Hand Hygiene Compliance in a Medical-Surgical Intensive Care Unit in La Habana

<strong>Background: </strong>Hand hygiene plays a key role in the prevention of healthcare-associated infection in critical patients.<br /> <strong>Objective: </strong>The current study aimed to evaluate compliance with hand hygiene practices.<br /> <strong>...

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Bibliographic Details
Main Authors: Humberto Guanche Garcell (Author), Luis Gonzalez Alvarez (Author), Anayka González Valdés (Author), Katerine Cardenas Goulet (Author), Gloria Fresneda Septiem (Author), Francisco Gutierrez García (Author)
Format: Book
Published: Baqiyatallah University of Medical Sciences, 2019-08-01T00:00:00Z.
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Summary:<strong>Background: </strong>Hand hygiene plays a key role in the prevention of healthcare-associated infection in critical patients.<br /> <strong>Objective: </strong>The current study aimed to evaluate compliance with hand hygiene practices.<br /> <strong>Methods: </strong>An observational and descriptive study was carried out in a 35-bed medical-surgical critical care unit in La Habana (Cuba) from January 2017 to December 2018. The observational method recommended by the World Health Organization (WHO) was used.<br /> <strong>Results: </strong>Overall compliance was 34.2% (5516/16 125), with better compliance among physicians (39%) compared with nurses (31.4%) and ancillary staff (19.5%). Better compliance was observed after patient contact (65.7%) and after contact with patients' surroundings (42.0%) in comparison with greater focus on patient safety as before patient contact (23.3%) and before an aseptic task (11.4%). Hand washing was performed more frequently than hand rubs.<br /> <strong>Conclusion: </strong>Compliance with hand hygiene practices is low and no improvement in compliance was observed during the study period. This practice is related to the high risk of transmission of healthcare-related infections in critical patients and requires quality improvement interventions.
Item Description:2476-390X
2476-3918
10.15171/hpr.2019.20