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Hand hygiene in surgery in Benin: opportunities and challenges
- Source :
- Antimicrobial Resistance & Infection Control, Vol. 9, no. 1, p. 85 [1-8] (2020), Antimicrobial Resistance and Infection Control, Antimicrobial Resistance and Infection Control, Vol 9, Iss 1, Pp 1-8 (2020)
- Publication Year :
- 2020
- Publisher :
- BioMed Central, 2020.
-
Abstract
- Background Hand Hygiene (HH) has been described as the cornerstone and starting point in all infection control. Compliance to HH is a fundamental quality indicator. The aim of this study was to investigate the HH compliance among Health-care Workers (HCWs) in Benin surgical care units. Methods A multicenter prospective observational study was conducted for two months. The World Health Organization (WHO) Hand Hygiene Observation Tool was used in obstetric and gastrointestinal surgery through six public hospitals in Benin. HH compliance was calculated by dividing the number of times HH was performed by the total number of opportunities. HH technique and duration were also observed. Results A total of 1315 HH opportunities were identified during observation period. Overall, the compliance rate was 33.3% (438/1315), without significant difference between professional categories (nurses =34.2%; auxiliaries =32.7%; and physicians =32.4%; p = 0.705). However, compliance rates differed (p HCWs were more likely to use soap and water (72.1%) compared to the alcohol based hand rub solution (27.9%). For all of the WHO five moments, hand washing was the most preferred action. For instance, hand rub only was observed 3.9% after body fluid exposure and 16.3% before aseptic action compared to hand washing at 50.6 and 16.7% respectively. Duration of HH performance was not correctly adhered to 94% of alcohol hand rub cases (mean duration 9 ± 6 s instead of 20 to 30 s) and 99.5% of hand washing cases (10 ± 7 s instead of the recommended 40 to 60 s). Of the 432 HCWs observed, 77.3% followed HH prerequisites (i.e. no artificial fingernails, no jewellery). We also noted a lack of permanent hand hygiene infrastructures such as sink, soap, towels and clean water. Conclusion Compliance in surgery was found to be low in Benin hospitals. They missed two opportunities out of three to apply HH and when HH was applied, technique and duration were not appropriate. HH practices should be a priority to improve patient safety in Benin.
- Subjects :
- 0301 basic medicine
Microbiology (medical)
Male
Hand washing
medicine.medical_specialty
media_common.quotation_subject
Health Personnel
030106 microbiology
Obstetric Surgical Procedures
Observation
World Health Organization
World health
lcsh:Infectious and parasitic diseases
03 medical and health sciences
Patient safety
0302 clinical medicine
Hygiene
Risk Factors
medicine
Infection control
Benin
Humans
lcsh:RC109-216
Pharmacology (medical)
Hand Hygiene
030212 general & internal medicine
Prospective Studies
Digestive System Surgical Procedures
media_common
Hand rub
Cross Infection
business.industry
Research
Significant difference
Public Health, Environmental and Occupational Health
Patient contact
Surgery
Alcohol based hand rub
Obstetrics
Infectious Diseases
Female
Guideline Adherence
Patient Safety
business
Hand hygiene
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Journal :
- Antimicrobial Resistance & Infection Control, Vol. 9, no. 1, p. 85 [1-8] (2020), Antimicrobial Resistance and Infection Control, Antimicrobial Resistance and Infection Control, Vol 9, Iss 1, Pp 1-8 (2020)
- Accession number :
- edsair.doi.dedup.....d1991ab43facc86f1351cb9b5327c75d