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Hand hygiene compliance and associated factors among healthcare workers in selected tertiary-care hospitals in Bangladesh
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9 2023
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Source: J Hosp Infect. 139:220-227
[PDF-108.64 KB]
Details:
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Alternative Title:J Hosp Infect
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Personal Author:
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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.
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Source:
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Pubmed ID:37516281
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Pubmed Central ID:PMC11149335
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Funding:
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Volume:139
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