Feasibility of Direct Observation and Consumption Method for Hand Hygiene Compliance in an Intensive Care Unit of a Tertiary Care Hospital
Background: Emerging pandemics, rampant multidrug resistance, and diversity of healthcare-associated infections entail hand hygiene (HH) compliance, surveillance, and documentation as the cornerstone of infection control practices. Methods: HH adherence rates (HHARs) were determined by the WHO'...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2021-04-01
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| Series: | Indian Journal of Medical Specialities |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/injms.injms_165_20 |
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| author | Bineeta Kashyap Rajat Jhamb Rituparna Saha Pratima Prasad N. P. Singh |
| author_facet | Bineeta Kashyap Rajat Jhamb Rituparna Saha Pratima Prasad N. P. Singh |
| author_sort | Bineeta Kashyap |
| collection | DOAJ |
| description | Background:
Emerging pandemics, rampant multidrug resistance, and diversity of healthcare-associated infections entail hand hygiene (HH) compliance, surveillance, and documentation as the cornerstone of infection control practices.
Methods:
HH adherence rates (HHARs) were determined by the WHO's “Direct Observation” technique and compared with the “Indirect Hand-Rub Consumption” method, in the main intensive care unit of a tertiary care hospital over a period of 15 days, encompassing 3000 HH opportunities. HHARs were also compared over the study duration and among doctors and nurses.
Results:
The overall HHAR estimated by direct observation as per the WHO criteria was 28.5% and by “indirect hand-rub consumption” method was 12.12%. Healthcare workers adhered maximally to the WHO HH moment 3 (64.6%) followed by 5 (31.6%), 4 (27%), and 2 (27%).
Conclusion:
The direct observation technique for monitoring HH, though conventionally deemed as the gold standard, mandates skilled personnel and devoted time which may deter daily surveillance in resource-limited settings. The time constraints in addition to the observation biases often confound or may even push HH surveillance to the backburners. The indirect “hand-rub consumption” technique, on the other hand, might prove to be an attractive alternative in resource-limited settings, which, in addition to providing an overall glimpse of existing HH culture, is also devoid of observation biases. |
| format | Article |
| id | doaj-art-71d2e282dfd741c495bcb62874a28e15 |
| institution | Kabale University |
| issn | 0976-2884 0976-2892 |
| language | English |
| publishDate | 2021-04-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Medical Specialities |
| spelling | doaj-art-71d2e282dfd741c495bcb62874a28e152025-08-25T08:33:51ZengWolters Kluwer Medknow PublicationsIndian Journal of Medical Specialities0976-28840976-28922021-04-01122646810.4103/injms.injms_165_20Feasibility of Direct Observation and Consumption Method for Hand Hygiene Compliance in an Intensive Care Unit of a Tertiary Care HospitalBineeta KashyapRajat JhambRituparna SahaPratima PrasadN. P. SinghBackground: Emerging pandemics, rampant multidrug resistance, and diversity of healthcare-associated infections entail hand hygiene (HH) compliance, surveillance, and documentation as the cornerstone of infection control practices. Methods: HH adherence rates (HHARs) were determined by the WHO's “Direct Observation” technique and compared with the “Indirect Hand-Rub Consumption” method, in the main intensive care unit of a tertiary care hospital over a period of 15 days, encompassing 3000 HH opportunities. HHARs were also compared over the study duration and among doctors and nurses. Results: The overall HHAR estimated by direct observation as per the WHO criteria was 28.5% and by “indirect hand-rub consumption” method was 12.12%. Healthcare workers adhered maximally to the WHO HH moment 3 (64.6%) followed by 5 (31.6%), 4 (27%), and 2 (27%). Conclusion: The direct observation technique for monitoring HH, though conventionally deemed as the gold standard, mandates skilled personnel and devoted time which may deter daily surveillance in resource-limited settings. The time constraints in addition to the observation biases often confound or may even push HH surveillance to the backburners. The indirect “hand-rub consumption” technique, on the other hand, might prove to be an attractive alternative in resource-limited settings, which, in addition to providing an overall glimpse of existing HH culture, is also devoid of observation biases.https://journals.lww.com/10.4103/injms.injms_165_20antimicrrobial resistancehand hygieneinfectionsinfection control |
| spellingShingle | Bineeta Kashyap Rajat Jhamb Rituparna Saha Pratima Prasad N. P. Singh Feasibility of Direct Observation and Consumption Method for Hand Hygiene Compliance in an Intensive Care Unit of a Tertiary Care Hospital Indian Journal of Medical Specialities antimicrrobial resistance hand hygiene infections infection control |
| title | Feasibility of Direct Observation and Consumption Method for Hand Hygiene Compliance in an Intensive Care Unit of a Tertiary Care Hospital |
| title_full | Feasibility of Direct Observation and Consumption Method for Hand Hygiene Compliance in an Intensive Care Unit of a Tertiary Care Hospital |
| title_fullStr | Feasibility of Direct Observation and Consumption Method for Hand Hygiene Compliance in an Intensive Care Unit of a Tertiary Care Hospital |
| title_full_unstemmed | Feasibility of Direct Observation and Consumption Method for Hand Hygiene Compliance in an Intensive Care Unit of a Tertiary Care Hospital |
| title_short | Feasibility of Direct Observation and Consumption Method for Hand Hygiene Compliance in an Intensive Care Unit of a Tertiary Care Hospital |
| title_sort | feasibility of direct observation and consumption method for hand hygiene compliance in an intensive care unit of a tertiary care hospital |
| topic | antimicrrobial resistance hand hygiene infections infection control |
| url | https://journals.lww.com/10.4103/injms.injms_165_20 |
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