Comparison of hand hygiene compliance among healthcare workers in Intensive care units and wards of COVID-19: A large scale multicentric study in India

Autor: Sarumathi Dhandapani, Deepashree Rajshekar, Ketan Priyadarshi, Sivanantham Krishnamoorthi, Raja Sundaramurthy, Haritha Madigubba, Apurba Sankar Sastry, Dr Apurba Sankar Sastry, Dr Ketan Priyadarshi, Dr Deepashree Rajshekar, Dr Sivanantham Krishnamoorthi, Dr Raja Sundaramurthy, Dr Haritha Madigubba, null Sarumathi, Dr Anusha Cherian, Dr Chetak KB, Dr Geethu Joe, Dr Raksha K, Dr Archana Nagarajan, Dr Manisha Subrao Mane, Dr Prem Latha P, Dr Arcy Billoria, Dr Tessa Antony, Dr M.K. Renuka, Dr K. Sneha Jigisha, Dr Abhilasha Korani, Dr Abiroo Jan, Dr Roopika Berry, Dr Deepti Chaurasia, Dr Simmi Dubey, Dr Lokendra Dave, Dr Archa Sharma, Dr Jaya Lalwani, Dr Shahzad Mirza, Dr Amber Prasad, Dr Pratima Gupta, Dr Prasan Kumar Panda, Dr Smita Sinha, Dr Biswajeet Sahoo, Dr Vanya Singh, Dr Suneeta Sahu, Dr Rani Sahu, Dr Shyamala R, Dr Rangineni Jayaprada, Dr N. Ramakrishna, null Mamtabhatt, Dr Mini P N, Dr Fairoz CP, Dr Vishnu k, Dr Asfia Sultan, Dr Fatima Khan, Dr Atanu Chakravarty, Dr Rajib Hazarika, Dr Binita Bhuyan, Dr KV Leela, Dr Anusha Gopinathan, Dr Lavanya Sriramajayam, Dr M. Mohamadiya Rizwana, Dr Rupali Ashok Akude, Dr Mahamad Wajid, Dr Shazia Naaz, Dr Deepthi Karumanchi, Dr Avula Renuka Devi, Dr Kammineni Chakrapani, Dr Poonam Gupta, Dr Bharat Jagiasi, Dr Jaya Banerjee, Dr Anuradha Gopalkrishna Tolpadi, Dr Abhijeet Kantilal Mane, Dr Lakshmi Jyothi Tadi, Dr Rahul Narang, Dr Sunil Kumar D Chavan, Dr. Ujjwala Nitin Gaikwad, Dr Moonis Mirza, Dr Manisha Khandait, Dr Mukesh Sharma, Dr Kavya P, Dr Aboobacker Siddiq, Dr Penmetcha Uma, Dr Padmaja Yarlagadda, Dr Prudhivi Sumana, Dr Naseema Shaik, Dr Sheela Devi Chandrakesan, Dr Sujitha Elan Seralathan, Dr Arthi E, Vidya J, Dr Divya Suguna Jayakar, Dr Balaram Padala, Dr Rajive Kumar Sureka, Dr Kiranmai Sannithi, Dr T. Ashita Singh, Dr Pragathi Kottapalli, Dr. Ashit Bhusan Xess, Dr Rajeev Kumar Seth, Dr Rajya Bardhan Pattanaik, Dr Narayan Prasad Sahoo, Dr Bijayini Behera, Dr Ashoka Mahapatra, Dr Varsha Gupta, Dr Preeti Chaudhary, Dr J Gerard Rakesh, Dr J Margaret Theresa, Dr Kala YadavML, Dr Chetana G S, Dr Ashok Kumar Sharma, Dr Kumari Seema, Dr Manju Boipai, Dr Abhay Kumar, Dr Rajendra Bhanudas Surpam, Dr Virendra Kolhe, Dr Abiramasundari V K, Dr Tuhina Banerjee, Dr Neha Rathor, Dr Vinitha Mary Joy, Dr Subi Das, Dr Mohammed Khaleel, Dr Shalini Akunuri, Dr Shashikala Shivaprakash, Swapna Pawar, Dr Nipa Singh, Dr Subhra Snigdha Panda, Dr Nirav Pandya, Dr Swathi CM, Dr Gunturu Sowjanya, Dr P. Swathi Prakasham, Dr Geetarani Purohit, Dr Uday Hembram, Dr Tupili Ramya, Dr Kasawar Darahasa, Dr Syeda Amtul Moqueeth, Shiva Kumar, Spandana T, Dr Namita Srivastava, Singh Neeraj, Dr Anshul Jain, Dr Mandavi Agarwal, Dr A. Mohan Kumar, Dr V. Mangayarkarasi, Dr Rakesh Kakkar, Dr Vamshidhar Chamala, Dr Urvi Kamat, Dr Prajay Naik, Dr Reena Sachan, Dr Abhishek Singh, Dr Smriti Singh, Dr Sarika Prabhakar Kombade, Dr Vibhor Tak, Dr Naveen Dutt, Dr Pradeep Kumar Bhatia, Dr Naresh Midha, Dr Ashok Kumar, null Himanshu, Dr Sweta shah, Dr Pooja Suresh Thakkar, Havovi Fouzdar, Sapna Malik, Vidya Shetty, Dr Shelley Sharma Ganguly, Dr Sathyajith Ramvihar, Dr Shreshtha Tiwari, Manisa Sahu, Dr Bhaskar Narayan Chaudhuri, Dr Partha Guchhait, Santa Mukherjee, Dr M.S. Ratnamani, Dr J. Prathiba, Dr Sneha Chunchanur, Dr Shwetha J V, Dr Ambica R, Dr Pravin Kumar Nair, Dr Ranjeeta Adhikary, Dr Sunil Karanth, Dr Venkatesha Gupta K V, Dr Akshith Thimmaiah, Dr Ravi Shankar Reddy Anukolu, Dr Ruturaj M Kolhapuri, Dr Naveena Jagadeesan, Dr Kavitha Karur, Dr Nandini Puttamasthi Gowda, Dr Vithiya Ganesan, Dr Jhansi Charles, Dr Krithika Varshini, Dr Shaily R, Dr. Kalyani M, Dr. Jayanthi S, Dr. Shifa Meharaj S H, Dr Ekta Agrawal, Dr Manoj Rai, Dr Chithra Valsan, Dr Ardra M, Dr Champa Hemachandra, Dr Cherlopalli Sunil Kumar, Dr Lakshmikanth BM, Dr Aruna Poojary, Dr Priyanka Patil, Dr. Archana G. J, Dr. Navneetha Ch, Dr. K. Raja Rao, Dr. Rajeshwar Rao, Dr. K. Nagamani, Dr T Mangaiyarkarasi, Dr S. Sunil Shivekar, Dr. K. Deepika, Dr. J. Jayalakshmi, Dr. Selvarajan N, Dr Avantika Shukla, Dr HB Veena Kumari, Dr Nagarathna S, Dr Jayasree Shivadasan, Dr Chandana Devaraj, Dr Subha S, Dr Vidhyalakshmi PR, Dr Jyoti S Kabbin, Dr Amrita Gupta
Rok vydání: 2022
Předmět:
Zdroj: American journal of infection control.
ISSN: 1527-3296
Popis: Hand hygiene is a significant component involved in preventing transmission of health care associated infections including COVID-19. Compliance to hand hygiene among the health care workers (HCWs) requires evaluation and timely feedback. "You can't improve what you can't measure" is a famous saying and this multicentric study was designed to measure hand hygiene compliance and have birds eye view on hand hygiene compliance in COVID Intensive care units (ICUs) and wards across India.A prospective multicentric observational study was conducted for a period of 6 months in 92 health care facility across India which included varied type of public and private hospitals. Hand hygiene audit was conducted in COVID ICU and COVID non-ICU wards in all these facilities by their HCWs using the IBHAR mobile application based on WHO's hand hygiene audit tool. Hand hygiene total adherence rate (HHTAR) and hand hygiene complete adherence rate (HHCAR) were analyzed and compared between 2 locations. Adherence rates were analyzed based on the zones, institute type, profession and for each WHO moments.A total of 1,61,056 hand hygiene opportunities were documented and adherence rates were recorded higher in COVID wards (HHTAR-61.4%; HHCAR-28.8%) than COVID ICUs (HHTAR-57.8%; HHCAR-25.6%). Overall, the adherence rates were observed higher in COVID wards (HHTAR- 68.1%; HHCAR-38.3%) of private hospitals, COVID wards of the west zone (HHTAR- 70.2%; HHCAR-36.8%), cleaning staffs of the COVID ward scores better compliance than all other professions in COVID ICUs and COVID wards. HHTAR was found to be the higher in moment 3 (After body fluid exposure-76.3%) followed by moment 4 (after touching patient-73.7%) done in COVID wards compared to moments done in ICUs.This study highlights the practice of hand hygiene in COVID care locations across India. Effective strategies need to be implemented in COVID ICUs across the facilities to improve the compliance.
Databáze: OpenAIRE
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