Work

Hand hygiene promotion in long-term care facilities (LTCF) – a cluster randomized controlled trial

Year: 2011

Type: article

Study designs: Randomized Controlled Trial, Clinical Trial

Abstract: 18 elderly homes with a total of 812 HCW were randomly allocated to 2 intervention arms and a control arm. The study was conducted during November 2009 to July 2010. WHO Multimodal Strategy was employed, homes under interventional arms I and II were supplied with slightly powdered gloves and powderless gloves respectively. Controls were provided with similar promotion materials unrelated to HH. Direct observation by trained nurses was used to measure HH compliance. Self-administered questionnaires served to assess HH knowledge of HCW. Disease notification data during 2007-2010 were used to calculate incidence rate ratio (IRR). A total of 11,669 HH opportunities were observed. HH compliance increased from 27.0%to 60.6% and from 22.2%to 48.6% in intervention arms I and II respectively. Both intervention arms showed increase in HH compliance after intervention compared to controls of 21.6% (both p<0.001). “Before touching patient” among the WHO five moments for HH, activity index >40 opportunities/hour, physiotherapist/occupational therapist were associated with less improvement. Mean knowledge score increased from 5.5 to 6.6 after intervention. Respiratory outbreaks (IRR=0.12; 95% CI: 0.01-0.93; p=0.04) and MRSA admissions (IRR=0.61; 95% CI: 0.38-0.97; p=0.04) reduced after intervention. Promotion program applying WHO Multimodal Strategy is effective in improving HH among HCW in LTCF.

Source: BMC Proceedings

DOI: 10.1186/1753-6561-5-s6-o65

Authors: ML Ho, WH Seto, TS Lam, LC Wong, TY Wong

Institution: Hospital Authority

Language: English

Topic: Infection Control in Healthcare

Subfield: Infectious Diseases

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,290