Evolution and associated factors of hand hygiene compliance in a pediatric tertiary hospital
| Autor: | C. Esquembre-Menor, P. Gras-Valentí, C.M. Benito-Miralles, G.G. Cabrera-Tejada, Marina Fuster-Pérez, M. González-Hernández, Juan Gabriel Mora-Muriel, M.C. Vela-Morales, J. Sánchez-Payá |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Neonatal intensive care unit Epidemiology media_common.quotation_subject Tertiary Care Centers 03 medical and health sciences 0302 clinical medicine Hygiene Internal medicine Health care medicine Infection control Humans Hand Hygiene 030212 general & internal medicine Neonatology Child media_common 0303 health sciences Cross Infection Infection Control 030306 microbiology business.industry Health Policy Public Health Environmental and Occupational Health Direct observation Infant Newborn Odds ratio Confidence interval Infectious Diseases Cross-Sectional Studies Guideline Adherence business |
| Zdroj: | American journal of infection control. 48(11) |
| ISSN: | 1527-3296 |
| Popis: | Background The objective is to know the evolution of the Degree of Compliance with Recommendations (DCR) on hand hygiene (HH) and its associated factors in the pediatric care areas (PCAs) of a tertiary hospital. Methods Observational, cross-sectional study, repeated over time, with direct observation of the DCR on HH during the daily activity of health care workers. Over 13 years, 9226 HH opportunities were observed. Associations between DCR, PCA and other variables (eg, age, sex, and professional position) were examined using χ² and adjusted odds ratios (aOR) with 95% confidence intervals (CI). Results DCR on HH in 9 PCAs was 64.3% (95% CI, 63.3-65.3), and in the group of non-pediatric areas it was 49.6% (95% CI, 49.1-50.1). The areas with the highest degree of compliance were Oncology 72.8% (95% CI, 69.2-76.4), Neonatology 73.2% (95% CI, 71.3-75.1), and Neonatal intensive care unit 70.0% (95% CI, 67.5-72.6). These were the areas with the strongest association with HH compliance, with aOR:2.8 (95% CI, 2.2-3.6); aOR, 3.0 (95% CI, 2.6-3.6) aOR:2.6 (95% CI, 2.1-3.1), respectively. Other associated factors were the indications “after an activity,” aOR, 1.6 (95% CI, 1.5-1.8) and the availability of pocket-size alcohol-based solution, aOR, 2.1(95% CI, 1.9-2.3). Conclusions The DCR on HH in PCAs is higher than in other areas, although there is still margin for improvement. We have identified modifiable factors that have an independent association with HH compliance in PCAs. Focusing on modifiable factors will increase compliance with HH with the ultimate goal of reducing healthcare associated infections. |
| Databáze: | OpenAIRE |
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