Impact of an Intervention on Hand Hygiene Practices among Various Categories of Healthcare Workers at a Tertiary Healthcare Teaching Institute in Lucknow, Uttar Pradesh, India
Keywords :
Hand hygiene, Hospital acquired infection, Infection
Citation Information :
Harsvardhan R, Gupta T, Chandra H, Jaiswal A, Kumar MR. Impact of an Intervention on Hand Hygiene Practices among Various Categories of Healthcare Workers at a Tertiary Healthcare Teaching Institute in Lucknow, Uttar Pradesh, India. Int J Res Foundation Hosp Healthc Adm 2019; 7 (1):6-10.
Introduction: Healthcare-associated infections are major burdens for patients, society, and healthcare management. An infection control program is considered efficient which, when used appropriately, restrict the spread of infection among patients and staff in hospital.
Materials and methods: The present study was conducted in a tertiary healthcare teaching institute from May 2017 to April 2018. The intervention program included following elements: administrative support, education and training, monitoring and feedback. Microsoft excels and Statistical Package for Social Sciences version 23 (SPSS 23) were used for statistical analysis.
Observations and results: The compliance with hand hygiene practices was observed to have been better by 24.37%, postintervention. And out of eight preidentified areas, the maximum 30% improvement in compliance with hand hygiene was found in neurosurgery ICU.
Organization ICMR. Hospital Infection Control Guidelines 2016. Available at https://icmr.nic.in/guidelines/Hospital%20Infection%20control%20guidelines-.pdf; accessed on May 2, 2018.
Block SS. Historical review Block SS Disinfection, sterilization and preservation. Philadelphia: Lea and Febiger; 1991. pp. 3–17.
Heseltine P. Why don't doctors and nurses wash their hands? Infect Control Hosp Epidemiol 2001;22(4):199–200. DOI: 10.1086/501888.
Risse GB, Semmelweis IP Dictionary of scientific biography. NY: Scribners & Sons; 1980.
Duerink DO, Hadi U, Sri Lestari ES, et al. A tool to assess knowledge, attitude and behaviour of Indonesian health care workers regarding infection control. Acta Med Indones 2013;45(3):206–215.
Mu X, Xu Y, Yang T, et al. Improving hand hygiene compliance among healthcare workers: an intervention study in a Hospital in Guizhou Province, China. Braz J Infect Dis 2016;20(5):413–418. DOI: 10.1016/j.bjid.2016.04.009.
Borah TJ, Dey S, Yunus Md, et al. Compliance of hand hygiene in the operation theatre in a tertiary care hospital: An observational study. Ann Int Med Dent Res 2017;3(Suppl 1):2395–2822. DOI: 10.21276/aimdr.2017.3.S1.16.
Chassin MR, Mayer C, Nether K. Improving hand hygiene at eight hospitals in the United States by targeting specific causes of noncompliance. Jt Comm J Qual Patient Saf 2015;41(1):4–12.
Eldridge NE, Woods SS, Bonello RS, et al. Using the six sigma process to implement the centers for disease control and prevention guideline for hand hygiene in 4 intensive care units. J Gen Intern Med 2006;21(Suppl 2):S35–S42. DOI: 10.1111/j.1525-1497.2006.00361.x.
Suchitra JB, Lakshmi Devi N. Impact of education on knowledge, attitudes and practices among various categories of health care workers on nosocomial infections. Indian J Med Microbiol 2007;25(3):181–187.
Magnus TP, Marra AR, Camargo TZS, et al. Measuring hand hygiene compliance rates in different special care settings: a comparative study of methodologies. Int J Infect Dis 2015;33:205–208. DOI: 10.1016/j.ijid.2015.02.016.
Chou DT, Achan P, Ramachandran M. The World Health Organization ‘5 moments of hand hygiene’: the scientific foundation. J Bone Joint Surg Br 2012;94(4):441–445. DOI: 10.1302/0301-620X.94B4.27772.
Braun BI, Kusek L, Larson E. Measuring adherence to hand hygiene guidelines: a field survey for examples of effective practices. Am J Infect Control 2009;37(4):282–288. DOI: 10.1016/j.ajic.2008.09.002.
World Health Organization WHO guidelines for hand hygiene in health care; 2009.
Aldeyab MA, Baldwin N, McElnay JC, et al. Strategy for improving and maintaining compliance with adequate hospital hand hygiene practices. J Hosp Infect 2011;77(1):87–88. DOI: 10.1016/j.jhin.2010.09.016.
Mortell M, Balkhy HH, Tannous EB, et al. Physician ‘defiance’ towards hand hygiene compliance: is there a theory-practice-ethics gap? J Saudi Heart Assoc 2013;25(3):203–208. DOI: 10.1016/j.jsha.2013.04.003.
Michaelsen K, Sanders JL, Zimmer SM, et al. Overcoming patient barriers to discussing physician hand hygiene: do patients prefer electronic reminders to other methods? Infect Control Hosp Epidemiol 2013;34(9):929–934. DOI: 10.1086/671727.
