Effect of hand hygiene intervention on healthcare-associated case infection incidence from 2014 to 2022
10.12138/j.issn.1671-9638.20244657
- VernacularTitle:2014-2022年手卫生干预对医院感染例次发病率的影响
- Author:
Jia-Yan DING
1
;
Rui-Hong SHEN
;
Wen-Qin ZHOU
;
Ya-Yun YUAN
;
Mei HUANG
;
Ya YANG
;
Bing-Chao CAI
;
Hai-Qun BAN
;
Xiao-Fang FU
Author Information
1. 上海交通大学医学院附属仁济医院感染管理办公室,上海 200127
- Keywords:
hand hygiene;
compliance;
health care worker;
incidence of healthcare-associated infection;
intervention
- From:
Chinese Journal of Infection Control
2024;23(2):208-213
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the effect of multi-modal hand hygiene(HH)intervention on HH compliance,as well as the relationship between HH compliance and the healthcare-associated(HA)case infection incidence.Methods From 2014 to 2022,the infection control team in a tertiary first-class hospital implemented multi-modal HH intervention for health care workers(HCWs).The changing trend of HH monitoring data,the correlation be-tween HH compliance rate and HA case infection incidence were analyzed retrospectively.Results The consump-tion of HH products in the wards showed a stable upward trend;HH compliance rate increased from 64.98％in 2014 to 85.01％in 2022(P＜0.001),and HA case infection incidence decreased from 1.21％to 0.83％(P＜0.05).HH compliance rate was negatively correlated with HA case infection incidence(r=-0.369,P=0.027).HH compliance rates in different regions and job posts in each quarter were increased(P＜0.001).For 5 different HH moments in each quarter,HH compliance rate fluctuated slightly before sterile manipulation and after touching patient;presented rising trend after touching surroundings around patient,and decreased before touching patient and after touching patient's body fluid since 2020(P＜0.001).Conclusion Multi-modal HH intervention can im-prove the HH compliance of HCWs,improving their HH awareness is conducive to reducing HA case infection incidence.
