Hand hygiene compliance and associated factors among healthcare workers in selected tertiary-care hospitals in Bangladesh

Details

• Alternative Title:
  J Hosp Infect
• Personal Author:
  Harun, M.G.D. ; Anwar, M.M.U. ; Sumon, S.A. ; Mohona, T.M. ; Hassan, M.Z. ; Rahman, A. ; Abdullah, S.A.H.M. ; Islam, M.S. ; Oakley, L.P. ; Malpiedi, P. ; Kaydos-Daniels, S.C. ; Styczynski, A.R.
• Description:
  Background:
  
  Hand hygiene (HH) is a fundamental element of patient safety. Adherence to HH among healthcare workers (HCWs) varies greatly depending on a range of factors, including risk perceptions, institutional culture, auditing mechanisms, and availability of HH supplies.
  
  Aims:
  
  This study aimed to evaluate HH compliance and associated factors among HCWs in selected tertiary-care hospitals in Bangladesh.
  
  Methods:
  
  During September 2020 to May 2021, we conducted non-participatory observations at 10 tertiary-care hospitals using the WHO's '5-moments for hand hygiene tool' to record HH compliance among physicians, nurses and cleaning staff. We also performed semi-structured interviews to determine the key barriers to complying with HH.
  
  Results:
  
  We observed 14,668 hand hygiene opportunities. The overall HH compliance was 25.3%, the highest among nurses (28.5%), and the lowest among cleaning staff (9.9%). HCWs in public hospitals had significantly higher odds of complying with HH practices than those in private hospitals (adjusted odds ratio: 1.73, 95% CI: 1.55-1.93). The odds of performing HH after touching a patient were 3.36 times higher compared with before touching a patient (95% CI: 2.90-3.90). The reported key barriers to performing HH were insufficient supplies (57.9%), skin reactions (26.3%), workload (26.3%) and lack of facilities (22.7%). Overall, observed HH supplies were available in 81.7% of wards for physicians and 95.1% of wards for nurses, however, no designated HH facilities were found for the cleaning staff.
  
  Conclusions:
  
  HH compliance among HCWs fell significantly short of the standard for safe patient care. Inadequate HH supplies demonstrate a lack of prioritizing, promoting and investing in infection prevention and control.
  
  
• Subjects:
  Cross Infection Guideline Adherence Hand Hygiene Health Personnel Humans Infection Control
• Keywords:
  Bangladesh Hand Hygiene Healthcare-associated Infection Healthcare Workers Resource-constrained Settings
• Source:
  J Hosp Infect. 139:220-227
• Pubmed ID:
  37516281
• Pubmed Central ID:
  PMC11149335
• Document Type:
  Text
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/ ; U51 GH001209/GH/CGH CDC HHSUnited States/
• Genre:
  Journal Article
• Volume:
  139
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:6a0ce3ce34faf4db3dd4209d78cfacaf355b2b01b21a99f0ea0ba372eb3a35c6a9fbc40810b950681674a0b085d1ddfcd79ee658e84c7259ca48b336c46eee72
• Download URL:
  https://stacks.cdc.gov/view/cdc/162077/cdc_162077_DS1.pdf
• File Type:
  [PDF - 108.64 KB ]