Browse > Article
http://dx.doi.org/10.5762/KAIS.2015.16.9.6160

Analysis of Hand Hygiene Practices of Health Care Personnels  

Oh, Hyang Soon (Nursing Department, College of Health and Welfare, Woosong University)
Publication Information
Journal of the Korea Academia-Industrial cooperation Society / v.16, no.9, 2015 , pp. 6160-6168 More about this Journal
Abstract
Hand hygiene(HH)of the health care personnels(HCPs) was the most effective method to prevent the transmission of healthcare associated infections. This study was conducted to measure and analysis the status of the HH compliance of HCPs. Data were collected by the direct observation methods of the World Health Organizations(WHO) using WHO's HH monitoring tool kits from 25th October to 31th December, 2010. Data were analyzed by descriptive statistics, cross analysis, multiple logistic analysis using the SPSS/PC 21 program. A total of 8,644 opportunities for HH were observed, and the overall HH compliance rate was 94.1%. HH rates of physicians was lowest(83.4%; OR: 0.209, 95%CI:0.174-0.252). HH rates were statistically different by the job titles(p<0.001), WHO's 5 moments(p<0.001). HH rates in registered nurses(p=0.003), and medical technicians(p<0.001) were statistically different by the WHO 5Moments. Jobs specific HH strategies and WHO 5Moments should be developed to increase the HH compliances of the HCPs.
Keywords
Cross infection; Hand hygiene; Health care personnel; Infection control; World Health Organization;
Citations & Related Records
연도 인용수 순위
  • Reference
1 O Monistrol, E Calbo, M Riera, C Nicolas, R Font, N Freixas J Garau. Impact of a hand hygiene educational programme on hospital-acquired infections in medical wards. Clin Microbiol Infect 18(12), pp. 1212-8, 2002. DOI: http://dx.doi.org/10.1111/j.1469-0691.2011.03735.x   DOI
2 MF Salama, WY Jamal, HA Mousa KA Al-Abdulghani, VO Rotimi. The effect of hand hygiene compliance on hospital-acquired infections in an ICU setting in a Kuwaiti teaching hospital. J Infect Public Health, 6(1), pp. 27-34, 2013. DOI: http://dx.doi.org/10.1016/j.jiph.2012.09.014   DOI
3 JA Mayer, PM Dubbert M Miller, PA Burkett, SW Chapman. Increasing handwashing in an intensive care unit. Infect Control, 7(5), pp. 259-62, May, 1986.   DOI
4 OM Kweon, ES Park, DS Lee, JH Lee, EJ Ha, DE Yong, JY Choi, KW Kim, C Lee, KW Lee. A Three-year study of the effectiveness of hand-hygiene protocol implementation at a university hospital. Korean J Nosocomial Infection Control, 17(2), pp. 53-60, 2012.
5 HS Oh, ES Park, SY Jeong, HG Cheon, SR Kim, YS Chang, EK Kim, NH Cho. Activation of Infection prevention and control program in hospital via healthcare accreditation system. Final report. Korea Association of Infection Control Nurses. 2011.
6 Ministry of Health and Welfare. Korea Institute for Healthcare Accreditation. 2010 The standards of Healthcare Accreditaion. The first edition, Seoul, 2010.
7 T Sakihama, H Honda, S Saint, KE Fowler, T Shimizu, T Kamiya, Y Sato, S Arakawa, JJ Lee, K Iwata, M Mihashi, Y Tokuda. Hand Hygiene Adherence Among Health Care Workers at Japanese Hospitals: A Multicenter Observational Study in Japan. J Patient Saf. Apr 8, 2014. DOI: http://dx.doi.org/10.1097/pts.0000000000000108
8 S Alsubaie, Ab Maither, W Alalmaei, AD Al-Shammari, M Tashkandi, Am Somily, A Alaska, AA BinSaeed. Determinants of hand hygiene noncompliance in intensive care units. Am J Infect Control, 41(2), pp. 131-5, 2013. DOI: http://dx.doi.org/10.1016/j.ajic.2012.02.035   DOI
9 D Pittet, A Simon, S Hugonnet, CL Pessoa-Silva, V Sauvan, TV Perneger. Hand hygiene among physicians: performance, beliefs, and perceptions.Ann Intern Med, 6;141(1),pp1-8, Jul, 2014.   DOI
10 S Assanasen, M Edmond, G Bearman. Impact of 2 different levels of performance feedback on compliance with infection control process measures in 2 intensive care units. Am J Infect Control ,36(6), pp. 407-13, 2008. DOI: http://dx.doi.org/10.1016/j.ajic.2007.08.008   DOI
11 K Page, AG Barnett, M Campbell, D Brain, E Martin, N Fulop, N Graves. Costing the Australian National Hand Hygiene Initiative.J Hosp Infect. 88(2014), pp. 141-148, 2014.   DOI
12 AR Marra, TZ Camargo, VJ Cardoso, DF Jr Moura, E Casemiro de Andrade, J Wentzcovitch , AS Santos da Rocha, OF Pavao dos Santos, MB Edmond. Hand hygiene compliance in the critical care setting: a comparative study of 2 different alcohol handrub formulations. Am J Infect Control. 41(2), pp. 136-9, Feb, 2013. DOI: http://dx.doi.org/10.1016/j.ajic.2012.02.018   DOI
13 DM Korniewicz, M El-Masri. Exploring the factors associated with hand hygiene compliance of nurses during routine clinical practice. Appl Nurs Res, 23(2), pp. 86-90, 2010. DOI: http://dx.doi.org/10.1016/j.apnr.2008.06.002   DOI
14 T Dierssen-Sotos, M de la Cal-Lopez, M Navarro-Cordoba, H Rebollo-Rodrigo, FM Antolin-Juarez, J Llorca. Factors related with the performance of a proper hand hygiene. Med Clin (Barc),135(13), pp. 592-5, 2010. DOI: http://dx.doi.org/10.1016/j.medcli.2010.02.040   DOI
15 World Health Organization. WHO Guidelines on Hand Hygiene in Health Care: First Global Patient Safety Challenge Clean Care Is Safer Care. Geneva: World Health Organization, 2009.
16 JM Boyce, D Pittet ; Healthcare Infection Control Practices Advisory Committee. Society for Healthcare Epidemiology of America. Association for Professionals in Infection Control. Infectious Diseases Society of America. Hand Hygiene Task Force. Guideline for hand hygiene in health-care settings: recommendations of the Healthcare Infection Control Practices Advisory Committee and the HICPAC/SHEA/APIC/IDSA Hand Hygiene Task Force. Infect Control Hosp Epidemiol, 23(12 Suppl):S3-40, 2002. DOI: http://dx.doi.org/10.1086/503164   DOI
17 JH Jang, S Wu, D Kirzner, C Moore, G Youssef, A Tong, J Lourenco, RB Stewart, LJ McCreight, K Green, A McGeer. Focus group study of hand hygiene practice among healthcare workers in a teaching hospital in Toronto, Canada. Infect Control Hosp Epidemiol, 31(2),pp144-50, 2013. DOI: http://dx.doi.org/10.1086/649792   DOI
18 VC Sunkesula, D Meranda, S Kundrapu, TF Zabarsky, M McKee, DR Macinga, CJ Donskey. Comparison of hand hygiene monitoring using the 5 Moments for Hand Hygiene method versus a wash in-wash out method. Am J Infect Control. 43(1), pp16-9. DOI: http://dx.doi.org/10.1016/j.ajic.2014.10.003   DOI