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J Glob Infect Dis. 2021 Apr 16;13(2):80-84. doi: 10.4103/jgid.jgid_147_20. eCollection 2021.

Impact of an Interventional Program on Improving Compliance of Hand Hygiene and Reducing Hospital-Acquired Infection in the Critical Care Unit.

Journal of global infectious diseases

Jeneth Gutierrez, Aladeen Alloubani, Mohammad Alzaatreh, Mohammad Mari, Laila Akhu-Zaheya

Affiliations

  1. University of Tabuk, Department of Nursing, Tabuk, Saudi Arabia.
  2. King Hussein Cancer Center, Nursing Research Unit, Amman, Jordan.
  3. Prince Hamzah Hospital, Department of Nursing, Amman, Jordan.
  4. Westways Staffing Services Inc, California, United States.
  5. Jordan University of Science and Technology, Faculty of Nursing, Irbid, Jordan.

PMID: 34194174 PMCID: PMC8213080 DOI: 10.4103/jgid.jgid_147_20

Abstract

INTRODUCTION: This study aimed to determine the effect of a hand hygiene (HH) and awareness campaign on knowledge and compliance with HH practices among health-care workers working staff in the main intensive care units and also to evaluate the rates of hospital-acquired infection (HAI) before and after the intervention.

METHODS: A prospective, interventional, pre-post design was utilized and carried out in three phases: the first stage was a 1-month preintervention stage to develop the foundation of the compliance rate of handwashing; the second stage was the interventional handwashing campaign; the third stage was the postintervention stage to improve the compliance rate of handwashing. Two instruments were used in this study: the HH Knowledge Questionnaire developed by the World Health Organization to assess HH knowledge and the Handwashing Questionnaire developed to evaluate HH washing.

RESULTS: HH knowledge has been increased from preintervention (M = 11.84, standard deviation [SD] = 2.41) to postintervention (M = 18.80, SD = 2.93), and the effective compliance with HH practice was as low as 49% in June 2017 to 75% in February 2018. In addition, the HAI rate was dropped from 13.2% in June 2017 to 9% in February 2018. An inverse association was recognized between HH compliance and HAI rates.

CONCLUSIONS: These results recommend that reasonable approaches can decrease the HAI rate of intensive care units. A nationwide handwashing interventional program can be employed in all hospitals.

Copyright: © 2021 Journal of Global Infectious Diseases.

Keywords: Handwashing; hospital infections; intensive care units; knowledge

Conflict of interest statement

There are no conflicts of interest.

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