Journal of Epidemiology and Global Health

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Volume 4, Issue 4, December 2014, Pages 315 - 321

Changes in hand hygiene compliance after a multimodal intervention among health-care workers from intensive care units in Southwestern Saudi Arabia

Authors
Ahmed A. Mahfouza, *, mahfouz2005@gmail.com, Ibrahim A. Al-Zaydanib, c, Ali O. Abdelazizc, Mohammad N. El-Gamald, Abdullah M. Assirid
aDepartment of Family and Community Medicine, College of Medicine, King Khalid University, Abha, Saudi Arabia
bPediatric Department, Aseer Central Hospital, Abha, Saudi Arabia
cInfection Control Department, Aseer Central Hospital, Abha, Saudi Arabia
dGeneral Directorate of Infection Prevention and Control in Healthcare Facilities, Ministry of Health, Riyadh, Saudi Arabia
*Corresponding author. Address: Department of Family and Community Medicine, College of Medicine, King Khalid University, P.O. Box 641, Abha, Saudi Arabia. Tel.: +966 (17) 241 7629; fax: +966 (7) 224 7570.
Corresponding Author
Ahmed A. Mahfouzmahfouz2005@gmail.com
Received 8 February 2014, Revised 8 May 2014, Accepted 12 May 2014, Available Online 25 June 2014.
DOI
10.1016/j.jegh.2014.05.002How to use a DOI?
Keywords
Compliance; Hand hygiene; HCWs; Intervention
Abstract

The aim of this study is to measure the degree of compliance with hand hygiene practices among health-care workers (HCWs) in intensive care facilities in Aseer Central Hospital, Abha, Saudi Arabia, before and after a multimodal intervention program based on WHO strategies. Data were collected by direct observation of HCWs while delivering routine care using standardized WHO method: “Five moments for hand hygiene approach”. Observations were conducted before (February–April 2011) and after (February–April 2013) the intervention by well-trained, infection-control practitioners during their routine visits.

The study included 1182 opportunities (observations) collected before and 2212 opportunities collected after the intervention. The overall, hand hygiene compliance increased significantly from 60.8% (95% CI: 57.9–63.6%) before the intervention to reach 86.4% (95% CI: 84.9–97.8%) post-intervention (P = 0.001). The same trend was observed in different intensive care facilities. In logistic regression analyses, HCWs were significantly more compliant (aOR = 3.2, 95% CI: 2.6–3.8) after the intervention. Similarly, being a nurse and events after patient contact were significant determinants of compliance.

It is important to provide sustained intensified training programs to help embed efficient and effective hand hygiene into all elements of care delivery. New approaches like accountability, motivation and sanctions are needed.

Copyright
© 2014 Published by Elsevier Ltd. on behalf of Ministry of Health, Saudi Arabia.
Open Access
This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

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<Previous Article In Issue
Next Article In Issue>
Journal
Journal of Epidemiology and Global Health
Volume-Issue
4 - 4
Pages
315 - 321
Publication Date
2014/06/25
ISSN (Online)
2210-6014
ISSN (Print)
2210-6006
DOI
10.1016/j.jegh.2014.05.002How to use a DOI?
Copyright
© 2014 Published by Elsevier Ltd. on behalf of Ministry of Health, Saudi Arabia.
Open Access
This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

Cite this article

risenwbib
TY  - JOUR
AU  - Ahmed A. Mahfouz
AU  - Ibrahim A. Al-Zaydani
AU  - Ali O. Abdelaziz
AU  - Mohammad N. El-Gamal
AU  - Abdullah M. Assiri
PY  - 2014
DA  - 2014/06/25
TI  - Changes in hand hygiene compliance after a multimodal intervention among health-care workers from intensive care units in Southwestern Saudi Arabia
JO  - Journal of Epidemiology and Global Health
SP  - 315
EP  - 321
VL  - 4
IS  - 4
SN  - 2210-6014
UR  - https://doi.org/10.1016/j.jegh.2014.05.002
DO  - 10.1016/j.jegh.2014.05.002
ID  - Mahfouz2014
ER  -