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Review paper

Impact of hand hygiene knowledge on the hand hygiene compliance

By
Martin Novák Orcid logo ,
Martin Novák
Contact Martin Novák

Department of Public Health, Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, Slovakia

Jozef Breznický ,
Jozef Breznický

Department of Microbiology and Immunology, Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, Slovakia

Orthopaedic Clinic, F.D.Roosevelt Hospital, Banská Bystrica, Slovakia

Jana Kompaníková ,
Jana Kompaníková

Department of Microbiology and Immunology, Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, Slovakia

Nora Malinovská ,
Nora Malinovská

Department of Foreign Languages, Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, Slovakia

Henrieta Hudečková
Henrieta Hudečková

Department of Public Health, Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, Slovakia

Abstract

Aim
Hand hygiene practice is still burdened by inadequate compliance, whether in the professional sphere by health professionals or in the non-professional sphere by lay population. Aim of this study was to map the hand hygiene knowledge and its compliance in the monitored group of people.
Methods
The research was conducted at the Jessenius Faculty of Medicine in Martin of Comenius University in Bratislava (JFM CU) among seventy 3 rd year students of General Medicine (medical study program), and Nursing, Midwifery and Public Health (non-medical study programs). Knowledge of hygienic hand washing according to the WHO guidelines from 2009 was investigated, as well as differences in the level of microbial contamination of hands after routine hand washing between the group that had been acquainted with hand hygiene protocols and the group that had not sufficiently.
Results
The results have shown that 32.9% of the students did not perform hygienic hand washing properly. The differences between the groups of students with and without the proper hand hygiene compliance in routine hand washing were not statistically significant. Conclusion
The results of our survey have suggested that the reasons for decreased compliance with hand washing protocols may be related to forgetting to wash the hands or not being acquainted with hand washing protocols at all. The strategies focused only on one aspect of hand hygiene are, according to scientific literature, ineffective in the long term.

References

1.
Allegranzi B, Pittet D. Role of hand hygiene in healthcare-associated infection prevention. J Hosp Infect. 2009. p. 305–15.
2.
Fox C, Wavra T, Drake D, Mulligan D, Bennett Y, Nelson C, et al. Use of a patient hand hygiene protocol to reduce hospital-acquired infections and improve nurses’ hand washing. Am J Crit Care. 2015. p. 216–24.
3.
Who. WHO guidelines on hand hygiene in healthcare. 20AD.
4.
Gustafson D, Vetter E, Larson D, Ilstrup D, Maker M, Thompson R, et al. Effects of 4 hand-drying methods for removing bacteria from washed hands: a randomized trial. Mayo Clin Proc. 2000. p. 705–8.
5.
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. p. 1307–12.
6.
Boyce J, 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. Infect Control Hosp Epidemiol. 2002. p. 3–40.
7.
Longtin Y, Sax H, Allegranzi B, Schneider F, Pittet D, Hand Hygiene. N Engl J Med. 2001. p. 24.
8.
Azim S, Juergens C, Mclaws M. An average hand hygiene day for nurses and physicians: the burden is not equal. Am J Infect Control. 2016. p. 777–81.
9.
Hagel S, Reischke J, Kesselmeier M, Winnin J, Gastmeier P, Brunkhorst F, et al. Quantifying the Hawthorne effect in hand hygiene compliance through comparing direct observation with automated hand hygiene monitoring. Infect Control Hosp Epidemiol. 2015. p. 957–62.
10.
Wetzker W, Bunte-Schönberger K, Walter J, Pilarski G, Gastmeier P, Reichardt C. Compliance with hand hygiene: reference data from the national hand hygiene campaign in Germany. J Hosp Infect. 2016. p. 328–31.
11.
Shinde M, Mohite V. A study to assess knowledge, attitude and practices of five moments of hand hygiene among nursing staff and students at a tertiary care hospital at Karad. IJSR. 2014. p. 311–21.
12.
Basurrah M, Madani T. Handwashing and gloving practice among health care workers in medical and surgical wards in a tertiary care centre in Riyadh, Saudi Arabia. Scand J Infect Dis. 2006. p. 620–4.
13.
Blencowe H, Cousens S, Mullany L, Lee A, Kerber K, Wall S, et al. Clean birth and postnatal care practices to reduce neonatal deaths from sepsis and tetanus: a systematic review and Delphi estimation of mortality effect. BMC Public Health. 2011. p. 11.
14.
Curtis V, Schmidt W, Luby S, Florez R, Touré O, Biran A. Hygiene: new hopes, new horizons. Lancet Infect Dis. 2011. p. 312–21.
15.
Ejemot-Nwadiaro R, Ehiri J, Arikpo D, Meremikwu M, Critchley J. Hand washing promotion for preventing diarrhoea. Cochrane Database Syst Rev. 2015.
16.
Freeman M, Clasen T, Brooker S, Akoko D, Rheingans R. The impact of a school-based hygiene, water quality and sanitation intervention on soiltransmitted helminth reinfection: a cluster-randomized trial. Am J Trop Med Hyg. 2013. p. 875–83.
17.
Freeman M, Stocks M, Cumming O, Jeandron A, Higgins J, Curtis W, et al. Systematic review: hygiene and health: systematic review of handwashing practices worldwide and update of health effects. Trop Med Int Health. 2014. p. 906–16.
18.
Cairncross S, Valdmanis V;, Jamison D, Breman J, Measham A, Evans D, et al. Disease Control Priorities in Developing Countries. The International Bank for Reconstruction and Development / The World Bank; 2006.
19.
Pincock T, Bernstein P, Warthman S, Holst E. Bundling hand hygiene interventions and measurement to decrease health care-associated infections. Am J Infect Control. 2012. p. 18–27.
20.
Pittet D, Allegranzi B, Sax H, Dharan S, Pessoa-Silva C, Donaldson L, et al. Evidence-based model for hand transmission during patient care and the role of improved practices. Lancet Infect Dis. 2016. p. 641–52.
21.
Grayson M, Jarvie L, Martin R, Johnson P, Jodoin M, Mcmullan C, et al. Significant reductions in methicillin-resistant Staphylococcus aureus bacteraemia and clinical isolates associated with a multisite, hand hygiene culture-change program and subsequent successful statewide roll-out. Med J Aust. 2008. p. 633–40.
22.
Allegranzi B, Gayet-Ageron A, Damani N, Bengaly L, Mclaws M, Moro M, et al. Global implementation of WHO’s multimodal strategy for improvement of hand hygiene: a quasi-experimental study. Lancet Infect Dis. 2013. p. 843–51.
23.
Pessoa-Silva C, Hugonnet S, Pfister R, Touveneau S, Dharan S, Posfay-Barbe K, et al. Reduction of health care-associated infection risk in neonates by successful hand hygiene promotion. Pediatrics. 2007. p. 382–90.
24.
Van De Mortel T, Kermode S, Progano T, Sansoni J. A comparison of the hand hygiene knowledge, beliefs and practices of Italian nursing and medical students. J Adv Nurs. 2012. p. 569–79.
25.
Whitby M, Pessoa-Silva C, Mclaws M, Allegranzi B, Sax H, Larson E, et al. Behavioural considerations for hand hygiene practices: the basic building blocks. J Hosp Infect. 2007. p. 1–8.
26.
Ca O, Henly S, Larson E. Understanding adherence to hand hygiene recommendations: the theory of planned behavior. Am J Infect Control. 2001. p. 352–60.
27.
Larson E, Early E, Cloonan P, Sugrue S, Parides M. An organizational climate intervention associated with increased handwashing and decreased nosocomial infections. Behav Med. 2000. p. 14–22.
28.
Kelcíkova S, Skodova Z, Straka S. Effectiveness of hand hygiene education in a basic nursing school curricula. Public Health Nurs. 2012. p. 152–9.
29.
Kelcikova S, Mazuchova L, Bielena L, Filova L. Flawed self-assessment in hand-hygiene: a major contributor to infections in clinical practice. J Clin Nurs. 2019. p. 2265–75.
30.
Forrester L, Bryce E, Mediaa A. Clean Hands for LifeTM: results of a large, multicentre, multifaceted, social marketing hand-hygiene campaign. J Hosp Infect. 2010. p. 225–31.
31.
Nevo I, Fitzpatrick M, Thomas R, Gluck P, Lenchus J, Arheart K, et al. The efficacy of visual cues to improve hand hygiene compliance. Simul Healthc. 2010. p. 325–31.
32.
Thomas M, Gillespie W, Krauss J, Harrison S, Medeiros R, Hawkins M, et al. Focus group data as a tool in assessing effectiveness of a hand hygiene campaign. Am J Infect Control. 2005. p. 368–73.

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