Assessment of hand hygiene facilities and staff compliance in a large tertiary health care facility in northern Nigeria: a cross sectional study

Autor: Daniel Z. Egah, Mark O. Okolo, Comfort Ibrahim, Sunday J. Igbanugo, Nathan Y. Shehu, Didier Pittet, Rachel U. Odesanya, Simji S. Gomerep, Samson E. Isa, Kenneth I. Onyedibe, Adebola Olayinka, Daniela Pires
Rok vydání: 2020
Předmět:
Male
Microbiology (medical)
Multivariate analysis
Cross-sectional study
Health Personnel
media_common.quotation_subject
Population
Nigeria
Developing country
030501 epidemiology
Hand sanitizer
Developing countries
lcsh:Infectious and parasitic diseases
Tertiary Care Centers
03 medical and health sciences
0302 clinical medicine
Hygiene
Environmental health
parasitic diseases
Health care
Humans
Infection control
Medicine
lcsh:RC109-216
Pharmacology (medical)
030212 general & internal medicine
education
media_common
ddc:616
Cross Infection
Infection Control
education.field_of_study
business.industry
Research
Public Health
Environmental and Occupational Health
Odds ratio
Alcohol-based handrub
3. Good health
Cross-Sectional Studies
Infectious Diseases
Facilities assessment
Female
Guideline Adherence
WHO multimodal strategy
0305 other medical science
business
Hand hygiene
Hand Disinfection
Compliance
Zdroj: Antimicrobial Resistance and Infection Control, Vol 9, Iss 1, Pp 1-9 (2020)
Antimicrobial Resistance and Infection Control, Vol. 9, No 1 (2020) P. 30
Antimicrobial Resistance and Infection Control
ISSN: 2047-2994
DOI: 10.1186/s13756-020-0693-1
Popis: Background The burden of healthcare-associated infection (HAI) is 2 to 18 times higher in developing countries. However, few data are available regarding infection prevention and control (IPC) process indicators in these countries. We evaluated hand hygiene (HH) facilities and compliance amongst healthcare workers (HCW) in a 600-bed healthcare facility in Northcentral Nigeria providing tertiary care service for a catchment population of about 20 million. Methods An in-house facility assessment tool and the World Health Organization (WHO) direct observation method were used to assess the HH facilities and compliance, respectively. Factors associated with good compliance were determined by multivariate analysis. Results The facility survey was carried out in all 46 clinical units of the hospital. 72% of the units had no poster or written policy on HH; 87% did not have alcohol-based hand rubs; 98% had at least one handwash sink; 28% had flowing tap water all day while 72% utilized cup and bucket; and 58% had no hand drying facilities. A total of 406 HH opportunities were observed among 175 HCWs. The overall compliance was 31%, ranging from 18% among ward attendants to 82% among medical students. Based on WHO “5 moments” for HH, average compliance was 21% before patient contact, 23% before aseptic procedure, 63% after body fluid exposure risk, 41% after patient contact and 40% after contact with patients’ surrounding. Being a medical student was independently associated with high HH compliance, adjusted odds ratio: 13.87 (1.70–112.88). Conclusions Availability of HH facilities and HCW compliance in a large tertiary hospital in Nigeria is poor. Our findings confirm that HCWs seem more sensitized to their risk of exposure to potential pathogens than to the prevention of HAI cross-transmission. Inadequate HH facilities probably contributed to the poor compliance. Specific measures such as improved facilities, training and monitoring are needed to improve HH compliance.
Databáze: OpenAIRE
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