Higiene de manos en urgencias: grado de cumplimiento, determinantes y su evolución en el tiempo
Sánchez Payá, José ; Hernández García, Ignacio ; Camargo Ángeles, Robert ; Villanueva Ruiz, César Osvaldo ; Martín Ruiz, Ana Carolina ; Román Cerdá, Francisco ; García Shimizu, Patricia ; Llorens Soriano, Pedro
Resumen: Objective: To determine the degree of compliance with hand hygiene measures, predictors, and change over time in an emergency department.
Methods: Cross-sectional study between 2005 and 2010 in the emergency department of Hospital General Universitario de Alicante, Spain. An observer assessed staff compliance with the World Health Organization’s 5-moments approach to hand hygiene. We also studied the association between compliance and such potential predictors as age, sex, availability of pocket-sized alcohol hand rubs, and attendance at training sessions; the χ2 test was used to compare compliance between the 2005-2007 and 2008-2010 periods. A multivariate logistic regression model was then constructed.
Results: Compliance was observed in 41.1% in the 2005-2007 period and 42.3% in the 2008-2010 period. Hygiene at the moment before touching a patient improved significantly (16.3% in 2005-2007 and 29.8% in 2008-2010). The moment of best compliance was after touching patient surroundings (67.1% in 2008-2010). Factors associated with hand hygiene compliance changed over time with the exception of a stable association in both periods between hygiene at the moment before touching a patient and the availability of pocket-sized alcohol hand rubs.
Conclusions: Emergency departments should seek improvements in hygiene by providing training on the importance of hand hygiene before a patient is touched, particularly before clean/aseptic procedures, and by promoting the use of pocket-sized alcohol rubs.
Idioma: Español
Año: 2012
Publicado en: Emergencias 24, 2 (2012), 107-112
ISSN: 1137-6821
Factor impacto JCR: 2.578 (2012)
Categ. JCR: EMERGENCY MEDICINE rank: 3 / 25 = 0.12 (2012) - Q1 - T1
Tipo y forma: Article (Published version)
Exportado de SIDERAL (2026-01-19-14:39:45)
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Methods: Cross-sectional study between 2005 and 2010 in the emergency department of Hospital General Universitario de Alicante, Spain. An observer assessed staff compliance with the World Health Organization’s 5-moments approach to hand hygiene. We also studied the association between compliance and such potential predictors as age, sex, availability of pocket-sized alcohol hand rubs, and attendance at training sessions; the χ2 test was used to compare compliance between the 2005-2007 and 2008-2010 periods. A multivariate logistic regression model was then constructed.
Results: Compliance was observed in 41.1% in the 2005-2007 period and 42.3% in the 2008-2010 period. Hygiene at the moment before touching a patient improved significantly (16.3% in 2005-2007 and 29.8% in 2008-2010). The moment of best compliance was after touching patient surroundings (67.1% in 2008-2010). Factors associated with hand hygiene compliance changed over time with the exception of a stable association in both periods between hygiene at the moment before touching a patient and the availability of pocket-sized alcohol hand rubs.
Conclusions: Emergency departments should seek improvements in hygiene by providing training on the importance of hand hygiene before a patient is touched, particularly before clean/aseptic procedures, and by promoting the use of pocket-sized alcohol rubs.
Idioma: Español
Año: 2012
Publicado en: Emergencias 24, 2 (2012), 107-112
ISSN: 1137-6821
Factor impacto JCR: 2.578 (2012)
Categ. JCR: EMERGENCY MEDICINE rank: 3 / 25 = 0.12 (2012) - Q1 - T1
Tipo y forma: Article (Published version)
Exportado de SIDERAL (2026-01-19-14:39:45)
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