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Boletín médico del Hospital Infantil de México

Print version ISSN 1665-1146


ZAMUDIO-LUGO, Irma et al. Multimodal study of hand hygiene in a third level pediatric hospital. Bol. Med. Hosp. Infant. Mex. [online]. 2012, vol.69, n.5, pp.384-390. ISSN 1665-1146.

Background. Despite the simplicity and cost-effectiveness of hand hygiene, compliance is less than 60% in health care workers. Training activities are rejected because they are considered too conventional. The aim of this study was to implement a multimodal hand hygiene strategy to assess compliance in health care workers. Methods. A time-series study was performed including three observation periods during 3 years. Five components were implemented in parallel: changes in infrastructure, availability of supplies, training and education for health care workers, monitoring hand hygiene practices and feedback were recorded. Results. During the first period (2009), the prevalence of hand washing was 53.84; less than 10% complied with the five moments. For the second period in June 2010 (n = 204), the prevalence was 62.74; 13.23% complied with the five moments. In 2011 the prevalence was 51; 38.9% complied with the five moments (p < 0.05). Conclusions. After implementing a multimodal strategy, compliance increased significantly with a similar prevalence.

Keywords : Hand hygiene; compliance; multimodal strategy; prevalence.

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