Journal article
Hand hygiene compliance in the critical care setting: A comparative study of 2 different alcohol handrub formulations
AJIC: American Journal of Infection Control, Vol.41(2), pp.136-139
02/2013
DOI: 10.1016/j.ajic.2012.02.018
PMID: 22748843
Abstract
Hand hygiene (HH) compliance can be affected by the accessibility of products (alcohol-based products or chlorhexidine) and by the formulations of these products. There are few published studies comparing different alcohol-based hand disinfection formulations. This study was conducted in a 41-bed medical-surgical intensive care unit at a private tertiary care hospital. Over a 16-week period, we assessed HH compliance by direct observation of practice using iPods and measurement of the amount of product used [alcohol and chlorhexidine] in two 4-room pods in which an alcohol gel product was used compared with two other 4-room pods in which an alcohol-based foam formulation was used. A total of 3,895 opportunities for HH were observed, and the overall rate of HH compliance was 36.9%. No statistically significant differences were found in overall HH compliance or alcohol-based HH compliance between the alcohol foam unit and the alcohol gel unit. However, there was a statistically significant difference in chlorhexidine HH compliance between the alcohol foam unit and the alcohol gel unit (7.0% [130 of 1,853] vs 3.8% [77 of 2,042]; P < .01). Alcohol handrub use was greater than chlorhexidine use, but HH compliance was low in both units independent of the alcohol formulation available. The similarity of use of both alcohol formulations suggests that health care workers tend to use whatever product is readily available.
Details
- Title: Subtitle
- Hand hygiene compliance in the critical care setting: A comparative study of 2 different alcohol handrub formulations
- Creators
- Alexandre R Marra - Instituto Israelita de Ensino e Pesquisa Albert Einstein, São Paulo, BrazilThiago Zinsly S Camargo - Intensive Care Unit, Hospital Israelita Albert Einstein, São Paulo, BrazilVanessa Jonas Cardoso - Intensive Care Unit, Hospital Israelita Albert Einstein, São Paulo, BrazilDenis Faria Moura - Intensive Care Unit, Hospital Israelita Albert Einstein, São Paulo, BrazilEmerson Casemiro de Andrade - Intensive Care Unit, Hospital Israelita Albert Einstein, São Paulo, BrazilJuliana Wentzcovitch - Intensive Care Unit, Hospital Israelita Albert Einstein, São Paulo, BrazilAlex Sandro Santos da Rocha - Intensive Care Unit, Hospital Israelita Albert Einstein, São Paulo, BrazilOscar Fernando Pavão dos Santos - Division of Medical Practice, Hospital Israelita Albert Einstein, São Paulo, BrazilMichael B Edmond - Department of Internal Medicine, Virginia Commonwealth University School of Medicine, Richmond, VA
- Resource Type
- Journal article
- Publication Details
- AJIC: American Journal of Infection Control, Vol.41(2), pp.136-139
- Publisher
- Mosby, Inc
- DOI
- 10.1016/j.ajic.2012.02.018
- PMID
- 22748843
- ISSN
- 0196-6553
- eISSN
- 1527-3296
- Language
- English
- Date published
- 02/2013
- Academic Unit
- Infectious Diseases; Internal Medicine
- Record Identifier
- 9983905521902771
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