A multicenter intervention study on hand hygiene compliance of health care workers in neonatal intensive care units
10.3969/j.issn.1671-9638.2015.08.012
- VernacularTitle:新生儿重症监护病房医务人员手卫生依从性多中心干预研究
- Author:
Junhong REN
;
Anhua WU
;
Bijie HU
;
Xiuyue ZHANG
;
Zhiyong ZONG
;
Weiguang LI
;
Huai YANG
;
Yun YANG
;
Jianguo WEN
;
Huixue JIA
;
Liuyi LI
- Publication Type:Journal Article
- Keywords:
neonatal intensive care unit;
hand hygiene compliance;
multicenter;
intervention study;
healthcare-associated infection
- From:
Chinese Journal of Infection Control
2015;(8):557-560
- CountryChina
- Language:Chinese
-
Abstract:
Objective To improve hand hygiene (HH)compliance of health care workers (HCWs)in neonatal in-tensive care units(NICUs)in China through a series of intervention measures.Methods A multicenter study was conducted,17 tertiary first class hospitals in 9 provinces and cities were selected,HH compliance of HCWs in these hospitals were investigated every month according to HH investigation method of World Health Organization.From October 1 ,2013 to March 31 ,2014 was pre-intervention stage;from April 1 ,2014 to September 30,2014 was post-intervention stage,timely feedback and intensified training were conducted at post-intervention stage.Results HH compliance rates of HCWs before and after intervention were 80.29% and 80.85% respectively,there was no sig-nificant difference (P >0.05).HH compliance rates of HCWs in different sizes of ICUs were significantly different before and after intervention (all P <0.05),in NICUs with<20 beds and 20-30 beds after the intervention were both significantly higher than before intervention (both P <0.05 ),while >30 beds were significantly lower than before intervention(P <0.001 );HH compliance rate of cleaners increased from 58.82% before intervention to 68.09% after intervention (P <0.05 );Of different hand hygiene indications,except before clean/aseptic task, compliance to the other HH indications were significantly different between before and after intervention(all P <0.05).Conclusion HH compliance is high among HCWs in NICUs in China,intervention measures,such as inten-sified training and timely feedback have certain influence in compliance to HH among HCWs at different sizes of ICUs,of different occupations,and at different HH indications.