UNIGE document Scientific Article
previous document  unige:7512  next document
add to browser collection
Title

Compliance with handwashing in a teaching hospital. Infection Control Program

Authors
Mourouga, P.
Perneger, T. V.
Published in Annals of Internal Medicine. 1999, vol. 130, no. 2, p. 126-130
Abstract BACKGROUND: Transmission of microorganisms from the hands of health care workers is the main source of cross-infection in hospitals and can be prevented by handwashing. OBJECTIVE: To identify predictors of noncompliance with handwashing during routine patient care. DESIGN: Observational study. SETTING: Teaching hospital in Geneva, Switzerland. PARTICIPANTS: Nurses (66%), physicians (10%), nursing assistants (13%), and other health care workers (11%). MEASUREMENTS: Compliance with handwashing. RESULTS: In 2834 observed opportunities for handwashing, average compliance was 48%. In multivariate analysis, noncompliance was higher among physicians (odds ratio [OR], 2.8 [95% CI, 1.9 to 4.1]), nursing assistants (OR, 1.3 [CI, 1.0 to 1.6]), and other health care workers (OR, 2.1 [CI, 1.4 to 3.2]) than among nurses and was lowest on weekends (OR, 0.6 [CI, 0.4 to 0.8]). Noncompliance was higher in intensive care than in internal medicine units (OR, 2.0 [CI, 1.3 to 3.1]), during procedures that carry a high risk for contamination (OR, 1.8 [CI, 1.4 to 2.4]), and when intensity of patient care was high (compared with < or = 20 opportunities for handwashing per hour of care, 21 to 40 opportunities: OR, 1.3 [CI, 1.0 to 1.7]; 41 to 60 opportunities: OR, 2.1 [CI, 1.5 to 2.9]; and > 60 opportunities: OR, 2.1 [CI, 1.3 to 3.5]). CONCLUSIONS: Compliance with handwashing was moderate. Variation across hospital ward and type of health care worker suggests that targeted educational programs may be useful. Even though observational data cannot prove causality, the association between noncompliance and intensity of care suggests that understaffing may decrease quality of patient care.
Keywords Handwashing/standardsHealth Knowledge, Attitudes, PracticeHospitals, Teaching/statistics & numerical dataMultivariate AnalysisNurses/statistics & numerical dataNurses' Aides/statistics & numerical dataPersonnel, Hospital/ statistics & numerical dataPhysicians/statistics & numerical dataSwitzerland
Identifiers
PMID: 10068358
Full text
Article - document accessible for UNIGE members only Limited access to UNIGE
Other version: http://www.annals.org/content/130/2/126.full.pdf
Structures
Research group Staphylocoques dorés résistants à la méthicilline et hygiène hospitalière (330)
Citation
(ISO format)
PITTET, Didier, MOUROUGA, P., PERNEGER, T. V. Compliance with handwashing in a teaching hospital. Infection Control Program. In: Annals of Internal Medicine, 1999, vol. 130, n° 2, p. 126-130. https://archive-ouverte.unige.ch/unige:7512

193 hits

0 download

Update

Deposited on : 2010-06-21

Export document
Format :
Citation style :