Did adherence to hand hygiene chance during SARS-CoV-2 pandemic?
Keywords:
Keywords: Hand hygiene, Hand hygiene adherence, Hand hygiene promotion program, hand hygiene, hand hygiene adherence, hand hygiene promotion program
Abstract
Main objective. To determine the adherence to hand washing in health care staff in pre-pandemic and covid-19 pandemic periods, after intensifying the measures of a program. Secondary objectives. Determine adherence according to professional category, hospitalization sectors and moments of hand washing. Methodology. Quasi-experimental study that evaluated adherence to hand washing before and after intensifying measures. The adherence of 2 periods was compared, December 2019 and August 2020. Outcomes. It was observed that adherence in 2019 was 67% (95% IC: 63% -71%) and in 2020 it was 89% (95% IC: 86% -92%), which implies an increase of 22% (95% IC: 0.17-0.27; p: 0.000). In the subgroup analysis of WHO moments, an increase was observed in the moments grouped as before (65.7 to 81.2; p: 0.001) and as after (67.7 to 94.3; p: 0.000). In the analysis by hospitalization sectors, an increase was observed in emergency sectors (50.5 to 100; p: 0.000) and hospitalization (63.3 to 78.0; p: 0.006) and not significant in pediatrics (94.2 to 96.5; p : 0.336) and UTI / UCO (63.7 to 70.5; p: 0.405). In the analysis by professional category, a significant increase was observed in the categories nurse (81.4 to 92.9; p: 0.001), doctors (66.7 to 83.8; p: 0.003), technicians (57.8 to 93.2; p: 0.000) and support (49.4 to 83.9; p: 0.000). Conclusion. In our study, the intensification of hand washing measures and the pandemic led to a significant increase in adherence to hand hygiene.
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References
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24. Pan A, Domenighini F, Signorini L, Assini R, Catenazzi P, Lorenzotti S, et al. Adherence to hand hygiene in an Italian long-term ca¬re facility. Am J Infect Control. 2008;36(7):495-7. doi: 10.1016/j. ajic.2007.10.017
25. Rodríguez-Villar D, Del-Moral-Luque JA, San-Román-Montero J, Gil-de-Miguel Á, Rodríguez-Caravaca G, Durán-Poveda M. Adhe¬rencia a la higiene de manos con soluciones hidroalcohólicas en estudiantes de medicina. Estudio descriptivo transversal. Rev Esp Quimioter. 2019;32(3):232-7. PMID: 30950257
26. Arredondo-Provecho AB, Horcajo-Díaz E, Cerrillo-González I, Mo¬rato-Cerro VM, Pérez-Ortiz M, Rodríguez-Caravaca G. Evolución de la adherencia a la higiene de manos en un hospital de la Comuni¬dad de Madrid. Revista Española de Salud Pública 2020;94(1): e1- e12. ID: mdl-32694500
27. Mestre G, Berbel C, Tortajada P, Alarcia M, Coca R, Gallemi G et al. “The 3/3 strategy”: a successful multifaceted hospital wide hand hygiene intervention based on WHO and continuous quali¬ty improvement methodology. PLoS One. 2012;7(10): e47200. doi: 10.1371/journal.pone.0047200
28. Fariñas-Alvarez C, Portal-María T, Flor-Morales V, Aja-Herrero A, Fabo-Navarro M, Lanza-Marín S et al. Estrategia multimodal para la mejora de la adherencia a la higiene de manos en un hospital universitario. Rev Calid Asist. 2017;32(1):50-56. doi: 10.1016/j.ca¬li.2016.06.011
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31. Arredondo-Provecho AB, Horcajo-Díaz E, Cerrillo-González I, Morato-Cerro VM, Pérez-Ortiz M, Rodríguez-Caravaca G. Evolución de la adherencia a la higiene de manos en un hospital de la Comunidad de Madrid. Revista Española de Salud Pública 2020;94(1): e1-e12. ID: mdl-32694500 [PubMed] [Google Scholar] [Ref list]
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2. Sepkowitz, KA y Eisenberg, L. (2005). Muertes ocupacionales entre trabajadores de la salud. Enfermedades infecciosas emergentes , 11 (7), 1003–1008. https://doi.org/10.3201/eid1107.041038
3. Huang F, Armando M, Dufau S, Florea O, Brouqui P, Boudjema S. COVID-19 outbreak and healthcare worker behavioural change toward hand hygiene practices. J Hosp Infect. 2021 May;111:27-34. doi: 10.1016/j.jhin.2021.03.004. Epub 2021 Mar 11. PMID: 33716086; PMCID: PMC7948529.
4. World Health Organization. WHO Guidelines on Hand Hygiene in Health Care: First Global Patient Safety Challenge Clean Care is Safer Care. 2009
5. H. Sax, B. Allegranzi , I. Uckay , E. Larson , J. Boyce ,D. Pittet Journal of Hospital Infection (2007) 67, 9e21 https://www.researchgate.net/publication/276151542_The_'My_five_moments_for_hand_hygiene'_concept_for_the_overcrowded_setting_in_resource-limited_healthcare_systems
6. Centers for Disease Control and Prevention. Guideline for Hand Hygiene in Health-Care Settings: Recommendations of the Healthcare Infection Control Practices Advisory Committee and the HICPAC/SHEA/APIC/IDSA Hand Hygiene Task Force. MMWR 2002;51 (No. RR-16): [31-45] [acceso en noviembre de 2020]. Disponible en: http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5116a1.htm
7. Erasmus, V., Kuperus, MN, Richardus, JH, Vos, MC, Oenema, A. y van Beeck, EF (2010) Mejora del comportamiento de higiene de las manos de las enfermeras mediante la planificación de acciones: un estudio piloto en la unidad de cuidados intensivos y la sala de cirugía. Revista de infección hospitalaria, 76, 161-164. https://doi.org/10.1016/j.jhin.2010.04.024
8. Pittet D. Improving Adherence to Hand Hygiene Practice: A Multidisciplinary Approach. University of Geneva Hospitals, Geneva, SwitzerlandWorld. Vol. 7, No. 2, March–April 2001
9. WHO guidelines on hand hygiene in health care 2009. Available thttp://whqlibdoc.who.int/publications/2009/9789241597906_eng. pdf. Accessed november 2011.
10. Centros para el Control y la Prevención de Enfermedades (2019) Higiene de manos en entornos sanitarios. https://www.cdc.gov/handhygiene/index.html
11. Kratzel, A., Todt, D., V'kovski, P., Steiner, S., Gultrom, M., Thao, TTN y col. (2020) Inactivación del coronavirus 2 del síndrome respiratorio agudo severo mediante formulaciones y alcoholes de frotamiento de manos recomendados por la OMS. Enfermedades infecciosas emergentes, 26, 1592-1595. https://doi.org/10.3201/eid2607.200915
12. Larson EL, Morton HE. Alcohols [Chapter 11]. In: Block SS, ed. Disinfection, sterilization and preservation. 4th ed. Philadelphia, PA: Lea and Febiger, 1991:642-54.
13. Harrington C, Walker H. The germicidal action of alcohol. Boston Medical and Surgical Journal 1903;148:548–52.
14. Coulthard CE, Sykes G. The germicidal effect of alcohol with special reference to its action on bacterial spores. Pharmaceutical Journal 1936;137:79–81.
15. Kiew, SCA, Yek, JLJ, Singh, PA y Chandran, R. (2021) La influencia de las emociones y las teorías del comportamiento detrás de la higiene de las manos en la pandemia de COVID-19. Revista abierta de medicina preventiva , 11 , 299-307. doi: 10.4236 / ojpm.2021.117024 .
16. Pittet D. Improving Adherence to Hand Hygiene Practice: A Multidisciplinary Approach. University of Geneva Hospitals, Geneva, SwitzerlandWorld. Vol. 7, No. 2, March–April 2001
17. Moore, Lori, MPH, BS, Robbins, Greg, Quinn, Jeff y Arbogast, James. (2021). El impacto de la pandemia de COVID-19 en el desempeño de la higiene de manos en los hospitales. AJIC: Revista estadounidense de control de infecciones, 49 , 30-33. https://doi.org/10.1016/j.ajic.2020.08.021
18. Derksen C, Keller FM, Lippke S. Obstetric healthcare workers’ ad¬herence to hand hygiene recommendations during the COVID-19 pandemic: Observations and social-cognitive determinants. Appl Psychol Health Well Being 2020;doi:10.1111/aphw.12240
19. Moore, Lori, MPH, BS, Robbins, Greg, Quinn, Jeff y Arbogast, James. (2021). El impacto de la pandemia de COVID-19 en el desempeño de la higiene de manos en los hospitales. AJIC: Revista estadounidense de control de infecciones , 49 , 30-33. https://doi.org/10.1016/j.ajic.2020.08.021
20. De arriba Fernández A, Molina-Cabrillana MJ, Serra Majem L. Evolution of adherence to hand hygiene in health care professionals in a third level hospital in relation to the SARS-CoV-2 pandemic. Rev Esp Quimioter. 2021 Jun;34(3):214-219. Spanish. doi: 10.37201/req/150.2020. Epub 2021 Apr 7. PMID: 33829723; PMCID: PMC8179943. https://pubmed.ncbi.nlm.nih.gov/33829723/
21. World Health Organization . WHO Guidelines on Hand Hygiene in Health Care: First Global Patient Safety Challenge Clean Care is Safer Care. 2009. [Google Scholar]
22. Albright J, White B, Pedersen D, Carlson P, Yost L, Littau C. Use patterns and frequency of hand hygiene in healthcare facilities: Analysis of electronic surveillance data. Am J Infect Control. 2018;46: 1104-9. doi: 10.1016/j.ajic.2018.04.205 [PubMed] [CrossRef] [Google Scholar]
23. Bin Ibrahim MA, Chow C, Poh BF, Ang B, Chow A. Differences in psychosocial determinants of hand hygiene between health care professional groups: Insights from a mixed-methods analysis. Am J Infect Control. 2018; 46:253-60. doi: 10.1016/j.ajic.2017.09.014
24. Pan A, Domenighini F, Signorini L, Assini R, Catenazzi P, Lorenzotti S, et al. Adherence to hand hygiene in an Italian long-term ca¬re facility. Am J Infect Control. 2008;36(7):495-7. doi: 10.1016/j. ajic.2007.10.017
25. Rodríguez-Villar D, Del-Moral-Luque JA, San-Román-Montero J, Gil-de-Miguel Á, Rodríguez-Caravaca G, Durán-Poveda M. Adhe¬rencia a la higiene de manos con soluciones hidroalcohólicas en estudiantes de medicina. Estudio descriptivo transversal. Rev Esp Quimioter. 2019;32(3):232-7. PMID: 30950257
26. Arredondo-Provecho AB, Horcajo-Díaz E, Cerrillo-González I, Mo¬rato-Cerro VM, Pérez-Ortiz M, Rodríguez-Caravaca G. Evolución de la adherencia a la higiene de manos en un hospital de la Comuni¬dad de Madrid. Revista Española de Salud Pública 2020;94(1): e1- e12. ID: mdl-32694500
27. Mestre G, Berbel C, Tortajada P, Alarcia M, Coca R, Gallemi G et al. “The 3/3 strategy”: a successful multifaceted hospital wide hand hygiene intervention based on WHO and continuous quali¬ty improvement methodology. PLoS One. 2012;7(10): e47200. doi: 10.1371/journal.pone.0047200
28. Fariñas-Alvarez C, Portal-María T, Flor-Morales V, Aja-Herrero A, Fabo-Navarro M, Lanza-Marín S et al. Estrategia multimodal para la mejora de la adherencia a la higiene de manos en un hospital universitario. Rev Calid Asist. 2017;32(1):50-56. doi: 10.1016/j.ca¬li.2016.06.011
29. World Health Organization . WHO Guidelines on Hand Hygiene in Health Care: First Global Patient Safety Challenge Clean Care is Safer Care. 2009. [Google Scholar] [Ref list]
30. Hand hygiene compliance with hydroalcoholic solutions in medical students. Cross-sectional study]. Rodríguez-Villar D, Del-Moral-Luque JA, San-Román-Montero J, Gil-de-Miguel A, Rodríguez-Caravaca G, Durán-Poveda M Rev Esp Quimioter. 2019 Jun; 32(3):232-237.[PubMed] [Ref list]
31. Arredondo-Provecho AB, Horcajo-Díaz E, Cerrillo-González I, Morato-Cerro VM, Pérez-Ortiz M, Rodríguez-Caravaca G. Evolución de la adherencia a la higiene de manos en un hospital de la Comunidad de Madrid. Revista Española de Salud Pública 2020;94(1): e1-e12. ID: mdl-32694500 [PubMed] [Google Scholar] [Ref list]
32. Sánchez-Payá J, Galicia-García MD, Gracia-Rodríguez RM, García-González C, Fuster-Pérez M, López-Fresneña N, Avendaño-Corcoles F, González-Torga A Enferm Infecc Microbiol Clin. 2007 Jun-Jul; 25(6):369-75.[PubMed] [Ref list]
Published
2022-03-29
How to Cite
Hinojosa, M., Guzzi, L., Camblor, F., & Christin, M. (2022). Did adherence to hand hygiene chance during SARS-CoV-2 pandemic?. Actualizaciones En Sida E Infectología, 30(108). https://doi.org/10.52226/revista.v30i108.116
Section
Original article
