AI Article Synopsis
- The study highlights the need for patients to adhere to hand hygiene practices in order to prevent healthcare-associated infections.
- Despite an educational campaign, patient-initiated hand hygiene compliance remained low at 37.5%, while compliance increased significantly to 97.3% with direct observation by hand hygiene ambassadors.
- The findings suggest that having someone directly observe and prompt hand hygiene can effectively improve adherence among hospitalized patients.
Article Abstract
Background: The importance of compliance with hand hygiene by patients is increasingly recognized to prevent health care-associated infections.
Methods: This descriptive study observed the effects of an education campaign, targeted to increase patients' self-initiated hand hygiene, and a hand hygiene ambassador-initiated directly observed hand hygiene program on patients' hand hygiene compliance in a university-affiliated hospital.
Results: The overall audited compliance of patients' self-initiated hand hygiene was only 37.5%, with a rate of 26.9% (112/416 episodes) before meals and medications, 27.5% (19/69 episodes) after using a urinal or bedpan, and 89.7% (87/97 episodes) after attending toilet facilities. Patients referred from a residential care home for older adults had significantly lower hand hygiene compliance (P = .007). Comparatively, the overall audited compliance of ambassador-initiated directly observed hand hygiene was 97.3% (428/440 episodes), which was significantly higher than patients' self-initiated hand hygiene via a patient education program (37.5%, 218/582 episodes, P < .001).
Conclusions: Directly observed hand hygiene can play an important role in improving compliance with hand hygiene by hospitalized patients.
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| http://dx.doi.org/10.1016/j.ajic.2015.11.024 | DOI Listing |
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