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  1. Compliance with handwashing in a teaching hospital.

    Article - En anglais

    Background 

    Transmission of microorganisms from the hands of health care workers is the main source of cross-infection in hospitals and can be prevented by handwashing.

    Objective 

    To identify predictors of noncompliance with handwashing during routine patient care.

    Design 

    Observational study.

    Setting 

    Teaching hospital in Geneva, Switzerland.

    Participants 

    Nurses (66%), physicians (10%), nursing assistants (13%), and other health care workers (11%). Measurements : Compliance with handwashing.

    Results 

    In 2834 observed opportunities for handwashing, average compliance was 48%. In multivariate analysis, noncompliance was higher among physicians (odds ratio [OR], 2.8 [95% Cl, 1.9 to 4.1]), nursing assistants (OR, 1.3 [CI, 1.0 to 1.6]), and other health care workers (OR, 2.1 [CI, 1.4 to 3.2]) than among nurses and was lowest on weekends (OR, 0.6 [Cl, 0.4 to 0.8]). Noncompliance was higher in intensive care than in internal medicine units (OR, 2.0 [CI, 1.3 to 3.1]), during procedures that carry a high risk for contamination (OR, 1.8 [CI, 1.4 to 2.4]), and when intensity of patient care was high (compared with <=20 opportunities for handwashing per hour of care, 21 to 40 opportunities : OR, 1.3 [CI, 1.0 to 1.7] ; 41 to 60 opportunities : OR, 2.1 [CI, 1.5 to 2.9] ; and>60 opportunities : OR, 2.1 [CI, 1.3 to 3.5]). Conclusions : Compliance with handwashing was moderate. (...)

    Mots-clés Pascal : Contamination, Microorganisme, Personnel sanitaire, Lavage, Main, Prévention, Enseignement, Homme

    Mots-clés Pascal anglais : Contamination, Microorganism, Health staff, Washing, Hand, Prevention, Teaching, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0119118

    Code Inist : 002B30A09. Création : 16/11/1999.