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Acta pediátrica de México

versión On-line ISSN 2395-8235versión impresa ISSN 0186-2391


HERNANDEZ-OROZCO, HG et al. One-to-one training to increase correct hand hygiene technique. Acta pediatr. Méx [online]. 2017, vol.38, n.5, pp.299-307. ISSN 2395-8235.


Hand hygiene (HH) is considered the most important strategy to prevent healthcare associated infections. At our institution, a previous survey showed that 93% of hospital staff said they knew the hand's hygiene technique. But active surveillance observations did not reflect these results.


Improve appropriate hand hygiene technique through a strategy "one to one".


Before and after study, conducted from 2012 to 2013 including the nursing staff. The study was done in three stages: 1st stage: we observed nurse performing HH and reinforced verbally if technique was incorrect. 2nd stage: we invited a nurse to perform a HH, if technique was incorrect, we asked the nurse to do HH together with a trained observer. 3rd stage: was performed with at least 15 days after 2nd stage and consisted in a final HH technique assessment. We analyzed and compared frequencies of correct events with ji2 and McNemar.


The McNemar test showed statistically significant difference between the frequencies of correct hand hygiene (HH) at stage 1 compared with subsequent stages (35 versus 85%; P < .001).


We confirmed that led intervention increased cooperation by the staff and improved the correct technique of HH in the short term.

Palabras llave : hand hygiene compliance; correct technique.

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