Compliance and adherence to hand hygiene practices for effective infection control

Hand hygiene (HH) is the most effective way to curb the spread of healthcare-associated infections. Nonetheless, healthcare personnel encounter difficulties in adhering to WHO HH recommendations. This study aimed to investigate HH compliance and adherence after the implementation of an action plan i...

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Bibliographic Details
Published in:	Journal of water and health Vol. 22; no. 5; pp. 896 - 904
Main Authors:	Sidiki, Abubakari Ibn, Moomin, Aliu, Lishchuk, Alexandr Nikolaevich, Adam, Maridia Kunateh, Al-Ariki, Malik Kiaed, Ananko, Vadim Alexandrovich, Baatiema, Linus, Angmortey, Nomo Richard, Adu-Gyamfi, Paa Kofi Tawiah, Mensah, Kwesi Boadu
Format:	Journal Article
Language:	English
Published:	England IWA Publishing 01-05-2024
Subjects:	Alcohol Audits Compliance Cross Infection - prevention & control Data collection Disease control Guideline Adherence - statistics & numerical data Guidelines hand hygiene Hand Hygiene - standards Hand Hygiene - statistics & numerical data Health care Health Personnel - psychology healthcare personnel Hospitals Humans Hygiene infection control Infection Control - methods Infection Control - standards Infections Medical personnel Nurses Patients Personal hygiene Physicians surgical staff Surveillance Variance analysis who guidelines healthcare personnel WHO guidelines hand hygiene infection control surgical staff
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Summary:	Hand hygiene (HH) is the most effective way to curb the spread of healthcare-associated infections. Nonetheless, healthcare personnel encounter difficulties in adhering to WHO HH recommendations. This study aimed to investigate HH compliance and adherence after the implementation of an action plan in a municipal hospital in Moscow. An initial evaluation of HH compliance among clinical health workers was carried out in June 2022 according to the WHO HH guidelines followed by a 3-month re-audit of HH practices. The results were compared to the baseline to evaluate compliance and adherence to HH among healthcare personnel. From June to September 2022, there were 2,732 moments of contact with patients or their immediate surroundings. The HH total compliance rate significantly ( < 0.05) increased from 52.3% in June 2022 to 83.3% in September 2022 with a 75% overall total compliance rate. The profession-specific total compliance rate was highest among nurses (79.6%) and lowest among ancillary staff (69.7%). Staff were also more adherent to the before-moments compared to the after-moments of the HH guidelines. Monthly re-audits and providing feedback resulted in a significant improvement in compliance and adherence with HH guidelines after implementation of the action plan.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1477-8920 1996-7829
DOI:	10.2166/wh.2024.384