Compliance with Hand Hygiene and Glove Use in a University-Affiliated Hospital

Kuzu, Nevin; Özer, Fadime Gök; Aydemir, Semra; Yalcin, Ata Nevzat; Zencir, Mehmet

doi:10.1086/502545

Cited by 84 publications

(85 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In addition, it appears that even if the hygiene procedures are followed, their effectiveness may be questionable because they are not properly executed. Studies show that hand washing takes on average 8-15 s [14][15][16]. This study confirms that the average time for washing hands is much shorter than it is required.…”

Section: Discussionsupporting

confidence: 75%

Observance of hand washing procedures performed by the medical personnel after the patient contact. Part II

Garus-Pakowska¹,

Sobala²,

Szatko³

2013

International Journal of Occupational Medicine and Environmental Health

View full text Add to dashboard Cite

Objectives: The Centers for Disease Control and Prevention (CDC) as well as the World Health Organization (WHO) state that adequate hand hygiene maintained by medical personnel is an indispensable prerequisite for controlling nosocomial infections. The recommendations of CDC and WHO emphasize the obligation to wash hands after each contact with a patient, after the exposure to a potentially infectious material or upon the contact with objects surrounding the patient. Materials and Methods: The study was performed by quasi-observation among the group of 188 medical staff members (nurses and physicians) working in three selected hospitals of the Łódź Province. The procedure of hand washing/disinfection performed directly after the patient contact according to the recommendations of CDC and WHO was observed. The results were subject to statistical analysis (p < 0.05). Results: During 1544 h of observations, 4101 activities requiring hand washing were recorded. The medical personnel followed the hand hygiene procedures after the patient contact in 26.4% of the situations that require hygiene according to the guidelines. The level of observance of the hand washing procedures depended significantly on the type of performed activity, profession, degree of workload, index of activity, and time of duty hours. The mean time of hand washing after patient contact was 9.2 s for physicians and 6.7 s for nurses. Conclusion: Both the level of observance of hygienic procedures after the contact with patients as well as the time of hand washing are insufficient. There is an urgent need to work out educational programs on maintaining proper hand hygiene for medical personnel.

show abstract

Section: Discussionsupporting

confidence: 75%

Observance of hand washing procedures performed by the medical personnel after the patient contact. Part II

Garus-Pakowska¹,

Sobala²,

Szatko³

2013

International Journal of Occupational Medicine and Environmental Health

View full text Add to dashboard Cite

show abstract

“…The results of the univariate analysis indicate that the medi cal personnel adhered to the hand washing proce dures before contact with the patient only in 5.2% of the cases. This is a much lower proportion than the one re ported by other authors [11,[14][15][16][17][18]. According to the best knowledge of the authors, this is the only study using par ticipatory observation, in which the subjects, in addition to being ignorant of the true aim of the study, were intention ally diverted to the issues remote from the compliance with the principles of hygiene.…”

Section: Resultsmentioning

confidence: 78%

Observance of hand washing procedures performed by the medical personnel before patient contact. Part I

Garus-Pakowska

Sobala

Szatko

2013

International Journal of Occupational Medicine and Environmental Health

View full text Add to dashboard Cite

Introduction: According to the Centers for Disease Control and Prevention (CDC) as well as the World Health Organi zation (WHO) recommendations, medical staff are obliged to decontaminate the skin of the hands before every single patient contact. Materials and Methods: The study was performed by quasi-observation among the group of 188 medical staff (nurses and physicians) working in three selected hospitals of the Łódź province. The procedure of hand washing and disinfection performed directly before the patient contact according to the CDC and WHO recommendations were observed. The results was subject to statistical analysis (p < 0.05). Results: During 1544 hours of observation 4101 activities requiring hand washing were recorded. The medical staff obeyed the hand washing procedure before the patient contact only in 5.2% of the situations. There was no activity observed before which hand hygiene was maintained in 100% of cases. Observance of hand hygiene depended significantly on the type of the performed activity, the professional group, and the workload index. A decrease in percentage observance of hand hygiene according to the time of the day was found to be of statistical significance. The mean time of hand washing was 8.5 s for physicians and 6.6 s for nurses. Conclusion: The level of observance of hand washing procedures among the medical staff prior to the patient contact appears to be alarmingly below the expectations.

show abstract

“…Observation-based studies revealed that the recommendation to use protective gloves was followed at the level of 58.8% [12]. The analysis of the results of our study showed that the overall level of compliance with the recommendation to use protective gloves in the circumstances that in accordance with the guidelines so require was 50%.…”

Section: Discussionmentioning

confidence: 60%

The use of protective gloves by medical personnel

Garus-Pakowska

Sobala

Szatko

2013

International Journal of Occupational Medicine and Environmental Health

View full text Add to dashboard Cite

Introduction: To minimize the risk of cross-infection between the patient and the medical staff, it is necessary to use individual protective measures such as gloves. According to the recommendations of the Centers for Disease Control and Prevention (CDC) and the World Health Organization (WHO), protective gloves should always be used upon contact with blood, mucosa, injured skin or other potentially infectious material. Materials and Methods: The aim of the study was to evaluate, through quasi-observation, the use of protective gloves by medical staff according to the guidelines issued by the CDC and WHO. The results were subject to statistical analysis (p < 0.05). Results: During 1544 hours of observations, 3498 situations were recorded in which wearing protective gloves is demanded from the medical staff. The overall percentage of the observance of using gloves was 50%. The use of gloves depended significantly on the type of ward, profession, performed activity, number of situations that require wearing gloves during the observation unit and the real workload. During the entire study, as many as 718 contacts with patients were observed in which the same gloves were used several times. Conclusion: Wearing disposable protective gloves by the medical staff is insufficient.

show abstract

Compliance with Hand Hygiene and Glove Use in a University-Affiliated Hospital

Abstract: Compliance with handwashing was low, suggesting the need for new motivational strategies such as supplying feedback regarding compliance rates

Cited by 84 publications

References 20 publications

Observance of hand washing procedures performed by the medical personnel after the patient contact. Part II

Observance of hand washing procedures performed by the medical personnel after the patient contact. Part II

Observance of hand washing procedures performed by the medical personnel before patient contact. Part I

The use of protective gloves by medical personnel

Contact Info

Product

Resources

About