Improving Hand Hygiene Practices in a Rural Hospital in Sub-Saharan Africa
| Autor: | Berthine Nyiranzayisaba, Celestin Seneza, Nasia Safdar, Mugisha Bienfait, Ian C. Holmen, Vincent Nyiringabo |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Microbiology (medical)
Sub saharan Referral Epidemiology Hospitals Rural media_common.quotation_subject 030501 epidemiology World health Health administration 03 medical and health sciences 0302 clinical medicine Nursing Hygiene Intervention (counseling) Health care Humans Medicine Hand Hygiene 030212 general & internal medicine media_common business.industry Rwanda Quality Improvement Rural hospital Personnel Hospital Infectious Diseases Guideline Adherence 0305 other medical science business |
| Zdroj: | Infection Control & Hospital Epidemiology. 37:834-839 |
| ISSN: | 1559-6834 0899-823X |
| DOI: | 10.1017/ice.2016.71 |
| Popis: | OBJECTIVETo improve hand hygiene (HH) compliance among physicians and nurses in a rural hospital in sub-Saharan Africa (SSA) using the World Health Organization’s (WHO’s) Guidelines on Hand Hygiene in Health Care.DESIGNThis study was a quasi-experimental design divided into 4 phases: (1) preparation of materials and acquisition of the hospital administration’s support, (2) baseline evaluation, (3) intervention, and (4) follow-up evaluation.SETTINGA 160-bed, non-referral hospital in Gitwe, RwandaPARTICIPANTSA total of 12 physicians and 54 nurses participated in this study.METHODSThe intervention consisted of introducing locally produced alcohol-based hand rub (ABHR); educating healthcare workers (HCWs) on proper HH practice; providing pocket-sized ABHR bottles for HCWs; placing HH reminders in the workplace; and surveying HCWs at surrounding health centers regarding HH compliance barriers. Hand hygiene infrastructure, compliance, and knowledge were assessed among physicians and nurses using baseline observations and a follow-up evaluation survey.RESULTSOverall, HH compliance improved from 34.1% at baseline to 68.9% post intervention (PPP>.05).CONCLUSIONHand hygiene campaigns using WHO methods in SSA have been implemented exclusively in large, referral hospitals. This study shows that an HH program using the WHO tools successfully improved HH in a low-income, rural hospital in SSA.Infect Control Hosp Epidemiol2016;37:834–839 |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|