 131, pp. 173-180. Date of Electronic Publication: 2022 Oct 31.
DOI: 10.1016/j.jhin.2022.10.009
Abstrakt: Background: Observing hand hygiene compliance (HHC) among non-sterile healthcare workers (HCWs) in the operating theatre (OT) is challenging as there are no tailored protocols or observation tools.
Aim: To develop and test a hand hygiene protocol tailored to non-sterile HCWs in the OT.
Methods: In this prospective observational study, nine hospitals in the Rotterdam-Rijnmond region provided input on a draft protocol on hand hygiene in the OT, resulting in a new consensus protocol for the region. An observation tool based on the protocol was developed and tested. HHC rates with 95% confidence intervals (CI) were calculated by type of hospital and type of HCW.
Findings: The protocol has three sections: (1) written general hand hygiene rules; (2) written hand hygiene rules specific for anaesthesia and surgery; and (3) visual representation of the OT, divided into four hand hygiene areas. Hand hygiene should be applied when changing area. Average HHC of 48.0% (95% CI 45.2-61.2%) was observed in OTs across all hospitals. HHC was highest in the two specialized hospitals (64.0%, 95% CI 30.6-89.8%; 76.7%, 95% CI 62.8-84.5%) and lowest in the academic teaching hospital (23.1%, 95% CI 0.0-45.8%). In terms of type of HCW, HHC was lowest among anaesthesiologists (31.6%, 95% CI 19.2-62.4%) and highest among OT assistants (57.4%, 95% CI 50.1-78.2%).
Conclusion: This uniform way of observing HHC in the OT enables evaluation of the effectiveness of interventions in the OT and facilitates friendly competition. In the Rotterdam-Rijnmond region, HHC in the OT was below 50%; this needs to be addressed, particularly in teaching hospitals and among physicians.
(Copyright © 2022 The Author(s). Published by Elsevier Ltd.. All rights reserved.)
Databáze: MEDLINE
Externí odkaz: