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This article is part of the supplement: International Conference on Prevention & Infection Control (ICPIC 2011)

Open Access Poster presentation

Hand hygiene compliance at neonate intensive care unit in a Brazilian hospital

LR Barbosa1*, MAS Rego2, AM Santos3 and S Colacioppo4

  • * Corresponding author: LR Barbosa

Author Affiliations

1 Scientific, GOJO América Latina, São Paulo, Brazil

2 Scientific, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil

3 Scientific, Rumel Santos Healthcare Training and Consulting, Calgary, Canada

4 Scientific, Universidade de São Paulo, São Paulo, Brazil

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BMC Proceedings 2011, 5(Suppl 6):P128  doi:10.1186/1753-6561-5-S6-P128


The electronic version of this article is the complete one and can be found online at: http://www.biomedcentral.com/1753-6561/5/S6/P128


Published:29 June 2011

© 2011 Barbosa et al; licensee BioMed Central Ltd.

This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Introduction / objectives

Several factors influence compliance to hand hygiene (HH) and different variables can be evaluated to improve quality of care assessment, incentive for performance improvement, outbreak investigation and infrastructure design.

Objective

To describe the general compliance to HH associated with variablesof interest in a study of direct observation (DO) in a Neonate Intensive Care Unit (NICU) in a University Public Hospital.

Methods

DO was performed by 10 observers. Variables were # beds, # health care workers, professional category, type of opportunity, day of week, time of the day and product used. Statistical analysis used software Stata and SPSS for Windows.

Results

A total of 7,324 opportunities for HH were identified during 255 1 hour DO periods from December 2008 to March 2009. Overall compliance rate 50.2%. 69.5% for medical doctor (MD), 60.8% for other professionals (OP), 48.7% for nurses (RN) representing respectively 10.8%, 12% and 70.3% of all opportunities. Highest compliance was before aseptic procedure for MD and OP (100% for both) and after touching patient surroundings for RN (73.1%). Lowest compliance was after patient contact for all categories: 52% (MD), 42.7% (OP) and 36.7% (RN). 55% of HH were performed with soap and water, 23.1% with alcohol-based hand rub (ABHR) and 21.9% with soap and water followed by ABHR.

Conclusion

DO study results indicated that the NICU did not follow CDC 2002 guideline recommendation for HH. Compliance may be improved by focusing on the opportunities to perform HH using ABHR products.

Disclosure of interest

L. Barbosa Employee of Luciana Barbosa is an employee of GOJO América Latina, M. A. Rego: None declared, A. Santos: None declared, S. Colacioppo: None declared.