Hand hygiene compliance in the prevention of hospital-acquired infections: a systematic review

Mouajou, Verinsa; Adams, Kelsey; Delisle, Gaelle A; Quach, Caroline

doi:10.1016/j.jhin.2021.09.016

Cited by 57 publications

(36 citation statements)

References 49 publications

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“…This level of compliance is very low as compared to 90% or more suggested by the world health organization [ 34 ]. However, the HH compliance rate reported in this study was also low compared to the 76.4% reported from Japan [ 35 ], 94.5% observed by Mieth et al [ 36 ], 79.44% to 96.71% in China [ 37 ], 90%- 100% in Australia [ 38 ], 60% and 70% reported in recent systemic review [ 39 ], 63.45% in European countries [ 31 ] and among taxi drivers in Dessie Ethiopia [ 25 ]. This result highlights of great concern to the public health campaign on hand hygiene in further control of SARS COV-2 strain.…”

Section: Discussioncontrasting

confidence: 71%

The effect of compliance to Hand hygiene during COVID-19 on intestinal parasitic infection and intensity of soil transmitted helminthes, among patients attending general hospital, southern Ethiopia: Observational study

et al. 2022

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BackgroundIntestinal parasitic infection (IPIs) is one of the major health problems in Sub -Saharan Africa where water, sanitation and hygiene practices are inadequate. Taking into account the national level implementation of intensive hand hygiene against COVID-19 pandemic and general protective effect this study assessed its effect on intestinal parasite.ObjectiveThis study aim to investigate the effect of compliance to hand hygiene practice on the prevalence of intestinal parasitic infection (IPIs) and intensity of Soil transmitted helminthes (STH) among patients attending tertiary care hospital in southern Ethiopia.MethodsObservational study was conducted from June to September 2021. Data on socio demographic, hand hygiene practice and intestinal parasite (prevalence and intensity of helminthic infection) was collected from randomly selected and consented patients. Compliance to hand hygiene practice was assessed using pre-tested questionnaire. Fresh stool sample from each participant was examined by direct wet mount, concentration and Ziehl-Neelson (ZN) staining technique to detect intestinal parasite. Intensity of STH measurements was done through direct egg-count per gram using Kato Katz methods. Data analysis was done using SPSS version 25. Odds ratio with 95% confidence interval was used to measure association and p-value <0.05 was considered as statistically significant.ResultsThe study population (N = 264) consisted of 139(52.65%) male and 125 (47.34%) female with the mean ages of 36 ±16.12(±SD). The proportion of good compliance to hand hygiene during COVID-19 to was 43.93% (95%CI: 37% to 47) and prevalence of intestinal parasite was 26.14% (95%CI:21.2% to 31.75) comprising 23.48% intestinal protozoa and 6.43% of soil transmitted helminthic infection.Gardia lamblia,Entamoeba histolytica/dispar,Ascaris lumbricoideswere the common parasite in the study area with prevalence of 15.53%, 6.44%, and 1.52% respectively. Prevalence of intestinal parasite among participants with good compliance to hand hygiene group and poor compliance to hand hygiene were (14.65% vs. 35.13%)(AOR: 0.48,95%CI:0.13 to 0.68) (p = 0.002) implying that good compliance to hand hygiene can reduce the risk of IPIs by 52%. Moreover significantly lower odds of intestinal protozoa among good compliance to hand hygiene group than the control (OR:0.38; (95%CI: 0.20 to 0.71);P = 0.001. However, no significant difference in the odds of intensity of STH infection in good compliance hand hygiene and poor compliance group. The result of this study also confirmed the association between intestinal parasitic infections and younger /adolescent age, education status, habit of eating raw vegetable and figure nail status.ConclusionGood hand hygiene compliance during COVID-19 significantly associated with reduction of intestinal parasitic infection. This finding highlights the secondary protective effect of improved hand hygiene against IPIs and suggest it can used in augmenting the existing parasitic control strategies in the study setting.

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Section: Discussioncontrasting

confidence: 71%

The effect of compliance to Hand hygiene during COVID-19 on intestinal parasitic infection and intensity of soil transmitted helminthes, among patients attending general hospital, southern Ethiopia: Observational study

et al. 2022

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“…These results are congruent with findings from the literature that HH compliance has a negative correlation with healthcare-acquired infections including decrease in serious infections. 3 4 …”

Section: Resultsmentioning

confidence: 99%

“…However, the compliance rates are generally low globally, although its importance is increasingly being recognised and the numbers have gradually started to go up in select healthcare systems. A systematic review of 35 studies revealed that HH compliance rates were between 60% and 70% 3…”

Section: Introductionmentioning

confidence: 99%

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Improving hand hygiene in a medical ward: a multifaceted approach

et al. 2022

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BackgroundHand hygiene is a fundamental action which is simple, inexpensive and an effective tool in reducing hospital-acquired infections, yet compliance remains low in healthcare settings. In 2014, Changi General Hospital embarked on a pilot project to improve hand hygiene compliance in a pilot ward with the intention to eventually spread a multifaceted set of interventions hospital wide.MethodsA before and after interventional study of a pilot project. Hand hygiene data collection was through direct observations by auditors using WHO monitoring standards and techniques based on the five-moment model.SettingA medical ward in an acute hospital in Singapore.ResultsOverall hand hygiene compliance improved from a median of 53% in 2015 to 80% by end of 2017. Hand hygiene compliance of doctors increased from 43% to 60% (p=0.00), nurses from 62% to 89% (p=0.014) and allied health staff from 67% to 83% (p=0.002).ConclusionsA multifaceted set of interventions developed by the project team was effective in improving hand hygiene compliance of doctors, nurses and allied health staff.

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“…Data from the WHO indicate that institutions that have adequate infrastructure, material and organisational resources maintain a hand hygiene rate greater than 60% (de Castro & Rodrigues, 2018). This information is relevant considering the evidence about institutions that have approximately 60% of hand hygiene adherence rates with lower incidences of HAIs (Mouajou et al, 2021). The health professional's knowledge of HAIs is heterogeneous and increases according to the number of years worked, as well as among those with greater involvement in routine meetings providing feedback on indicators.…”

Section: Discussionmentioning

confidence: 99%

Management actions for prevention and control of healthcare‐associated infections: A grounded theory approach

Engel

Cunha

Magalhães

et al. 2022

J Nursing Management

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Aim: To understand the management actions for prevention and control of health care-associated infections (HAIs) performed by health professionals.Background: Prevention of nosocomial infections has evidence-based practice at its essence, but not all institutions are successful in implementing prevention methodology.Methods: Qualitative research with Grounded Theory methodological framework.The research was carried out in two southern Brazilian hospitals. Data collected were employed through open interviews with 21 health professionals and managers. This process occurred concurrently with the data analysis, through constant comparative analysis. Results:The understanding of the co-responsibility of managerial actions emerged as a central phenomenon of the theoretical model. Management actions for the prevention and control of HAIs are a collective phenomenon, in which co-responsibility sustains the effectiveness of the offered assistance. The behaviours of health teams in the face of structural and human weaknesses influence the construction of a supportive relationship in the effectiveness of patient safety actions. Conclusions:The sharing of responsibilities between professionals and the actions of prevention and control of HAIs arising from this conduct positively influence the promotion of safer and improved quality care.Implications for nursing management: Nursing managers should consider applying the tools to prevent and control HAIs and generate in-depth discussion to promote institution's cultural changes.

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Hand hygiene compliance in the prevention of hospital-acquired infections: a systematic review

Cited by 57 publications

References 49 publications

The effect of compliance to Hand hygiene during COVID-19 on intestinal parasitic infection and intensity of soil transmitted helminthes, among patients attending general hospital, southern Ethiopia: Observational study

The effect of compliance to Hand hygiene during COVID-19 on intestinal parasitic infection and intensity of soil transmitted helminthes, among patients attending general hospital, southern Ethiopia: Observational study

Improving hand hygiene in a medical ward: a multifaceted approach

Management actions for prevention and control of healthcare‐associated infections: A grounded theory approach

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