Compliance measurement and observed influencing factors of hand hygiene based on COVID-19 guidelines in China.

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Tytuł:: Compliance measurement and observed influencing factors of hand hygiene based on COVID-19 guidelines in China.
Autorzy:: Zhou Q; School of Medicine and Health Management, Tongji Medical School, Huazhong University of Science and Technology, Wuhan, Hubei, China.
Lai X; Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.
Zhang X; School of Medicine and Health Management, Tongji Medical School, Huazhong University of Science and Technology, Wuhan, Hubei, China. Electronic address: .
Tan L; Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China. Electronic address: .
Źródło:: American journal of infection control [Am J Infect Control] 2020 Sep; Vol. 48 (9), pp. 1074-1079. Date of Electronic Publication: 2020 Jun 06.
Typ publikacji:: Evaluation Study; Journal Article
Język:: English
Imprint Name(s):: Original Publication: St. Louis, Mosby
MeSH Terms:: Coronavirus Infections/*prevention & control
Disease Transmission, Infectious/*prevention & control
Guideline Adherence/*standards
Hand Hygiene/*standards
Hospitals/*standards
Infection Control/*standards
Pandemics/*prevention & control
Pneumonia, Viral/*prevention & control
Adult ; Betacoronavirus ; COVID-19 ; China/epidemiology ; Female ; Hand Hygiene/methods ; Humans ; Infection Control/methods ; Logistic Models ; Male ; Middle Aged ; SARS-CoV-2
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Contributed Indexing:: Keywords: Criterion; Duration; Hand drying; Moment; Procedure
Entry Date(s):: Date Created: 20200612 Date Completed: 20200910 Latest Revision: 20210129
Update Code:: 20240104
PubMed Central ID:: PMC7833598
DOI:: 10.1016/j.ajic.2020.05.043
PMID:: 32522610
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Background: Higher requirement is put forward in the measurement of hand hygiene (HH) during a pandemic. This study aimed to describe HH compliance measurement and explore observed influencing factors with respect to coronavirus disease 2019 (COVID-19) guidelines in China.
Methods: Compliance was measured as the percentage of compliant opportunities based on criteria for 17 moments. The criteria for compliance included HH behavior, procedure, duration, hand drying method, and the overall that counts them all. The observed influencing factors included different departments and areas and protection motivation. Descriptive analysis and logistic regression were performed.
Results: The compliance of overall criteria, HH behavior, procedure, duration, and hand drying method were 79.44%, 96.71%, 95.74%, 88.93%, and 88.42%, respectively, which were significantly different from each other (P < .001). Meanwhile, the overall and hand drying method compliance in semi-contaminated areas (odds ratio [OR] = 1.829, P < .001; OR = 2.149, P = .001) and hygienic areas (OR = 1.689, P = .004; OR = 1.959, P = .015) were significantly higher than those in contaminated area. The compliance with HH behavior for the motivation of patient-protection (OR = 0.362, P < .001) was lower than that for the motivation of self-protection.
Conclusions: HH compliance was firstly measured using different criteria for 17 moments according to COVID-19 guidelines in China. The measurement of HH compliance needs clearer definition and comprehensive practice. Contaminated areas and motivation of patient-protection contribute to lower compliance, which may be addressed by allocating more human resources and increasing supervision and education.
(Copyright © 2020 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.)

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