Introduction: Introduction: Children in extended care facilities (ECFs) are at risk of healthcare-associated infections, but little hand hygiene (HH) research has been conducted in this unique setting.

Methods: Eight children across four pediatric ECFs were observed for a cumulative 128 hours, and all care giver HH opportunities were characterized by the World Health Organization's '5 Moments for HH'. Data were analyzed using Pearson's χ2 test.

Results: Observers documented 865 HH opportunities. Overall HH adherence was 43% and was significantly higher among clinical care givers than among non-clinical care givers (61% and 14%, respectively, (p < .01).

Conclusions: Hand hygiene adherence was low, suggesting multiple opportunities for transmission of infectious agents.

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http://dx.doi.org/10.1016/j.pedn.2012.04.010DOI Listing

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