Hand hygiene practices in adult versus pediatric intensive care units at a university hospital before and after intervention

Autor:	Rezhan Hussein, Gerald R. Hobbs, Rashida Khakoo
Rok vydání:	2007
Předmět:	Male Microbiology (medical) Pediatrics medicine.medical_specialty Health Personnel health care facilities manpower and services media_common.quotation_subject Psychological intervention Intensive Care Units Pediatric medicine.disease_cause law.invention Hospitals University law Hygiene Intensive care Health care medicine Humans Antibacterial agent media_common Cross Infection Infection Control integumentary system General Immunology and Microbiology business.industry General Medicine Methicillin-resistant Staphylococcus aureus Intensive care unit Intensive Care Units Infectious Diseases El Niño Emergency medicine Education Medical Continuing Female business Hand Disinfection
Zdroj:	Scandinavian Journal of Infectious Diseases. 39:566-570
ISSN:	1651-1980 0036-5548
DOI:	10.1080/00365540601126687
Popis:	Observations of hand hygiene practices of the health care workers (HCWs) were carried out at a tertiary care center by a single observer in all adult and pediatric intensive care units (ICUs) before and after educational programs. Access to alcohol-based hand rub was also increased. A survey of HCWs was carried out to determine knowledge of hand hygiene. Before interventions, mean adherence to hand hygiene in all ICUs was 54% with significant difference between adult and pediatric ICUs (p.0001) (35% vs 90%, respectively). Traditional handwashing versus alcohol-based hand rub use was 72% versus 28%, respectively. Following the interventions, there was a significant increase (p.0001) in hand hygiene adherence in adult ICUs (81%). 46% of survey respondents believed that alcohol-based hand rub could not be used for methicillin resistant Staphylococcus aureus infection and 21% believed that alcohol-based hand rub could be used if hands were soiled. Overall, adherence to hand hygiene in adult ICUs improved with institution of an educational program and increase in accessibility of alcohol-based hand rub. There was a statistically significant increase in the frequency of alcohol-based hand rub use; however, traditional handwashing was still preferred. The survey of HCWs revealed gaps in knowledge regarding methods of hand hygiene.
Databáze:	OpenAIRE
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