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Title

Alcohol-based handrub improves compliance with hand hygiene in intensive care units

Authors
Perneger, T. V.
Published in Archives of Internal Medicine. 2002, vol. 162, no. 9, p. 1037-1043
Abstract BACKGROUND: Nosocomial infection is a leading complication in intensive care units. Although hand hygiene is the single most efficient preventive measure, compliance with this simple action remains low. OBJECTIVES: To assess the effect of an intervention to promote hand hygiene and to investigate risk factors for noncompliance in intensive care units. METHODS: We performed 7 observational surveys and implemented a promotional campaign after baseline in medical, surgical, and pediatric intensive care units of a teaching hospital. Health care workers were observed during routine patient care. The intervention consisted of a hospitalwide promotional campaign, including observation and performance feedback, posters display, and distribution of individual bottles of alcohol-based handrub. The main outcome measure was compliance with hand hygiene through handwashing or handrubbing. RESULTS: We observed 2743 opportunities for hand hygiene distributed over 248 periods. Overall compliance increased from 38.4% to 54.5% during the study (P<.001). Although recourse to handwashing remained stable at around 30%, handrubbing increased from 5.4% at baseline to 21.7% at the last survey (P<.001). Compliance increased among nurses and nursing assistants, but remained stable among physicians. Handwashing compliance decreased, on average, by 4.7% for an increase of 10 opportunities for hand hygiene per hour of patient care (P<.001), whereas no such association existed for handrubbing. CONCLUSIONS: Our intervention induced a marked and sustained increase in compliance with hand hygiene. In intensive care units, less time-consuming handrubbing might replace standard handwashing and overcome the barrier of time constraints.
Keywords Critical CareCross Infection/ prevention & controlData CollectionFemaleHandwashingHealth PersonnelHumansInfection ControlIntensive Care UnitsMaleRisk Factors
Identifiers
PMID: 11996615
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Other version: http://archinte.ama-assn.org/cgi/reprint/162/9/1037.pdf
Structures
Research group Staphylocoques dorés résistants à la méthicilline et hygiène hospitalière (330)
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(ISO format)
HUGONNET, Stephane, PERNEGER, T. V., PITTET, Didier. Alcohol-based handrub improves compliance with hand hygiene in intensive care units. In: Archives of Internal Medicine, 2002, vol. 162, n° 9, p. 1037-1043. https://archive-ouverte.unige.ch/unige:7341

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Deposited on : 2010-06-21

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