Evaluation of hand hygiene in healthcare staff of Charles Nicolle hospital of Tunis by questionnaire
##plugins.themes.academic_pro.article.main##
Abstract
Background : Known to be reservoir of bacteria, hands are implicated in bacteria cross-transmission which enhances nosocomial-acquired infection rates (NI) and outbreaks. Hand washing is then considered the first mean with authentic efficiency to prevent NI
Aim : To describe the situation of the hand hygiene at Charles Nicolle hospital of Tunis in order to identify problems that can oppose to the good execution of this practice.
Methods: A descriptive transverse study performed in October 2006 where 600 questionnaires were distributed to healthcare staff of the hospital.
Results : Only 434 questionnaires were responded (158 doctors and 276 nurses). Analysis of data obtained showed that hand washing was essentially practiced after each contact presumed to be contaminant for the healthcare person himself (80%) and was principally done with water and soap (82%). Hydro-alcoholic
solutions were rarely mentioned (17.1%). The main reasons evoked for the non observance were unavailability of the necessary means (84.8%) and default of awareness (61.3%).
Conclusions : So, these results show a poor perception of the healthcare staff on the importance of hand hygiene which they share the responsibility with healthcare managers. Thus, implication of all healthcare actors is necessary to ensure the good practice and mainly the observance of hand hygiene.
Keywords:
hand hygiene, nosocomial infections, questionnaire, hydro-alcoholic solutions##plugins.themes.academic_pro.article.details##
References
- Newsom SWB. Pioneers in infection control. Ignaz Philip Semmelweis. J Hosp Infect 1993; 23: 175-87.
- Pittet D. Improving adhrence to hand hygiene practice: a multidisciplinary approach. Emerg Infect Dis 2001; 7: 234-240
- Borg MA, Ben Bachir M, Cookson B et al. Self-protection as driver for hand hygiene among healthcare workers. Infect Control Hosp Epidemiol 2009; 30: 578-80
- Boyce JM and Pittet D. Guideline for hand hygiene in health-care settings: recommendations of the health-care infection control practices advisory committee and the HICPAC/SHEA/APIC/IDSA hand hygiene task force. Infect Control Hosp Epidemiol 2002; 23: 3-40
- Chevrolet JC, Bourdain JL, Durand P et al. Prévention des infections à bactéries multirésistantes en réanimation. Réan Urg 1997; 6 :167-173
- Rothan-Tondeur. M et Abdel-Malak. S. L'évaluation des pratiques professionnelles. Hygiènes 2006; 14: 312-18
- Girou. E. Simplification des mesures d'hygiène dans la prévention des infections nosocomiales. Réanimation 2006 ; 15 : 193-97
- Pittet D, Infection en réanimation: un défi permanent de prévention et de prise en charge. Réanimation 2002; 11:151-3
- Larson EL, APIC guidelines for hand-washing and hand antisepsis in health care settings. Am J Infect Control 1995; 23:251-259
- Goetz. M-L. Les solutions hydro-alcooliques indications, avantages et inconvénients. Méd Mal infect 2004; 34: 124-26
- Branger B, Sénéchal H et al. Evolution de la consommation des solutions hydro-alcooliques dans les établissements de soins dans l'inter-région Ouest de 2000 à 2004. Hygiènes 2006; 14: 351-56
- Larson EL, Kretzer EK. Compliance with handwashing and barrier precautions. J Hosp Infect 1995; 30:88-106
- Larson EL, Killien M, Factors influencing handwashing behavior of patient care personnel. Am J Infect Control 1982; 10:93-9
- Meengs MR, Giles BK, Chisholm CD, Cordell WH, Nelson DR. Handwashing frequency in an emergency department. J Emerg Nurs 1994; 20:183-8
- Borg MA, Ben Bachir M, Cookson B et al Health care worker perceptions of hand hygiene practices and obstacles in a developing region. Am J Infect Control 2009; 37: 855-57
- Naoko Suzuki, Namiko Mori et al A questionnaire investigation regarding the neglect of hand washing, assessed by nurses in hospitals in Japan. Jpn.J. infect.Dis 2002; 55:217-19
- Kaplan LM, McGuckin M. Increasing handwashing compliance with more accessible sinks. Infect Control 1986; 7:408-10
- Preston GA, Larson EL, Stamm WE. The effect of private isolation rooms on patient care practices, colonization and infection in an invasive care unit. Am J Med 1981; 70:641-5
- Tibballs J, Teaching hospital medical staff to handwash. Med J Aust 1996; 164:395-8
- Whitby M, McLaws ML, Ross MW. Why healthcare workers don't wash their hands: a behavioral explanation. Infect Control Hosp Epidemiol 2006; 27:484-92
- Struelens MJ. Quelles stratégies peut -on proposer actuellement pour réduire la fréquence des infections à bactéries multirésistantes en réanimation. Réan Urg 1997; 6: 260-65
- 22-Binard F et Capdenat-Raymond E. Le questionnaire « connaissance-aptitudes pratiques » (CAP) comme outil d'évaluation des pratiques professionnelles. Hygiènes 2006; 14: 326-34
- Carbonne A. Intégrer l'audit de bonne pratique dans un programme de surveillance. Hygiènes 2006; 14: 335-38