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Hand hygiene assessment in the workplace using a UV lamp

Published:August 18, 2015DOI:https://doi.org/10.1016/j.ajic.2015.07.003

      Highlights

      • Quick, visual, and practical assessment directly at the workplace.
      • The marked hand rub and UV lamp revealed mistakes, that is, zones without coverage.
      • Only 67 of the 705 participants (9.5%) rubbed both hands correctly.
      • The significant impact of the results on HCWs could improve the quality of their hand hygiene and adherence to protocols.
      The aim of this study was to determine the quality of the hand hygiene (HH) technique of healthcare workers (HCW) in real conditions, without previous education or training. All 705 participants did the World Health Organization sequence for HH correctly, but only 9.5% actually achieved the highest rating (ie, all hand areas with hand rub distribution).

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      References

        • Boyce J.M.
        • Pittet D.
        Guideline for hand Hygiene in Health-care Settings. Recommendations of the Healthcare Infection Control Practices Advisory committee and the HICPAC/SHEA/APIC/IDSA Hand Hygiene Task Force. Society for Healthcare Epidemiology of America/Association for professionals in Infection Control/Infectious Diseases Society of America.
        MMWR Recomm Rep. 2002; 51: S3-S40
        • Pittet D.
        • Allegranzi B.
        • Storr J.
        The WHO Clean Care is Safer Care programme: field-testing to enhance sustainability and spread of hand hygiene improvements.
        J Infect Public Health. 2008; 1: 4-10
        • Allegranzi B.
        • Pittet D.
        Role of hand hygiene in healthcare-associated infection prevention.
        J Hosp Infect. 2009; 73: 305-315
        • Storr J.A.
        • Engineer C.
        • Allan V.
        Save Lives: Clean Your Hands: a WHO patient safety initiative for 2009.
        World Hosp Health Serv. 2009; 45: 23-25
        • Sax H.
        • Allegranzi B.
        • Chraiti M.N.
        • Boyce J.
        • Larson E.
        • Pittet D.
        The World Health Organization hand hygiene observation method.
        Am J Infect Control. 2009; 37: 827-834
        • Pittet D.
        • Allegranzi B.
        • Boyce J.
        The World Health Organization guidelines on hand hygiene in health care and their consensus recommendations.
        Infect Control Hosp Epidemiol. 2009; 30: 611-622
        • Pittet D.
        • Hugonnet S.
        • Harbarth S.
        • Mourouga P.
        • Sauvan V.
        • Touveneau S.
        • et al.
        Effectiveness of a hospital-wide programme to improve compliance with hand hygiene.
        Lancet. 2000; 356: 1307-1312
        • Erasmus V.
        • Daha T.J.
        • Brug H.
        • Richardus J.H.
        • Behrendt M.D.
        • Vos M.C.
        • et al.
        Systematic review of studies on compliance with hand hygiene guidelines in hospital care.
        Infect Control Hosp Epidemiol. 2010; 31: 283-294
        • Rosenthal V.D.
        • Pawar M.
        • Leblebicioglu H.
        • Navoa-Ng J.A.
        • Villamil-Gomez W.
        • Armas-Ruiz A.
        • et al.
        Impact of the International Nosocomial Infection Control Consortium (INICC) multidimensional hand hygiene approach over 13 years in 51 cities of 19 limited-resource countries from Latin America, Asia, the Middle East, and Europe.
        Infect Control Hosp Epidemiol. 2013; 34: 415-423
      1. Healthcare System of Extremadura. Healthcare Management of Regeion of Badajoz. Annual report 2013. Avaliable from: http://www.areasaludbadajoz.com/index.php/memorias-anuales-2. Accessed July 31, 2015.

      2. Derma LiteCheck: training. Available at: http://www.derma-litecheck.com/en/training.php. Accessed December 15, 2014.

      3. Dermalux Checkbox. Available from: http://www.derma-litecheck.com/. Accessed December 15, 2014.

        • Macdonald D.J.
        • Mckillop E.C.
        • Trotter S.
        • Gray A.J.
        One plunge or two? Hand disinfection with alcohol gel.
        Int J Qual Health Care. 2006; 18: 120-122
        • Widmer A.F.
        • Conzelmann M.
        • Tomic M.
        • Frei R.
        • Stranden A.M.
        Introducing alcohol-based hand rub for hand hygiene: the critical need for training.
        Infect Control Hosp Epidemiol. 2007; 28: 50-54
        • Kampf G.
        • Reichel M.
        • Feil Y.
        • Eggerstedt S.
        • Kaulfers P.M.
        Influence of rub-in technique on required application time and hand coverage in hygienic hand disinfection.
        BMC Infect Dis. 2008; 8: 149
        • Ramon-Canton C.
        • Boada-Sanmartin N.
        • Pagespetit-Casas L.
        Evaluation of a hand hygiene technique in healthcare workers.
        Rev Calid Asist. 2011; 26 (in Spanish): 376-379
        • Sánchez-Payá J.
        • Fuster-Pérez M.
        • García-González C.
        • García-Rodríguez R.M.
        • García-Shimizu P.
        • San Juan-Quiles A.
        • et al.
        Evaluación de un programa de actualización de las recomendaciones sobre la higiene de manos.
        An Sist Sanit Navar. 2007; 30: 343-352