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856. Assessment of Hand Hygiene amongst Health Care Professionals at Jimma University Medical Center

BACKGROUND: Lack of hand hygiene (HH) amongst healthcare workers (HCWs) contributes to healthcare associated infections and the spread of multidrug-resistant organisms. We assessed HCW HH knowledge, attitudes, and compliance using WHO tools and applied the Systems Engineering Initiative for Patient...

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Autores principales: Berman, Leigh R, Kavalier, Meredith, Deressa, Beshea G, Yilma, Daniel, Tesfaw, Getnet, Shirley, Daniel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7777158/
http://dx.doi.org/10.1093/ofid/ofaa439.1045
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author Berman, Leigh R
Kavalier, Meredith
Deressa, Beshea G
Yilma, Daniel
Tesfaw, Getnet
Shirley, Daniel
author_facet Berman, Leigh R
Kavalier, Meredith
Deressa, Beshea G
Yilma, Daniel
Tesfaw, Getnet
Shirley, Daniel
author_sort Berman, Leigh R
collection PubMed
description BACKGROUND: Lack of hand hygiene (HH) amongst healthcare workers (HCWs) contributes to healthcare associated infections and the spread of multidrug-resistant organisms. We assessed HCW HH knowledge, attitudes, and compliance using WHO tools and applied the Systems Engineering Initiative for Patient Safety (SEIPS) model in interviews to help guide and increase sustainability of HH interventions. METHODS: We conducted a cross-sectional study at Jimma University Medical Center (JUMC) in Jimma, Ethiopia. We assessed HCW’s HH knowledge and attitudes using questionnaires adapted from WHO resources via systematic sampling. Observations of HH practices at WHO’s 5 Moments of HH were conducted by non-identified, trained observers via systematic sampling. 22 semi-structured interviews were conducted via convenience sampling with HCWs using an interview guide based on the SEIPS model. RESULTS: We observed 1,386 HH moments and found a compliance rate of 9.38%, with compliance highest after contact with patient surroundings (27.92%) compared to the other four HH moments (1.77 - 9.57%). Of 251 survey participants, 13.6% had prior HH training and 69.9% reported routine HH compliance. The average knowledge score was 61.4%, with no significant difference between participants that identified as trained vs untrained (p=0.41). 68% of interview participants stated they were unaware of JUMC’s Infection Prevention and Control (IPC) team and are more likely to perform HH if a patient appears infectious. Interview participants cited multiple barriers to HH (table 1). Table 1 [Image: see text] CONCLUSION: Baseline HH compliance and knowledge were low despite perceived compliance and regardless of prior HH training. Relatively higher compliance after patient contact may be due to perceptions of patient infectiousness. Utilizing the SEIPS model as an adjunct to WHO HH guidelines has provided actionable items upon which the JUMC IPC team can focus to improve HH practices: providing a sustainable supply of alcohol hand rub, ongoing HH education targeting knowledge deficits, and enhanced IPC presence and HH monitoring. DISCLOSURES: Meredith Kavalier, MD, University of Wisconsin-Madison Global Health Institute (Grant/Research Support)
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spelling pubmed-77771582021-01-07 856. Assessment of Hand Hygiene amongst Health Care Professionals at Jimma University Medical Center Berman, Leigh R Kavalier, Meredith Deressa, Beshea G Yilma, Daniel Tesfaw, Getnet Shirley, Daniel Open Forum Infect Dis Poster Abstracts BACKGROUND: Lack of hand hygiene (HH) amongst healthcare workers (HCWs) contributes to healthcare associated infections and the spread of multidrug-resistant organisms. We assessed HCW HH knowledge, attitudes, and compliance using WHO tools and applied the Systems Engineering Initiative for Patient Safety (SEIPS) model in interviews to help guide and increase sustainability of HH interventions. METHODS: We conducted a cross-sectional study at Jimma University Medical Center (JUMC) in Jimma, Ethiopia. We assessed HCW’s HH knowledge and attitudes using questionnaires adapted from WHO resources via systematic sampling. Observations of HH practices at WHO’s 5 Moments of HH were conducted by non-identified, trained observers via systematic sampling. 22 semi-structured interviews were conducted via convenience sampling with HCWs using an interview guide based on the SEIPS model. RESULTS: We observed 1,386 HH moments and found a compliance rate of 9.38%, with compliance highest after contact with patient surroundings (27.92%) compared to the other four HH moments (1.77 - 9.57%). Of 251 survey participants, 13.6% had prior HH training and 69.9% reported routine HH compliance. The average knowledge score was 61.4%, with no significant difference between participants that identified as trained vs untrained (p=0.41). 68% of interview participants stated they were unaware of JUMC’s Infection Prevention and Control (IPC) team and are more likely to perform HH if a patient appears infectious. Interview participants cited multiple barriers to HH (table 1). Table 1 [Image: see text] CONCLUSION: Baseline HH compliance and knowledge were low despite perceived compliance and regardless of prior HH training. Relatively higher compliance after patient contact may be due to perceptions of patient infectiousness. Utilizing the SEIPS model as an adjunct to WHO HH guidelines has provided actionable items upon which the JUMC IPC team can focus to improve HH practices: providing a sustainable supply of alcohol hand rub, ongoing HH education targeting knowledge deficits, and enhanced IPC presence and HH monitoring. DISCLOSURES: Meredith Kavalier, MD, University of Wisconsin-Madison Global Health Institute (Grant/Research Support) Oxford University Press 2020-12-31 /pmc/articles/PMC7777158/ http://dx.doi.org/10.1093/ofid/ofaa439.1045 Text en © The Author 2020. Published by Oxford University Press on behalf of Infectious Diseases Society of America. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial reproduction and distribution of the work, in any medium, provided the original work is not altered or transformed in any way, and that the work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Poster Abstracts
Berman, Leigh R
Kavalier, Meredith
Deressa, Beshea G
Yilma, Daniel
Tesfaw, Getnet
Shirley, Daniel
856. Assessment of Hand Hygiene amongst Health Care Professionals at Jimma University Medical Center
title 856. Assessment of Hand Hygiene amongst Health Care Professionals at Jimma University Medical Center
title_full 856. Assessment of Hand Hygiene amongst Health Care Professionals at Jimma University Medical Center
title_fullStr 856. Assessment of Hand Hygiene amongst Health Care Professionals at Jimma University Medical Center
title_full_unstemmed 856. Assessment of Hand Hygiene amongst Health Care Professionals at Jimma University Medical Center
title_short 856. Assessment of Hand Hygiene amongst Health Care Professionals at Jimma University Medical Center
title_sort 856. assessment of hand hygiene amongst health care professionals at jimma university medical center
topic Poster Abstracts
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7777158/
http://dx.doi.org/10.1093/ofid/ofaa439.1045
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