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Journal of Infectious Diseases and Medical Microbiology | Volume 3
November 11-12, 2019 | Singapore
International Conference on
3
rd
International Conference on
Pathology and Infectious Diseases
Pathology and Oncology Research
Joint Event
&
J Infectious Disease Med Microbiol
| Volume 3
Patient implication usefulness of a hand hygiene promoting campaign
Tornero Carlos
Hospital Francesc Borja, Spain
Hand Hygiene (HH) is considered as a key technique for
preventing infections for reducing the transmission but the
compliance is very low somultimodal strategies are proposed
for improving compliance with washing techniques.
Material and methods:
A cross-sectional three phase
observational study was held in the Department of Internal
Medicine with 122 beds in individual rooms, each equipped
with a water-alcohol solution. Each year this Department
registers approximately 5000 admissions. In the pre-
campaign phase, the patients or caregivers were asked
whether they had seen the physician perform HH with the
water-alcohol solution upon entering or leaving the room.
We perform the a promotional campaign targeted to the
physicians on an individualized basis where the results were
explained, a reminder of the indications of HH was provided,
and they were informed that the patients were aware of the
recommendations and would document whether HH was
carried out. Informative posters were also placed. The second
(post-campaign) and third (two months post-campaign)
phases involved the repetition of data collection one week
and two months after the campaign, A total of 34 physicians,
among staff members of all the specialties in the Department
of Internal Medicine and the residents in training rotating
through the Department, participated in the study. A total of
85 patients was included in the first phase,
Results:
The percentage of patients who remembered the
physician performing HH before visiting increased from22.4%
in the first phase to 40.7% in the second – this representing
a statistically significant increase of 82% (incident rate ratio
[IRR] 1.82 [1.04-3.16]; p = 0.034). The third phase also
discovered an increase in compliance with respect to the
pre-campaign phase, though of lesser magnitude (32.1%)
and without reaching statistical significance (IRR 1.43 [0.79-
2.6]; p = 0.23) (Poisson regression analysis). With regard to
HH at the end of visit, compliance likewise increased from
14.1% to 30.8% in the second phase (IRR 2.17 [1.11-4.29]; p
= 0.024) and decreased again to 26.9% two months after the
intervention (IRR 1.91 [0.94-3.87]; p = 0.074).
Conclusion:
The introduction of a campaign to promote HH
with implication of the patient as a witness (observer) and
motivational reinforcement has a important impact that
nevertheless appears to become attenuated over time. New
and sustained interventions may be required to progress
short- and long-term compliance and thus reduce the
incidence of infections associated with healthcare.
e
:
tornero_car@gva.es