Hand hygiene compliance and associated factors among healthcare workers in selected tertiary-care hospitals in Bangladesh.

Autor: Harun MGD; Infectious Diseases Division, International Centre for Diarrhoeal Disease Research Bangladesh (ICDDR,B), Dhaka, Bangladesh. Electronic address: dostogirharun@icddrb.org., Anwar MMU; Department of Population Sciences, University of Dhaka, Dhaka, Bangladesh., Sumon SA; Infectious Diseases Division, International Centre for Diarrhoeal Disease Research Bangladesh (ICDDR,B), Dhaka, Bangladesh., Mohona TM; Infectious Diseases Division, International Centre for Diarrhoeal Disease Research Bangladesh (ICDDR,B), Dhaka, Bangladesh., Hassan MZ; Infectious Diseases Division, International Centre for Diarrhoeal Disease Research Bangladesh (ICDDR,B), Dhaka, Bangladesh., Rahman A; Communicable Disease Control, Directorate General of Health Services, Dhaka, Bangladesh., Abdullah SAHM; SafetyNet, Dhaka, Bangladesh., Islam MS; The Kirby Institute, University of New South Wales, Sydney, Australia., Oakley LP; Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention (CDC), Atlanta, USA., Malpiedi P; Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention (CDC), Atlanta, USA., Kaydos-Daniels SC; Bangladesh Country Office, Centers for Disease Control and Prevention (CDC), Dhaka, Bangladesh., Styczynski AR; Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention (CDC), Atlanta, USA.
Jazyk: angličtina
Zdroj: The Journal of hospital infection [J Hosp Infect] 2023 Sep; Vol. 139, pp. 220-227. Date of Electronic Publication: 2023 Jul 27.
DOI: 10.1016/j.jhin.2023.07.012
Abstrakt: Background: Hand hygiene (HH) is a fundamental element of patient safety. Adherence to HH among healthcare workers (HCWs) varies greatly depending on a range of factors, including risk perceptions, institutional culture, auditing mechanisms, and availability of HH supplies.
Aims: This study aimed to evaluate HH compliance and associated factors among HCWs in selected tertiary-care hospitals in Bangladesh.
Methods: During September 2020 to May 2021, we conducted non-participatory observations at 10 tertiary-care hospitals using the WHO's '5-moments for hand hygiene tool' to record HH compliance among physicians, nurses and cleaning staff. We also performed semi-structured interviews to determine the key barriers to complying with HH.
Results: We observed 14,668 hand hygiene opportunities. The overall HH compliance was 25.3%, the highest among nurses (28.5%), and the lowest among cleaning staff (9.9%). HCWs in public hospitals had significantly higher odds of complying with HH practices than those in private hospitals (adjusted odds ratio: 1.73, 95% CI: 1.55-1.93). The odds of performing HH after touching a patient were 3.36 times higher compared with before touching a patient (95% CI: 2.90-3.90). The reported key barriers to performing HH were insufficient supplies (57.9%), skin reactions (26.3%), workload (26.3%) and lack of facilities (22.7%). Overall, observed HH supplies were available in 81.7% of wards for physicians and 95.1% of wards for nurses, however, no designated HH facilities were found for the cleaning staff.
Conclusions: HH compliance among HCWs fell significantly short of the standard for safe patient care. Inadequate HH supplies demonstrate a lack of prioritizing, promoting and investing in infection prevention and control.
(Copyright © 2023 The Authors. Published by Elsevier Ltd.. All rights reserved.)
Databáze: MEDLINE
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