Measuring hand hygiene compliance rates at hospital entrances

Vaidotas, M.; Yokota, Paula Kiyomi Onaga; Marra, Alexandre R.; Camargo, Thiago Zinsly Sampaio; Victor, Elivane da Silva; Gysi, Deisy Morselli; Leal, F C; Santos, Oscar Fernando Pavão dos; Edmond, Michael B.

doi:10.1016/j.ajic.2015.03.008

Cited by 17 publications

(14 citation statements)

References 12 publications

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“…Also, the findings underscore the need for further behavioral change strategies in increasing the hospital visitors’ compliance, not merely with just the provision of hand washing stations. The level of compliance reported in this study was almost comparable from the baseline assessments in Miami 0.52% [15], and São Paulo, Brazil 1.7% [16]. Despite the similarities between the aforementioned studies, our finding is still extremely low, hence, the present study is conducted during this time of COVID-19 pandemic.…”

Section: Discussionsupporting

confidence: 59%

Hand Washing Compliance and COVID-19: A Non-Participatory Observational Study among Hospital Visitors

Sahiledengle

Tekalegn

Takele

et al. 2020

Preprint

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Background: Hand washing remains a key measure for intercepting the dispatch of the Coronavirus disease (COVID-19). However, hand washing must be perpetuated properly using soap and water for at least 20 seconds. In response to the current COVID-19 pandemic, various hospitals have imposed mandatory hand washing to everyone prior entering the facilities, and when leaving. This study aimed to assess the hand washing compliance among visitors of a university referral hospital. Methods: A non-participatory observational study was conducted in the main entrance of the hospital from April 27 to May 3, 2020, to measure hand washing compliance of its visitors. The quality of hand washing was assessed via direct observation for compliance with the recommended World Health Organization (WHO) core steps. Data were collected using Open Data Kit (ODK) mobile application. Results: A total of 1,282 hospital visitors were observed, of which 874(68.2%) were males. Full hand washing compliances were observed among 0.9% (95% CI: 0.4-1.4) of the visitors. Withal, there was no difference in the compliances between genders (0.9% vs 0.7%, P = 0.745). Conclusion: Despite the fact that proper hand washing with soap and water is proven to be one of the effective ways in preventing the spread of COVID-19, a significant number of hospital visitors did not practice standard hand washing procedures. Improvements in this measure are urgently needed in the face of the current COVID-19 pandemic.

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Section: Discussionsupporting

confidence: 59%

Hand Washing Compliance and COVID-19: A Non-Participatory Observational Study among Hospital Visitors

Sahiledengle

Tekalegn

Takele

et al. 2020

Preprint

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“…20 Otherwise, the infection control precautions for visitors are very important. [21][22][23] Since the government of Taiwan issued the rule that people need to put on a mask when entering any medical facility, 24 we assumed that all the people in Taiwan knew the rule, including visitors. Most of the hospitals also mentioned other common infection control measures for visitors, including rules pertaining to TOCC history taking, body temperature monitoring, hand hygiene, and identity checks.…”

Section: Discussionmentioning

confidence: 99%

Hospital visiting policies in the time of coronavirus disease 2019: A nationwide website survey in Taiwan

Liu

Hsu

Lin

et al. 2020

Journal of the Chinese Medical Association

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Background: Coronavirus disease 2019 (COVID-19), a novel infectious coronavirus disease, has become a worldwide pandemic. Infection control precautions for hospital visitors are needed to avoid cluster outbreaks, so this study investigated the visiting policies of all the hospitals in Taiwan in the time of COVID-19. Methods: From March 15, 2020, to March 18, 2020, we searched the official websites of all 472 National Health Insurancecontracted hospitals to determine their visiting policies. For those hospitals that had posted new visiting policies and still allowed visits to ordinary wards, we recorded the relevant details shown on their websites, including the number of visitors allowed at one time, the number of visiting slots per day, the total visiting hours per day, and the rules provided to visitors before visiting. Results: During the study period, 276 (58.5%) hospitals had posted new visiting policies on their websites, with higher proportions of academic medical centers (92.0%, 23/25) and metropolitan hospitals (91.5%, 75/82) than local community hospitals (48.8%, 178/365) doing so. Visits to ordinary wards were forbidden in 83 hospitals among those. Among the 193 hospitals that had new visiting policies and still allowed visits to ordinary wards, 73.1% (n = 141) restricted visitors to two at a time and 54.9% (n = 106) restricted visits to two visiting slots per day. Furthermore, history taking regarding travel, occupation, contacts, and cluster information was mentioned by 82.4% (n = 159) of these 193 hospitals, body temperature monitoring by 78.2% (n = 151), hand hygiene by 63.2% (n = 122), and identity checks by 51.8% (n = 100). Conclusion: In the time of COVID-19 covered by this study, about three-fifths of the hospitals in Taiwan had posted their visiting policies for ordinary wards on their websites. Furthermore, the thoroughness with which such visiting policies have been enforced also requires investigation.

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“…Some authors mentioned that new nail polish on natural nails does not aggravate microbial load; however, chipped nail polish can harbor bacteria" [91]. Wearing jewelry, such as rings or hand watches, could lead to bacterial colonization, especially for the underlying skin Once soap and hand rub have been applied, then the hands need to be appropriately rinsed in other that the lather is completely removed [92][93][94][95]. "Hand drying is equally essential to prevent crossinfection because microorganisms tend to thrive in a damp environment.…”

Section: Potent Hand Hygiene Techniquesmentioning

confidence: 99%

Coronavirus Disease-19 Outbreak: Barriers to Hand Hygiene Practices Among Healthcare Professionals in Sub-Saharan Africa

Alegbeleye¹,

Akpoveso²,

Mohammed³

2020

International Journal of Scientific Advances

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BACKGROUND: Hand hygiene practice entails hand washing, which is simple, cost-effective, and one of the first lines of defense in ceasing the spread of the current pandemic. This narrative review of published studies is conducted to highlight factors impacting hand hygiene practice and identify evidence-based strategies for improvement in sub-Saharan Africa. METHODS: The literature search strategy covered printed and online sources, including manual library search (PubMed), Embase, Medline, and Cochrane Library. For papers written in English and published in the last ten years. A systematic analysis of available data was subsequently performed based on the review questions. RESULTS: An estimated 134 articles were found online, and thirty-two articles utilized in the final analysis. Overall, hand hygiene betides with low compliance rates in developing countries. The calculated compliance rate was 20.49%. The challenges identified were the poverty of awareness and scientific knowledge concerning hand hygiene, infrastructural deficit including lack of access to clean and potable water, soap, hand rub gel, misconceptions regarding hand hygiene practice, etc. CONCLUSION: Healthcare-associated infections draw increasing attention from all and sundry due to the growing recognition that most of these are preventable. Free evidence-based practice suggests that strict adherence to hand hygiene reduces the risk of cross-transmission of infections and especially in the COVID-19 pandemic era. The challenges identified in this review are consistent with the findings of studies conducted elsewhere. With “Clean Care is Safer Care” as a prime list of the World Health Organization’s global initiative on patient safety programs; therefore, it is high time for developing countries to formulate the much-needed policies for implementing basic infection prevention practices in our healthcare settings.

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Measuring hand hygiene compliance rates at hospital entrances

Cited by 17 publications

References 12 publications

Hand Washing Compliance and COVID-19: A Non-Participatory Observational Study among Hospital Visitors

Hand Washing Compliance and COVID-19: A Non-Participatory Observational Study among Hospital Visitors

Hospital visiting policies in the time of coronavirus disease 2019: A nationwide website survey in Taiwan

Coronavirus Disease-19 Outbreak: Barriers to Hand Hygiene Practices Among Healthcare Professionals in Sub-Saharan Africa

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