Implementation of directly observed patient hand hygiene for hospitalized patients by hand hygiene ambassadors in Hong Kong

American Journal of Infection Control
Vincent C C ChengK Y Yuen

Abstract

The importance of compliance with hand hygiene by patients is increasingly recognized to prevent health care-associated infections. This descriptive study observed the effects of an education campaign, targeted to increase patients' self-initiated hand hygiene, and a hand hygiene ambassador-initiated directly observed hand hygiene program on patients' hand hygiene compliance in a university-affiliated hospital. The overall audited compliance of patients' self-initiated hand hygiene was only 37.5%, with a rate of 26.9% (112/416 episodes) before meals and medications, 27.5% (19/69 episodes) after using a urinal or bedpan, and 89.7% (87/97 episodes) after attending toilet facilities. Patients referred from a residential care home for older adults had significantly lower hand hygiene compliance (P = .007). Comparatively, the overall audited compliance of ambassador-initiated directly observed hand hygiene was 97.3% (428/440 episodes), which was significantly higher than patients' self-initiated hand hygiene via a patient education program (37.5%, 218/582 episodes, P < .001). Directly observed hand hygiene can play an important role in improving compliance with hand hygiene by hospitalized patients.

References

Jul 25, 2009·American Journal of Infection Control·Emma Burnett
Apr 5, 2011·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Vincent C C ChengK Y Yuen
May 11, 2012·American Journal of Infection Control·Timothy LandersJames Bingham
Oct 16, 2012·American Journal of Infection Control·Kuan-Sheng WuYao-Shen Chen
Dec 4, 2012·American Journal of Infection Control·Laura L ArdizzoneElaine L Larson
May 7, 2014·Journal of the Formosan Medical Association = Taiwan Yi Zhi·Vincent Chi-Chung ChengKwok-Yung Yuen
Nov 22, 2014·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·V C C ChengK Y Yuen
Apr 11, 2015·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Venkata C K SunkesulaCurtis J Donskey

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Citations

Sep 14, 2016·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Vincent C C ChengKwok-Yung Yuen
Jan 31, 2017·American Journal of Infection Control·Vincent C C ChengKwok-Yung Yuen
Feb 28, 2018·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Vincent C C ChengKwok-Yung Yuen
Mar 7, 2020·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Vincent C C ChengKwok-Yung Yuen
Jun 9, 2020·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Vincent Chi-Chung ChengKwok-Yung Yuen
Jan 27, 2019·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·Vincent C C ChengPak-Leung Ho
Mar 6, 2021·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·Shuk- Ching WongVincent Chi-Chung Cheng
Dec 23, 2020·American Journal of Infection Control·Heather P LovedayJennie A Wilson

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