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Abstract
Purpose
The aim of study was to estimate the hand hygiene (HH) compliance of healthcare workers (HCWs) in a children's hospital.
Methods
This study was conducted in a hospital which is a tertiary and educational children's hospital with 313 beds and 533 HCWs. Data were collected by direct observation methods from November 1, 2010 to December 31, 2010
Results
A total of 2,999 opportunities for HH were observed, and the overall HH rate was 95.3%. HH rate of the registered nurse, physicians and transferer was 97.7%, 89.2%, and 72.1%, respectively (P<0.001). Among physicians, HH rate of the fellows, professors, residents and interns was 97.5%, 93.9%, 89.7%, and 80.9%, respectively (P<0.001). HH rate in the emergency room, operation room, outpatient department (OPD), and the intensive care unit (ICU) was 97.2%, 97.2%, 95.4%, and 92.5%, respectively (P<0.001). Hand rubbing was the most frequently used (81.1%), and hand washing was frequently used in the case of 'after body fluids exposure risk' (37.7%) and ‘after touching patient surroundings’ (28.5%). HH methods were not statistically different from each departments (P=0.083), however, they were significantly different according to the World Health Organization (WHO) 5 Moments (P<0.001). Distributions in WHO 5 Moments by the job titles were significantly different (P<0.001). The odds ratio of physicians, ICU and OPD was 0.353 (95% Cl, 0241—0519), 0.291 (95% Cl, 0174-0487), and 0.484 (95% Cl, 0281-0834), respectively.
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Table 1.
Compliance of Hand Hygiene by Job Titles, Depart ments, Months and World Health Organization (WHO) 5 Moments
Table 2.
Hand Hygiene Methods used by Departments and WHO Moments
Table 3.
Two Months Trend of Hand Hygiene Compliance by job Titles and Physicians
Table 4.
Distributions of WHO 5 Moments accordinq to Job Titles
Table 5.
Results of Multivariate Logistic AnaIysis according to Job Titles and Departments
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