Adherence to hand hygiene in an Italian long-term care facility

Pan, Angelo; Domenighini, Francesca; Signorini, Liana; Assini, R; Catenazzi, Patrizia; Lorenzotti, Silvia; Patroni, Andrea; Carosi, Giampiero; Guerrini, Gianbattista

doi:10.1016/j.ajic.2007.10.017

Cited by 39 publications

(37 citation statements)

References 6 publications

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“…Similar findings have been reported from other studies [19,20,29] , which has been attributed to the assumption that nurses are more likely to use hand hygiene to protect themselves rather than the patient [20] , or to avoid transmitting an infection to consecutive patients rather than to infect the first patient [29] .…”

Section: Discussionsupporting

confidence: 77%

“…This level of hand hygiene compliance is less than that reported among nursing staff in most European settings [18] ; however, it is higher than that reported in Saudi Arabia [10] , Spain [19] or Italy [20] . While 33% compliance is low, it is likely that the true compliance could be even lower, most probably because of the strict definition of hand hygiene opportunities (only dirty contacts according to the scale devised by Fulkerson) and the inclusive definition for hand hygiene practices (any attempt to practice hand hygiene).…”

Section: Discussioncontrasting

confidence: 43%

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Hand Hygiene Practices among Nursing Staff in Public Secondary Care Hospitals in Kuwait: Self-Report and Direct Observation

et al. 2011

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Objective: To assess the compliance with hand hygiene guidelines among nursing staff in secondary care hospitals in Kuwait. Subjects and Methods: A cross-sectional study was conducted through direct observation using the Lewisham observation tool and self-administered questionnaire in six major public secondary care hospitals in Kuwait. Only patient care activities that are described as ‘dirty contacts’ by the Fulkerson scale were considered as indications for hand hygiene while any attempt for hand hygiene was considered as compliance. A self-administered questionnaire was prepared and pilot tested and then distributed to nursing staff at each ward immediately after conducting the inspection; 550 were distributed and 454 were completed and returned. Among 204 observation sessions, a total of 935 opportunities and 312 hand hygiene practices were recorded. Results: The overall compliance was 33.4%. The observed compliance significantly varied between different ward categories from 14.7% in emergency to 55% in medical wards. Of the 454 nursing staff who participated in self-reported compliance, 409 (90%) indicated that they always washed their hands upon practicing patient care activities. Nurses consistently reported higher compliance after conducting patient care activities rather than before. Being busy with work (42.2%), having sore/dry hands (30.4%) and wearing gloves (20.3%) were the most frequently reported hindrances to improving hand hygiene. Conclusion: Observed hand hygiene compliance among nursing staff in secondary care hospitals in Kuwait was poor. High self-reported compliance may reflect a high level of awareness of hand hygiene but may also suggest that improving compliance through increasing awareness has probably reached saturation.

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Section: Discussionsupporting

confidence: 77%

Section: Discussioncontrasting

confidence: 43%

Hand Hygiene Practices among Nursing Staff in Public Secondary Care Hospitals in Kuwait: Self-Report and Direct Observation

et al. 2011

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“…3 Our results are closer to those of the former study. However, because extraseries opportunities and intraseries opportunities have not been differentiated in preceding studies, it is not easy to compare their adherence rates with those of our study.…”

Section: Rates Of Adherence To Hand Hygiene and Gloving Practices Insupporting

confidence: 79%

Rates of Adherence to Hand Hygiene and Gloving Practices in 2 French Rehabilitation Hospitals by Differentiation between Single Contacts and Series of Successive Contacts with Patients or the Environment

Eveillard

Rabjeau

Pradelle

et al. 2010

Infect. Control Hosp. Epidemiol.

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“…In observational studies from LTCFs figures have been low, 14.7% 17 and 17.5%. 18 In an intervention study in Hong Kong LCTFs which used pocket containers of alcohol-based hand rub, together with education and posters, the adherence increased from 26% to 33%. 19 a reduction in the incidence of pneumonia was even reported during the same intervention.…”

Section: Discussionmentioning

confidence: 99%

Sustained increase in the use of alcohol-based hand rubs in Finnish long-term care facilities

Rummukainen

Jakobsson

Matsinen

et al. 2012

Int. j. infect. control

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Long-term care facilities (LTCFs) may serve as a reservoir for multi-resistant bacteria. Hand disinfection with alcohol-based rubs is a simple tool for controlling cross-contamination between patients and preventing healthcare-associated infections. our aim was to promote the use of alcohol-based hand rubs. The multidisciplinary team succeeded in promoting hand hygiene in LTCFs, which was sustained over the three-year follow-up.

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Adherence to hand hygiene in an Italian long-term care facility

Cited by 39 publications

References 6 publications

Hand Hygiene Practices among Nursing Staff in Public Secondary Care Hospitals in Kuwait: Self-Report and Direct Observation

Hand Hygiene Practices among Nursing Staff in Public Secondary Care Hospitals in Kuwait: Self-Report and Direct Observation

Rates of Adherence to Hand Hygiene and Gloving Practices in 2 French Rehabilitation Hospitals by Differentiation between Single Contacts and Series of Successive Contacts with Patients or the Environment

Sustained increase in the use of alcohol-based hand rubs in Finnish long-term care facilities

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