Cargando…

Criterion-Based Audit of Hand Hygiene Performance During Caesarean Section at a Referral Hospital in Northern Tanzania: An Uncontrolled Interventional Study

BACKGROUND: Health-care-associated infection (HCAI) is a big challenge in both low- and high-income countries. Around childbirth, infection is among the main causes of maternal and perinatal morbidity and mortality. Appropriate hand hygiene practice is a simple and cost-effective way of reducing HCA...

Descripción completa

Detalles Bibliográficos
Autores principales: Sengoka, Enna, Rasmussen, Lærke, Msuya, Marycelina, Kisigo, Godfrey, Sørensen, Bjarke Lund, Chilongola, Jaffu, Maro, Eusebious
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The East African Health Research Commission 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8279249/
https://www.ncbi.nlm.nih.gov/pubmed/34308206
http://dx.doi.org/10.24248/EAHRJ-D-19-00014
_version_ 1783722415431352320
author Sengoka, Enna
Rasmussen, Lærke
Msuya, Marycelina
Kisigo, Godfrey
Sørensen, Bjarke Lund
Chilongola, Jaffu
Maro, Eusebious
author_facet Sengoka, Enna
Rasmussen, Lærke
Msuya, Marycelina
Kisigo, Godfrey
Sørensen, Bjarke Lund
Chilongola, Jaffu
Maro, Eusebious
author_sort Sengoka, Enna
collection PubMed
description BACKGROUND: Health-care-associated infection (HCAI) is a big challenge in both low- and high-income countries. Around childbirth, infection is among the main causes of maternal and perinatal morbidity and mortality. Appropriate hand hygiene practice is a simple and cost-effective way of reducing HCAIs. This study aimed to assess the baseline performance and knowledge of proper hand hygiene during caesarean sections and the impact of interventions guided by a criterion-based audit at a tertiary health facility in Tanzania. METHODS: A noncontrolled, before-and-after intervention study, guided by a criterion-based audit, was carried out. A criterion based checklist was used for direct observations of hand hygiene performance during cesarean section. A self-administered questionnaire was used to assess knowledge on infection prevention. Performance was compared before and after a half-way intervention. RESULTS: At baseline, low-quality hand hygiene performance was observed. Significant improvements of hand hygiene performance were observed for a number of criteria. Long nails: performance reduction from 15 (25%) to 3 (5%) (P=.04), polished nails: from 11 (18%) to 1 (2%) (P=.04), a score increase in hand wash with water from 43.8 (73%) to 60 (100%) (P=.001). Postoperatively, correct glove removal increased from 20 (33%) to 37.8 (66%) (P=.01). Alcohol-based hand rub use increased from 2 (3%) to 21 (35%) (P=.001). The number of health-care workers who did not wash hands after procedure with either water or alcohol-based hand rub reduced from 35 (58%) to 10 (17%) (P=.001). After the intervention, poor knowledge among health-care workers reduced from 7 (39%) to 3 (17%), while moderate knowledge increased from 8 (44%) to 12 (67%). CONCLUSION: Feedback, discussion of findings, training, visual reminders, and distribution of alcohol-based hand rub, as part of a criterion-based audit is a powerful way of improving hand hygiene performance and knowledge in surgical wards.
format Online
Article
Text
id pubmed-8279249
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher The East African Health Research Commission
record_format MEDLINE/PubMed
spelling pubmed-82792492021-07-22 Criterion-Based Audit of Hand Hygiene Performance During Caesarean Section at a Referral Hospital in Northern Tanzania: An Uncontrolled Interventional Study Sengoka, Enna Rasmussen, Lærke Msuya, Marycelina Kisigo, Godfrey Sørensen, Bjarke Lund Chilongola, Jaffu Maro, Eusebious East Afr Health Res J Original Articles BACKGROUND: Health-care-associated infection (HCAI) is a big challenge in both low- and high-income countries. Around childbirth, infection is among the main causes of maternal and perinatal morbidity and mortality. Appropriate hand hygiene practice is a simple and cost-effective way of reducing HCAIs. This study aimed to assess the baseline performance and knowledge of proper hand hygiene during caesarean sections and the impact of interventions guided by a criterion-based audit at a tertiary health facility in Tanzania. METHODS: A noncontrolled, before-and-after intervention study, guided by a criterion-based audit, was carried out. A criterion based checklist was used for direct observations of hand hygiene performance during cesarean section. A self-administered questionnaire was used to assess knowledge on infection prevention. Performance was compared before and after a half-way intervention. RESULTS: At baseline, low-quality hand hygiene performance was observed. Significant improvements of hand hygiene performance were observed for a number of criteria. Long nails: performance reduction from 15 (25%) to 3 (5%) (P=.04), polished nails: from 11 (18%) to 1 (2%) (P=.04), a score increase in hand wash with water from 43.8 (73%) to 60 (100%) (P=.001). Postoperatively, correct glove removal increased from 20 (33%) to 37.8 (66%) (P=.01). Alcohol-based hand rub use increased from 2 (3%) to 21 (35%) (P=.001). The number of health-care workers who did not wash hands after procedure with either water or alcohol-based hand rub reduced from 35 (58%) to 10 (17%) (P=.001). After the intervention, poor knowledge among health-care workers reduced from 7 (39%) to 3 (17%), while moderate knowledge increased from 8 (44%) to 12 (67%). CONCLUSION: Feedback, discussion of findings, training, visual reminders, and distribution of alcohol-based hand rub, as part of a criterion-based audit is a powerful way of improving hand hygiene performance and knowledge in surgical wards. The East African Health Research Commission 2019 2019-11-29 /pmc/articles/PMC8279249/ /pubmed/34308206 http://dx.doi.org/10.24248/EAHRJ-D-19-00014 Text en © The East African Health Research Commission 2019 https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly cited. To view a copy of the license, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Original Articles
Sengoka, Enna
Rasmussen, Lærke
Msuya, Marycelina
Kisigo, Godfrey
Sørensen, Bjarke Lund
Chilongola, Jaffu
Maro, Eusebious
Criterion-Based Audit of Hand Hygiene Performance During Caesarean Section at a Referral Hospital in Northern Tanzania: An Uncontrolled Interventional Study
title Criterion-Based Audit of Hand Hygiene Performance During Caesarean Section at a Referral Hospital in Northern Tanzania: An Uncontrolled Interventional Study
title_full Criterion-Based Audit of Hand Hygiene Performance During Caesarean Section at a Referral Hospital in Northern Tanzania: An Uncontrolled Interventional Study
title_fullStr Criterion-Based Audit of Hand Hygiene Performance During Caesarean Section at a Referral Hospital in Northern Tanzania: An Uncontrolled Interventional Study
title_full_unstemmed Criterion-Based Audit of Hand Hygiene Performance During Caesarean Section at a Referral Hospital in Northern Tanzania: An Uncontrolled Interventional Study
title_short Criterion-Based Audit of Hand Hygiene Performance During Caesarean Section at a Referral Hospital in Northern Tanzania: An Uncontrolled Interventional Study
title_sort criterion-based audit of hand hygiene performance during caesarean section at a referral hospital in northern tanzania: an uncontrolled interventional study
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8279249/
https://www.ncbi.nlm.nih.gov/pubmed/34308206
http://dx.doi.org/10.24248/EAHRJ-D-19-00014
work_keys_str_mv AT sengokaenna criterionbasedauditofhandhygieneperformanceduringcaesareansectionatareferralhospitalinnortherntanzaniaanuncontrolledinterventionalstudy
AT rasmussenlærke criterionbasedauditofhandhygieneperformanceduringcaesareansectionatareferralhospitalinnortherntanzaniaanuncontrolledinterventionalstudy
AT msuyamarycelina criterionbasedauditofhandhygieneperformanceduringcaesareansectionatareferralhospitalinnortherntanzaniaanuncontrolledinterventionalstudy
AT kisigogodfrey criterionbasedauditofhandhygieneperformanceduringcaesareansectionatareferralhospitalinnortherntanzaniaanuncontrolledinterventionalstudy
AT sørensenbjarkelund criterionbasedauditofhandhygieneperformanceduringcaesareansectionatareferralhospitalinnortherntanzaniaanuncontrolledinterventionalstudy
AT chilongolajaffu criterionbasedauditofhandhygieneperformanceduringcaesareansectionatareferralhospitalinnortherntanzaniaanuncontrolledinterventionalstudy
AT maroeusebious criterionbasedauditofhandhygieneperformanceduringcaesareansectionatareferralhospitalinnortherntanzaniaanuncontrolledinterventionalstudy