Brief report| Volume 42, ISSUE 8, P926-928, August 2014

Download started.


Influence of signal colored hand disinfectant dispensers on hand hygiene compliance at a medical intensive care unit

      To assess the influence of signal colors on hand disinfectant dispenser activities, health care workers (HCWs) at a medical intensive care unit were analyzed for a total of 20 weeks with 8 weeks before and 12 weeks after exchange to signal color. No significant increase in hand rubs (HRs) per patient day (PD) was observed (about 40 HRs/PD); however, HCW-adjusted compliance showed a 6% increase with signal colored devices. Therefore, colored devices may help to improve hand hygiene compliance.

      Key words

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to American Journal of Infection Control
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • World Health Organization
        WHO guidelines for hand hygiene in health care.
        WHO, Geneva, Switzerland2009: 1-262
        • Helms D.
        • Dorwal S.
        • Laurent P.S.
        • Winter M.
        Improving hand hygiene compliance: a multidisciplinary approach.
        Am J Infect Control. 2010; 38: 572-574
        • Boyce J.M.
        Measuring healthcare worker hand hygiene activity: current practices and emerging technologies.
        Infect Control Hosp Epidemiol. 2011; 32: 1016-1028
        • Morgan D.J.
        • Pineles L.
        • Shardell M.
        • Young A.
        • Ellingson K.
        • Jernigan J.A.
        • et al.
        Automated hand hygiene count devices may better measure compliance than human observation.
        Am J Infect Control. 2012; 40: 955-959
        • Marra A.R.
        • Moura D.F.
        • Paes A.T.
        • dos Santos O.F.
        • Edmond M.B.
        Measuring rates of hand hygiene adherence in the intensive care setting: a comparative study of direct observation, product usage, and electronic counting devices.
        Infect Control Hosp Epidemiol. 2010; 31: 796-801
        • Cheng V.C.
        • Tai J.W.
        • Ho S.K.
        • Chan J.F.
        • Hung K.N.
        • Ho P.L.
        • et al.
        Introduction of an electronic monitoring system for monitoring compliance with Moments 1 and 4 of the WHO “My 5 moments for hand hygiene” methodology.
        BMC Infect Dis. 2011; 11: 151
        • Helder O.
        • van Goudoever J.
        • Hop W.
        • Brug J.
        • Kornelisse R.F.
        Hand disinfection in a neonatal intensive care unit: continuous electronic monitoring over a one-year period.
        BMC Infect Dis. 2012; 12: 248
        • Scheithauer S.
        • Schwanz T.
        • Koch A.
        • Haefner H.
        • Krizanovic V.
        • Lemmen S.
        Increase of alcoholic hand disinfection usage due to new touchless dispensers.
        Hyg Med. 2011; 36: 494-496
        • Higgins A.
        • Hannan M.
        Improved hand hygiene technique and compliance in healthcare workers using gaming technology.
        J Hosp Infect. 2013; 84: 32-37
      1. KISS Krankenhaus-Infektions-Surveillance-System. Available from: [in German]. Accessed January 4, 2014.

        • Scheithauer S.
        • Haefner H.
        • Schwanz T.
        • Schulze-Steinen H.
        • Schiefer J.
        • Koch A.
        • et al.
        Compliance with hand hygiene on surgical, medical, and neurologic intensive care units: direct observation versus calculated disinfectant usage.
        Am J Infect Control. 2009; 37: 835-841
        • Scheithauer S.
        • Rosarius A.
        • Rex S.
        • Post P.
        • Heisel H.
        • Krizanovic V.
        • et al.
        Improving hand hygiene compliance in the anesthesia working room work area: more than just more hand rubs.
        Am J Infect Control. 2013; 41: 1001-1006