Factors associated with personal protection equipment use and hand hygiene among hemodialysis staff

American Journal of Infection Control
Gayle ShimokuraMiriam J Alter

Abstract

Because exposure to blood by health care workers is frequent during hemodialysis, gloves are required for all contact with patients and their equipment, followed by hand hygiene. In this study, we investigated factors associated with performing these practices as recommended. Staff members from a sample of 45 US hemodialysis facilities were surveyed using an anonymous self-administered questionnaire. Factors independently associated with reporting increased compliance with recommended hand hygiene and glove use practices during patient care were identified with multivariate modeling. Of 605 eligible staff members, 420 (69%) responded: registered nurses, 41%; dialysis technicians, 51%; and licensed practical nurses, 8%. Only 35% reported that dialysis patients were at risk for bloodborne virus infections, and only 36% reported always following recommended hand hygiene and glove use practices. Independent factors associated with more frequent compliance were being a technician (versus a registered nurse) and reporting always doing what was needed to protect themselves from infection. Compliance with recommended hand hygiene and glove use practices by hemodialysis staff was low. The rationale for infection control practices specif...Continue Reading

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Citations

Apr 30, 2011·The Journal of the Egyptian Public Health Association·Nagwa Younis Abou El-Enein, Hala M El Mahdy
Jan 14, 2012·Current Opinion in Nephrology and Hypertension·Graham M Snyder, Erika M C D'Agata
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Jan 28, 2016·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·David J WeberMichael W Fried
Oct 6, 2012·American Journal of Infection Control·Mahmoud Al-Hussami, Muhammad Darawad
Jan 17, 2012·American Journal of Infection Control·Muhammad W DarawadManal Al-Sutari
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Feb 4, 2014·American Journal of Infection Control·Mehrdad AskarianMohsen Momeni
Apr 14, 2016·American Journal of Infection Control·Laura Arelí Sánchez-CarrilloAdrián Camacho-Ortiz
Apr 26, 2011·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Gayle ShimokuraMiriam J Alter
Mar 17, 2015·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Carol E ChenowethJoseph M Messana
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