creators_name: J, Suchitra creators_name: N, Lakshmidevi editors_name: Kakkilaya, Srinivas editors_name: Baliga, Shantaram editors_id: Kakkilaya BS editors_id: Baliga BS type: journale datestamp: 2007-04-26 lastmod: 2011-03-11 08:56:49 metadata_visibility: show title: Hand washing Compliance - Is It A Reality? ispublished: pub subjects: OJHAS full_text_status: public keywords: Hand washing, Compliance abstract: Background: Transmission of microorganisms from the hands of health care workers is the main source of cross-infection in hospitals and can be prevented by hand washing. The aim of this study was to identify predictors of noncompliance with hand washing during routine patient care. Materials And Methods: This is an observational study. The participants in the study were Health Care Workers (HCWs). Doctors, nurses and ward aides working in different wards of the hospital who were observed for compliance with hand washing. Results: In 270 observed opportunities for hand washing, average compliance was 63.3%. Noncompliance was highest among doctors followed by nurses. Ward aides were most compliant. Conclusions: Compliance with hand washing was moderate. Variation across the hospital ward and type of HCW suggests that targeted educational programs may be useful. Noncompliance suggests that understaffing may decrease quality of patient care. date: 2007-03 date_type: published publication: Online Journal Of Health And Allied Sciences volume: 5 number: 4 publisher: Dr. B.S. Kakkilaya refereed: TRUE referencetext: 1. Haley RW, Culver DH, White JW, Morgan WM, Emori TG, Munn VP, et al. The efficacy of infection surveillance and control programs in preventing nosocomial infections in US hospitals. Am J Epideiol. 1985;121:185-205. 2. Larson EL. APIC guideline for handwashing and hand antisepsis in health care settings. Am J Infect Control. 1995;23:251-69. 3. Steere AC, Mallison GF. Handwashing practices for the prevention of nosocomial infections. Ann Intern Med. 1975;83:683-90. 4. Albert RK, Condie F. Handwashing patterns in medical intensive care units. N Engl J Med. 1981;304:1465-6. 5. Jarvis WR. Handwashing- the Semmelweis lesson forgotten? Lancet. 1994;344:1311-2. 6. Sproat LJ, Inglis TJ. A multicentre survey of hand hygiene practice in intensive care units. J Hosp Infect. 1994;26:137-48. 7. Thompson BL, Dwyer DM, Ussery XT, Denman S, Vacek P, Schwartz B. Handwashing and glove use in a long term care facility. Infect Control Hosp Epidemiol. 1997;18:97-103. 8. Rotter ML, Handwashing and hand disinfection. In: Mayhall CG, ed. Hospital Epidemiology and Infection Control. Baltimore: Williams & Wilkins; 1996:1052-68. 9. Larson E, Killien M. Factors influencing handwashing behaviour of patient care personnel. Am J Infect Control. 1982;10:93-9. 10. Doebbeling BN, Pfaller MA, Houston AK, Wenzel RP. Removal of nosocomial pathogens from the contaminated glove. Implications of glove reuse and handwashing. Ann Intern Med. 1988;109:394-8. 11. Gould D. Nurses hand decontamination practice: results of a local study. J Hosp Infect.1994; 28:15-30. 12. Pettinger A, Nettleman MD. Epidemiology of isolation precautions. Infect Control Hosp Epidemio. 1991;12:303-7. 13. Haley RW, Bregman DA. The role of understaffing and overcrowding in recurrent outbreaks of staphylococcal infection in a neonatal special care unit. J Infect Dis. 1982;145:875-85. 14. Fridkin SK, Pear SM, Williamson T, Galgiani JN, Jarvis WR. The role of understaffing in central venous catheter associated bloodstream infections. Infect Control Epidemiol. 1996;17: 150-8. 15. Voss A, Widmer AF. No time foe handwashing? Handwashing versus alcoholic rub: can we afford 100% compliance? Infect Control Hosp Epidemiol. 1997;18: 205-8. 16. Lynch P, Jackson MM, Cummings MJ, Stamm WE. Rethinking the role of isolation practices in the prevention of nosocomial infections. Ann Intern Med. 1987; 107: 243-6. citation: J B, Suchitra and N, Lakshmidevi (2007) Hand washing Compliance - Is It A Reality? [Journal (On-line/Unpaginated)] document_url: http://cogprints.org/5494/1/2006-4-2.pdf