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Revista EMERGENCIAS




  REVISTA EMERGENCIAS SEMES > ARTÍCULOS

Emergencias 2012; 24: 107-112

Hand hygiene in the emergency department: degree of compliance, predictors and change over time

JOSÉ SÁNCHEZ-PAYÁ , IGNACIO HERNÁNDEZ-GARCÍA , ROBERT CAMARGO ÁNGELES , CÉSAR OSVALDO VILLANUEVA RUIZ , ANA CAROLINA MARTÍN RUIZ , FRANCISCO ROMÁN , PATRICIA GARCÍA SHIMIZU , PERE LLORENS

Servicio de Medicina Preventiva, Servicio de Urgencias. Hospital General Universitario de Alicante. Spain. Servicio de Medicina Preventiva y Salud Pública, Complejo Asistencial Universitario de Salamanca, Spain.

Objective: To determine the degree of compliance with hand hygiene measures, predictors, and change over time in an emergency department. Methods: Cross-sectional study between 2005 and 2010 in the emergency department of Hospital General Universitario de Alicante, Spain. An observer assessed staff compliance with the World Health Organization’s 5-moments approach to hand hygiene. We also studied the association between compliance and such potential predictors as age, sex, availability of pocket-sized alcohol hand rubs, and attendance at training sessions; the ÷2 test was used to compare compliance between the 2005- 2007 and 2008-2010 periods. A multivariate logistic regression model was then constructed. Results: Compliance was observed in 41.1% in the 2005-2007 period and 42.3% in the 2008-2010 period. Hygiene at the moment before touching a patient improved significantly (16.3% in 2005-2007 and 29.8% in 2008-2010). The moment of best compliance was after touching patient surroundings (67.1% in 2008-2010). Factors associated with hand hygiene compliance changed over time with the exception of a stable association in both periods between hygiene at the moment before touching a patient and the availability of pocket-sized alcohol hand rubs. Conclusions: Emergency departments should seek improvements in hygiene by providing training on the importance of hand hygiene before a patient is touched, particularly before clean/aseptic procedures, and by promoting the use of pocket-sized alcohol rubs.


Texto Completo: http://www.semes.org/revista/vol24_2/6_ing.pdf


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