Hand Hygiene Compliance Rates and Interventions to Increase Hand Hygiene Compliance Among Healthcare Workers in a Tertiary-Care Educational Hemato-Oncology Hospital: A Prospective Observational Study
Introduction: This study aimed to assess hand hygiene (HH) compliance across occupational groups in a tertiary-care hemato-oncology teaching hospital. Materials and Methods: A prospective observational study was performed to determine HH compliance among doctors, nurses, and auxiliary staff before...
Saved in:
| Main Authors: | , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Galenos Publishing House
2025-07-01
|
| Series: | Mediterranean Journal of Infection, Microbes and Antimicrobials |
| Subjects: | |
| Online Access: | https://mjima.org/articles/hand-hygiene-compliance-rates-and-interventions-to-increase-hand-hygiene-compliance-among-healthcare-workers-in-a-tertiary-care-educational-hemato-oncology-hospital-a-prospective-observational-study/doi/mjima.galenos.2025.25435.14 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| Summary: | Introduction: This study aimed to assess hand hygiene (HH) compliance across occupational groups in a tertiary-care hemato-oncology teaching hospital.
Materials and Methods: A prospective observational study was performed to determine HH compliance among doctors, nurses, and auxiliary staff before and after multiple interventions, including in-house education, immediate feedback to the staff on HH non-compliance, and dissemination of warning and appreciation emails. Infection control nurses conducted unblinded HH observations following the World Health Organization’s five indications between November 2022 and July 2024. Statistical analysis was performed using the chi-square test. A p-value <0.05 was considered significant.
Results: A total of 6990 HH opportunity observations were conducted over the 21 month period yielding a compliance rate of 71.8% (5020/6990). HH compliance was highest among nurses (76.6%) and lowest among doctors at 63.4% (p<0.001). Monthly HH compliance ranged from a low of 36% in May 2023 to a high of 92.1% in April 2024. Following the first cycle of emails distributed in May, compliance steadily increased from 36% to 74%. Statistical analysis revealed a significant improvement in HH compliance between May 2023 and June 2023 (p=0.013). Further analysis comparing compliance rates from May to October 2023 revealed statistically significant differences (p<0.001). Besides, the HH compliance improved consistently across the periods November 2022-April 2023 [606/1102; 55%], May-October 2023 [1405/2376; 59.1%], November 2023-April 2024 [1866/2242; 83.2%], and May-July 2024 [1143/1270; 90%] (p<0.001). After December 2023, HH compliance was sustained at rates exceeding 80%.
Conclusion: After an 21-month implementation period, our HH compliance rates surpassed 80%. Implementation of personalized feedback mechanisms and other interventions was associated with a substantial positive impact on HH compliance.
Fair and transparent observations among the staff on duty were also warranted. Further supportive studies are needed to enhance HH compliance. |
|---|---|
| ISSN: | 2147-673X |