A large-scale assessment of hand hygiene quality and the effectiveness of the " WHO 6-steps"

BMC Infectious Diseases

Volumn 13, Issue 1, 2013, Pages

  Szilágyi, László ^a,b   Haidegger, Tamás ^a,c   Lehotsky, Ákos ^a   Nagy, Melinda ^a   Csonka, Erik Artur ^b   Sun, Xiuying ^d   Ooi, Kooi Li ^d   Fisher, Dale ^e,f  

^a BUDAPEST UNIVERSITY OF TECHNOLOGY AND ECONOMICS   (Hungary)

^b SAPIENTIA HUNGARIAN UNIVERSITY OF TRANSYLVANIA   (Romania)

^c Austrian Center for Medical Innovation and Technology   (Austria)

^d NATIONAL UNIVERSITY HEALTH SYSTEM   (Singapore)

^e NATIONAL UNIVERSITY HOSPITAL   (Singapore)

^f NATIONAL UNIVERSITY OF SINGAPORE   (Singapore)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGE; ARTICLE; CONTROLLED STUDY; FEMALE; FINGER; HAND WASHING; HEALTH EDUCATION; HEALTH PROGRAM; HUMAN; IMAGE ANALYSIS; MALE; NURSE; OCCUPATION; PARAMEDICAL PERSONNEL; PHOTOGRAPHY; PHYSICIAN; PROTOCOL COMPLIANCE; SEX DIFFERENCE; SINGAPORE; STAFF; TRAINING; ULTRAVIOLET RADIATION; WORLD HEALTH ORGANIZATION;

ADULT; FEMALE; HAND HYGIENE; HEALTH EDUCATION; HEALTH PERSONNEL; HUMANS; MALE; MIDDLE AGED; PROGRAM EVALUATION; SINGAPORE; WORLD HEALTH ORGANIZATION;

EID: 84878249151     PISSN: None     EISSN: 14712334     Source Type: Journal    
DOI: 10.1186/1471-2334-13-249     Document Type: Article

References (34)

1. European Centre for Disease Prevention and Control (ECDC) Annual Report 2010, Solna, Sweden, ECDC, European Centre for Disease Prevention and Control (ECDC).
2. Pollack A. Rising threat of infections unfazed by antibiotics. New York Times 2010, [http://www.nytimes.com/2010/02/27/business/27germ.html?_r=0].
3. World Health Organization WHO Guidelines on Hand Hygiene in Health Care 2009, Geneva: WHO Press, [http://apps.who.int/medicinedocs/documents/s16320e/s16320e.pdf], World Health Organization.
4. Simon A, Hugonnet S, Pessoa-Silva CL, Sauvan V, Pernerger TV, Pittet D Hand hygiene among physicians: performance, beliefs, and perceptions. Ann Intern Med 2004, 141:1-8. 10.7326/0003-4819-141-1-200407060-00008, 15238364, Pittet D.
5. Kampf G, Reichel M, Feil Y, Kaulfers PM, Eggerstedt S Influence of rub-in technique on required application time and hand coverage in hygienic hand disinfection. BMC Infect Dis 2008, 8:149. 10.1186/1471-2334-8-149, 2600642, 18959788, Eggerstedt S.
6. Scheithauer S, Haefner H, Schwanz T, Schultze-Steinen H, Schiefer J, Koch A, Engels A, Lemmen SW. Compliance with hand hygiene on surgical, medical, and neurologic intensive care units: Direct observation versus calculated disinfectant usage. Am J Infect Control 2009, 37(10):835-841. 10.1016/j.ajic.2009.06.005, 19775774.
7. Hübner NO, Hübner C, Wodny M, Kampf G, Kramer A. Effectiveness of alcohol-based hand disinfectants in a public administration: Impact on health and work performance related to acute respiratory symptoms and diarrhoea. BMC Infect Dis 2010, 10:250. 10.1186/1471-2334-10-250, 2939638, 20735818.
8. Fagernes M, Lingaas E. Factors interfering with the microflora on hands: a regression analysis of samples from 465 healthcare workers. J Adv Nurs 2011, 67(2):297-307. 10.1111/j.1365-2648.2010.05462.x, 20946569.
9. Pittet D, Mourouga P, Perneger TV, the Members of the Infection Control Program Compliance with handwashing in a teaching hospital. Ann Intern Med 1999, 130(2):126-130. 10.7326/0003-4819-130-2-199901190-00006, 10068358, the Members of the Infection Control Program.
10. Pittet D, Hugonnet S, Harbarth S, Mourouga P, Sauvan V, Touveneau S, Perneger TV. Effectiveness of a hospital-wide programme to improve compliance with hand hygiene. Lancet 2000, 356(9238):1307-1312. 10.1016/S0140-6736(00)02814-2, 11073019.
11. Pittet D Hand hygiene: improved standards and practice for hospital care. Curr Opin Infect Dis 2003, 16(4):327-335. 10.1097/00001432-200308000-00004, 12861085, Pittet D.
12. Eksi F, Mehli M, Akgun S, Bayram A, Balci I, Aydin N. Evaluation of two different hand hygiene procedures during routine patient care. J Int Med Res 2010, 38(6):2084-2092. 10.1177/147323001003800624, 21227014.
13. Nandrup-Bus I. Comparative studies of hand disinfection and handwashing procedures as tested by pupils in intervention programs. Am J Infect Control 2011, 39(6):450-455. 10.1016/j.ajic.2010.10.023, 21802616.
14. Kampf G Efficacy of two distinct ethanol-based hand rubs for surgical hand disinfection - a controlled trial according to prEN 12791. BMC Infect Dis 2005, 5:17. 10.1186/1471-2334-5-17, 1274273, 15784148, Kampf G.
15. Kramer A, Schwebke I, Kampf G. How long do nosocomial pathogens persist on inanimate surfaces? A systematic review. BMC Infect Dis 2006, 6:130. 10.1186/1471-2334-6-130, 1564025, 16914034.
16. Kampf G, Marschall S, Eggerstedt S, Ostermayer C. Efficacy of ethanol-based hand foams using clinically relevant amounts: A cross-over controlled study among healthy volunteers. BMC Infect Dis 2010, 10:78. 10.1186/1471-2334-10-78, 2864273, 20338067.
17. Goroncy-Bermes P, Koburger T, Meyer B. Impact of the amount of hand rub applied in hygienic hand disinfection on the reduction of microbial counts on hands. J Hosp Infect 2010, 74(3):212-218. 10.1016/j.jhin.2009.09.018, 20061058.
18. Suchomel M, Rotter M. Ethanol in pre-surgical hand rubs: Concentration and duration of application for achieving European Norm EN 12791. J Hosp Infect 2011, 77(3):263-266. 10.1016/j.jhin.2010.10.014, 21190755.
19. Duerink DO, Farida H, Nagelkerke NJ, Wahyono H, Keuter M, Lestari ES, Hadi U, Van der Broek PJ Preventing nosocomial infections: improving compliance with standard precautions in an Indonesian teaching hospital. J Hosp Infect 2006, 64:36-43. 10.1016/j.jhin.2006.03.017, 16822581, Van der Broek PJ.
20. Sessa A, Di Giuseppe G, Albano L, Angelillo IF, the Collaborative Working Group An investigation of nurses' knowledge, attitudes, and practices regarding disinfection procedures in Italy. BMC Infect Dis 2011, 11:148. 10.1186/1471-2334-11-148, 3123570, 21612613, the Collaborative Working Group.
21. Trick WE, Vernon MO, Hayes RA, Nathan C, Rice TW, Peterson BJ, Segreti J, Welbel SF, Solomon SL, Weinstein RA. Impact of ring wearing on hand contamination and comparison of hand hygiene agents in a hospital. Clin Infect Dis 2003, 36:1383-1390. 10.1086/374852, 12766832.
22. Fries J, Segre A, Thomas G, Herman T, Ellingson K, Polgreen P. Monitoring hand hygiene via human observers: how should we be sampling?. Infect Control Hosp Epidemiol 2012, 33(7):689-695. 10.1086/666346, 22669230.
23. Pittet D The World Health Organization guidelines on hand hygiene in health care and their consensus recommendations. Infect Control Hosp Epidemiol 2009, 30(7):611-622. 10.1086/600379, 19508124, Pittet D.
24. Pincock T, Bernstein P, Warthman S, Holst E. Bundling hand hygiene interventions and measurement to decrease health care-associated infections. Am J Infect Control 2012, 40:S18-S27. 10.1016/j.ajic.2012.02.008, 22546269.
25. Edmond MB, Goodell A, Zuelzer W, Sanogo K, Elam K, Bearman G. Successful use of alcohol sensor technology to monitor and report hand hygiene compliance. J Hosp Infect 2010, 76:364-365. 10.1016/j.jhin.2010.07.006, 20869135.
26. Cheng VC, Tai JW, Ho SK, Chan JF, Hung KN, Ho PL, Yuen KY. Introduction of an electronic monitoring system for monitoring compliance with Moments 1 and 4 of the WHO " My 5 Moments for Hand Hygiene" methodology. BMC Infect Dis 2011, 11:151. 10.1186/1471-2334-11-151, 3129590, 21612666.
27. Armellino D, Hussain E, Schilling ME, Senicola W, Eichorn A, Dlugacz Y, Farber BF. Using high-technology to enforce low-technology safety measures the use of third-party remote video auditing and real-time feedback in healthcare. Clin Infect Dis 2012, 54:1-7.
28. Fisher D, Aw M, Hsu LY, Patlovich K, Ho KY. The challenge of introducing a hand hygiene standard to clinical examinations. Med Teach 2011, 33(2):171-172.
29. Haidegger T, Nagy M, Lehotsky A, Szilágyi L Digital imaging for the education of proper surgical hand disinfection. Lect Notes Comp Sci 2011, 6893:619-626. Szilágyi L.
30. Evans JR. Statistics, Data Analysis, and Decision Modeling - 4th Edition. 2009, Lebanon, Indiana, USA: Prentice Hall.
31. Gould DJ, Chudleigh J, Drey NS, Moralejo D. Measuring handwashing performance in health service audits and research studies. J Hosp Infect 2007, 66:109-115. 10.1016/j.jhin.2007.02.009, 17433491.
32. Berhe M, Edmond MB, Bearman GM. Practices and an assessment of health care workers' perceptions of compliance with infection control knowledge of nosocomial infections. Am J Infect Control 2005, 33:55-57. 10.1016/j.ajic.2004.07.011, 15685137.
33. Eckmanns T, Schwab F, Bessert J, Wettstein R, Behnke M, Grundmann H, Rüden H, Gastmeir P. Hand hygiene compliance in healthcare workers. J Hosp Infect 2006, 63(4):406-411. 10.1016/j.jhin.2006.03.015, 16772106.
34. Randle J, Clarke M, Storr J. Hand hygiene compliance in healthcare workers. J Hosp Infect 2006, 64(3):205-209. 10.1016/j.jhin.2006.06.008, 16893593.