Low Compliance to Handwashing Program and High Nosocomial Infection in a Brazilian Hospital
Background. It is a fact that hand hygiene prevents nosocomial infection, but compliance with recommended instructions is commonly poor. The purpose of this study was to implement a hand hygiene program for increase compliance with hand hygiene and its relationship with nosocomial infection (NI) and...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | Interdisciplinary Perspectives on Infectious Diseases |
| Online Access: | http://dx.doi.org/10.1155/2012/579681 |
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| author | Lizandra Ferreira de Almeida e Borges Lilian Alves Rocha Maria José Nunes Paulo Pinto Gontijo Filho |
| author_facet | Lizandra Ferreira de Almeida e Borges Lilian Alves Rocha Maria José Nunes Paulo Pinto Gontijo Filho |
| author_sort | Lizandra Ferreira de Almeida e Borges |
| collection | DOAJ |
| description | Background. It is a fact that hand hygiene prevents nosocomial infection, but compliance with recommended instructions is commonly poor. The purpose of this study was to implement a hand hygiene program for increase compliance with hand hygiene and its relationship with nosocomial infection (NI) and MRSA infection/colonization rates. Methods. Compliance to hand hygiene was evaluated in a hospital by direct observation and measured of health care-associated infections, including methicillin resistant Staphylococcus aureus, before and after an educational intervention, using visual poster, colorful stamps, and feedback of the results. Results. Overall compliance did not increase during intervention, only handwashing before and after patient contact has improved from 40% to 76% (𝑃=0.01) for HCWs, but NI and MRSA rates remained high and stable. Conclusion. In a combination of high prevalence of NI and low compliance to hand hygiene, the programme of measure does not motivate the HCW hand hygiene. Future interventions should employ incremental evaluation to develop effective hand hygiene initiatives. |
| format | Article |
| id | doaj-art-ff9023d86f774e0b882211bbb96d81ba |
| institution | Kabale University |
| issn | 1687-708X 1687-7098 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Interdisciplinary Perspectives on Infectious Diseases |
| spelling | doaj-art-ff9023d86f774e0b882211bbb96d81ba2025-02-03T01:23:27ZengWileyInterdisciplinary Perspectives on Infectious Diseases1687-708X1687-70982012-01-01201210.1155/2012/579681579681Low Compliance to Handwashing Program and High Nosocomial Infection in a Brazilian HospitalLizandra Ferreira de Almeida e Borges0Lilian Alves Rocha1Maria José Nunes2Paulo Pinto Gontijo Filho3Departamento de Imunologia, Microbiologia, Parasitologia e Patologia, Instituto de Patologia Tropical e Saúde Pública, Universidade Federal de Goiás, Goiânia, GO, BrazilPrograma de Pós Graduação em Imunologia e Parasitologia Aplicadas, Universidade Federal de Uberlândia, Uberlândia, MG, BrazilFaculdade de Medicina, Comissão de Controle de Infecção Hospitalar, Universidade Federal de Uberlândia, Uberlândia, MG, BrazilInstituto de Ciências Biomédicas, Comissão de Controle de Infecção Hospitalar, Universidade Federal de Uberlândia, Uberlândia, MG, BrazilBackground. It is a fact that hand hygiene prevents nosocomial infection, but compliance with recommended instructions is commonly poor. The purpose of this study was to implement a hand hygiene program for increase compliance with hand hygiene and its relationship with nosocomial infection (NI) and MRSA infection/colonization rates. Methods. Compliance to hand hygiene was evaluated in a hospital by direct observation and measured of health care-associated infections, including methicillin resistant Staphylococcus aureus, before and after an educational intervention, using visual poster, colorful stamps, and feedback of the results. Results. Overall compliance did not increase during intervention, only handwashing before and after patient contact has improved from 40% to 76% (𝑃=0.01) for HCWs, but NI and MRSA rates remained high and stable. Conclusion. In a combination of high prevalence of NI and low compliance to hand hygiene, the programme of measure does not motivate the HCW hand hygiene. Future interventions should employ incremental evaluation to develop effective hand hygiene initiatives.http://dx.doi.org/10.1155/2012/579681 |
| spellingShingle | Lizandra Ferreira de Almeida e Borges Lilian Alves Rocha Maria José Nunes Paulo Pinto Gontijo Filho Low Compliance to Handwashing Program and High Nosocomial Infection in a Brazilian Hospital Interdisciplinary Perspectives on Infectious Diseases |
| title | Low Compliance to Handwashing Program and High Nosocomial Infection in a Brazilian Hospital |
| title_full | Low Compliance to Handwashing Program and High Nosocomial Infection in a Brazilian Hospital |
| title_fullStr | Low Compliance to Handwashing Program and High Nosocomial Infection in a Brazilian Hospital |
| title_full_unstemmed | Low Compliance to Handwashing Program and High Nosocomial Infection in a Brazilian Hospital |
| title_short | Low Compliance to Handwashing Program and High Nosocomial Infection in a Brazilian Hospital |
| title_sort | low compliance to handwashing program and high nosocomial infection in a brazilian hospital |
| url | http://dx.doi.org/10.1155/2012/579681 |
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