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.
To identify predictors of noncompliance with handwashing during routine patient care.
Teaching hospital in Geneva, Switzerland.
Nurses (66%), physicians (10%), nursing assistants (13%), and other health care workers (11%). Measurements : Compliance with handwashing.
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
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0119118
Code Inist : 002B30A09. Création : 16/11/1999.