Hand hygiene compliance and associated factors among health care providers in Gondar University Hospital, Gondar, North West Ethiopia

BMC Public Health

Kefyalew Addis Alene¹  Yewunetu D Malefia⁵  Timothy F Landers²  Abebaw E Eredie⁵  Mekuriaw A Tefera³  Nura Muhammed Abdella⁴ 

[1] Department of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia;The Ohio State University, Columbus, Ohio, USA;Department of Environmental and Occupational Health and Safety, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia;Volentary and Counselling and Testing Center, College of Medicine and Health Sciences, Gondar University Hospital, University of Gondar, Gondar, Ethiopia;Department of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia

关键词: Gondar University Hospital;    Health care provider;    Hand hygiene compliance;   

Others  :  1161288
DOI  :  10.1186/1471-2458-14-96

 received in 2013-08-13, accepted in 2014-01-27,  发布年份 2014

【 摘 要 】

Background

Health care associated infections are more predominant in developing countries where Hand hygiene compliance is associated with so many factors. However, these factors have not been studied so far in the study area. This study sought to determine Hand hygiene compliance and associated factors among health care providers.

Methods

Institution based cross-sectional study was conducted from April to May, 2013 in Gondar University Hospital. Stratified sampling technique was used to select 405 health care providers. Standardized questionnaire and world health organization observational checklist was used to collect the data. Data was entered and analyzed by using SPSS version 20. Descriptive statistics and binary logistic regression model was used to summarize the result.

Results

A total of 405 study participants were interviewed and observed with a response rate of 96.4%. Good Hand hygiene compliance of healthcare providers was found to be 16.5%. Having knowledge about hand hygiene compliance, (AOR = 3.80, 95% CI 1.60, 8.97), getting training (AOR = 2.60, 95% Cl 1.21, 5.62), the presence of individual towel/tissue paper (AOR = 1.91, 95% CI 1.03, 3.56) presence of alcohol based hand rub for Hand hygiene compliance (AOR = 6.58, 95% CI 2.67, 16.22) and knew the presence of infection prevention committees (AOR = 2.6, 95% CI 1.23, 5.37) were significantly associated with hand hygiene compliance.

Conclusions

Hand hygiene compliance among health care providers in Gondar University Hospital was found to be low. It is better to give training on Hand hygiene compliance and provide Alcohol based hand rub and individual towel or tissue paper for hand hygiene compliance.

【 授权许可】

   
2014 Abdella et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

【 参考文献 】

• [1]Pittet D: Improving adherence to hand hygiene compliance: a multidisciplinary approach. Emerg Infect Dis 2001, 7(2):234-240.
• [2]MOH: Best compliance s for hand hygiene in all health care settings. Ontario, Canada: MOH; 2009.
• [3]Martin-Madrazo C, Canada-Dorado A, Salinero-Fort MA, Abanades-Herranz JC, Arnal-Selfa R, Garcia-Ferradal I, Espejo-Matorral F, Carrillo-de Santa-Pau E, Soto-Diaz S: Effectiveness of a training programme to improve hand hygiene compliance in primary healthcare. BMC Public Health 2009, 9:469. BioMed Central Full Text
• [4]WHO: WHO Guidelines on hand hygiene in health care: a summary. In First Global Patient Safety Challenge Clean Care is Safer Care. Geneva: World Health Organization; 2009.
• [5]Mathai E, Allegranzi B, Kilpatrick C, Pittet D: Prevention and control of health care-associated infections through improved hand hygiene. Indian J Med Microbiol 2010, 28(2):100-106.
• [6]CDC: How-to Guide: improving hand hygiene. In Institute health care improvement. USA: CDC; 2003:217-223.
• [7]Monnet DL, Sprenger M: Hand hygiene compliance s in healthcare: measure and improve. Euro Surveill 2012, 17(18):20166.
• [8]Sax H, Allegranzi B, Uckay I, et al.: ‘My five moments for hand hygiene’: a user-centered design approach to understand, train, monitor and report hand hygiene. J Hosp Infect 2007, 67(1):9-21.
• [9]World Health Organization: WHO guidelines on hand hygiene in health care. Geneva: WHO Press; 2009.
• [10]Owusu-Ofori A, Jennings R, Burgess J, Prasad PA, Acheampong F, Coffin SE: Assessing hand hygiene resources and compliance s at a large african teaching hospital. Infect Control Hosp Epidemiol 2010, 31(8):802-808.
• [11]Novoa MA, Pi-Sunyer T, Sala M, Molins E, Castells X: Evaluation of hand hygiene adherence in a tertiary hospital. Am J Infect Control 2007, 35:676-683.
• [12]Erasmus V, Brouwer W, van Beeck EF, Oenema A, Daha TJ, Richardus JH, Vos MC, Brug J: A qualitative exploration of reasons for poor hand hygiene among hospital workers: lack of positive role models and of convincing evidence that hand hygiene prevents cross-infection. Infect Control Hosp Epidemiol 2009, 30:415-419.
• [13]Al-Wazzan B, Salmeen Y, Al-Amiri E, Abul A, Bouhaimed M, Al-Taiar A: Hand hygiene compliance s among nursing staff in public secondary care hospitals in Kuwait: self-report and direct observation. Med Princ Compliance 2011, 20(4):326-331.
• [14]Sharma S, Sharma S, Puri S, Whig J: Hand hygiene compliance in the intensive care units of a tertiary care hospital. Indian J Community Med 2011, 36(3):217-221.
• [15]Lam BC, Lee J, Lau YL: Hand hygiene compliances in a neonatal intensive care unit: a multimodal intervention and impact on nosocomial infection. Pediatrics 2004, 114(5):e565-e571.
• [16]Suchitra JB, LaKshmi D: Impact of education on knowledge, attitudes and compliance s among various categories of health care workers on nosocomial infections. Indian J Med Microbiol 2007, 27(3):181-187.
• [17]Randle J, Clarke M, Storr J: Hand hygiene compliance in healthcare workers. J Hosp Infect 2006, 64(205):209.
• [18]Chen YC, Sheng WH, Wang JT, Chang SC, Lin HC, Tien KL, Hsu LY, Tsai KS: Effectiveness and limitations of hand hygiene promotion on decreasing healthcare-associated infections. PLoS One 2011, 6(11):e27163.
• [19]Santana LS, Furtado CHG, Coutinho PA, Medeiros SAE: Assessment of healthcare professionals’ adherence to hand hygiene after alcohol-based hand rub introduction at an intensive care unit in Sa˜o Paulo, Brazil. Infect Control Hosp Epidemiol 2007, 28(3):365-367.
• [20]Huang C, Ma W, Stack S: The hygienic efficacy of different hand-drying methods: a review of the evidence. Mayo Clin Proc 2012, 87(8):791-798.
• [21]Sydnor ERM, Perl TM: Hospital epidemiology and infection control in acute-care settings. Hosp Epidemiol Acute Care Settings 2011, 24(1):141-173.
• [22]Vearncombe M, Card LM, Cividino M, Freeman R, Gardam M, et al.: Best compliance s for infection prevention and control programs in Ontario. In Best Compliance s for Infection Prevention and Control Programs in Ontario. Toronto, Canada: Ontario Ministry of Health and Long-Term Care; 2008.