Measuring hand hygiene compliance rates in different special care settings: a comparative study of methodologies
Objectives: The purpose of this study was to compare methods for assessing compliance with hand hygiene in an intensive care unit (ICU), a step-down unit (SDU), and a hematology–oncology unit. Methods: Over a 20-week period, we compared hand hygiene compliance measurements by three different methods...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2015-04-01
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| Series: | International Journal of Infectious Diseases |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1201971215000533 |
| _version_ | 1818067862947889152 |
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| author | Thyago Pereira Magnus Alexandre R. Marra Thiago Zinsly Sampaio Camargo Elivane da Silva Victor Lidiane Soares Sodré da Costa Vanessa Jonas Cardoso Oscar Fernando Pavão dos Santos Michael B. Edmond |
| author_facet | Thyago Pereira Magnus Alexandre R. Marra Thiago Zinsly Sampaio Camargo Elivane da Silva Victor Lidiane Soares Sodré da Costa Vanessa Jonas Cardoso Oscar Fernando Pavão dos Santos Michael B. Edmond |
| author_sort | Thyago Pereira Magnus |
| collection | DOAJ |
| description | Objectives: The purpose of this study was to compare methods for assessing compliance with hand hygiene in an intensive care unit (ICU), a step-down unit (SDU), and a hematology–oncology unit.
Methods: Over a 20-week period, we compared hand hygiene compliance measurements by three different methods: direct observation, electronic handwash counter for alcohol gel, and measuring the volume of product used (alcohol gel) in an ICU, an SDU, and a hematology–oncology unit of a tertiary care, private hospital.
Results: By direct observation we evaluated 1078 opportunities in the ICU, 1075 in the SDU, and 517 in the hematology–oncology unit, with compliance rates of 70.7%, 75.4%, and 73.3%, respectively. A total of 342 299, 235 914, and 248 698 hand hygiene episodes were recorded by the electronic devices in the ICU, SDU, and hematology–oncology unit, respectively. There were also 127.2 ml, 85.3 ml, and 67.6 ml of alcohol gel used per patient-day in these units. We could find no correlation between the three methods.
Conclusions: Hand hygiene compliance was reasonably high in these units, as measured by direct observation. However, a lack of correlation with results obtained by other methodologies brings into question the validity of direct observation results, and suggests that periodic audits using other methods may be needed. |
| first_indexed | 2024-12-10T15:30:26Z |
| format | Article |
| id | doaj.art-2d0224e554b64df583b3523b8dff9cb3 |
| institution | Directory Open Access Journal |
| issn | 1201-9712 1878-3511 |
| language | English |
| last_indexed | 2024-12-10T15:30:26Z |
| publishDate | 2015-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | International Journal of Infectious Diseases |
| spelling | doaj.art-2d0224e554b64df583b3523b8dff9cb32022-12-22T01:43:24ZengElsevierInternational Journal of Infectious Diseases1201-97121878-35112015-04-0133C20520810.1016/j.ijid.2015.02.016Measuring hand hygiene compliance rates in different special care settings: a comparative study of methodologiesThyago Pereira Magnus0Alexandre R. Marra1Thiago Zinsly Sampaio Camargo2Elivane da Silva Victor3Lidiane Soares Sodré da Costa4Vanessa Jonas Cardoso5Oscar Fernando Pavão dos Santos6Michael B. Edmond7Intensive Care Unit, Hospital Israelita Albert Einstein, São Paulo, BrazilInstituto Israelita de Ensino e Pesquisa Albert Einstein, Av. Albert Einstein, 627/701, 1st floor, Room 108, Bloco A1, Morumbi, Sao Paulo 05651-901, BrazilIntensive Care Unit, Hospital Israelita Albert Einstein, São Paulo, BrazilInstituto Israelita de Ensino e Pesquisa Albert Einstein, Av. Albert Einstein, 627/701, 1st floor, Room 108, Bloco A1, Morumbi, Sao Paulo 05651-901, BrazilOnco-Hematology Unit, Hospital Israelita Albert Einstein, São Paulo, BrazilIntensive Care Unit, Hospital Israelita Albert Einstein, São Paulo, BrazilDivision of Medical Practice, Hospital Israelita Albert Einstein, São Paulo, BrazilDepartment of Internal Medicine, Virginia Commonwealth University School of Medicine, Richmond, Virginia, USAObjectives: The purpose of this study was to compare methods for assessing compliance with hand hygiene in an intensive care unit (ICU), a step-down unit (SDU), and a hematology–oncology unit. Methods: Over a 20-week period, we compared hand hygiene compliance measurements by three different methods: direct observation, electronic handwash counter for alcohol gel, and measuring the volume of product used (alcohol gel) in an ICU, an SDU, and a hematology–oncology unit of a tertiary care, private hospital. Results: By direct observation we evaluated 1078 opportunities in the ICU, 1075 in the SDU, and 517 in the hematology–oncology unit, with compliance rates of 70.7%, 75.4%, and 73.3%, respectively. A total of 342 299, 235 914, and 248 698 hand hygiene episodes were recorded by the electronic devices in the ICU, SDU, and hematology–oncology unit, respectively. There were also 127.2 ml, 85.3 ml, and 67.6 ml of alcohol gel used per patient-day in these units. We could find no correlation between the three methods. Conclusions: Hand hygiene compliance was reasonably high in these units, as measured by direct observation. However, a lack of correlation with results obtained by other methodologies brings into question the validity of direct observation results, and suggests that periodic audits using other methods may be needed.http://www.sciencedirect.com/science/article/pii/S1201971215000533Electronic handwash counterAlcohol-based hand-rubHandwashIntensive care unitStep-down unitHematology–oncology unit |
| spellingShingle | Thyago Pereira Magnus Alexandre R. Marra Thiago Zinsly Sampaio Camargo Elivane da Silva Victor Lidiane Soares Sodré da Costa Vanessa Jonas Cardoso Oscar Fernando Pavão dos Santos Michael B. Edmond Measuring hand hygiene compliance rates in different special care settings: a comparative study of methodologies International Journal of Infectious Diseases Electronic handwash counter Alcohol-based hand-rub Handwash Intensive care unit Step-down unit Hematology–oncology unit |
| title | Measuring hand hygiene compliance rates in different special care settings: a comparative study of methodologies |
| title_full | Measuring hand hygiene compliance rates in different special care settings: a comparative study of methodologies |
| title_fullStr | Measuring hand hygiene compliance rates in different special care settings: a comparative study of methodologies |
| title_full_unstemmed | Measuring hand hygiene compliance rates in different special care settings: a comparative study of methodologies |
| title_short | Measuring hand hygiene compliance rates in different special care settings: a comparative study of methodologies |
| title_sort | measuring hand hygiene compliance rates in different special care settings a comparative study of methodologies |
| topic | Electronic handwash counter Alcohol-based hand-rub Handwash Intensive care unit Step-down unit Hematology–oncology unit |
| url | http://www.sciencedirect.com/science/article/pii/S1201971215000533 |
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