Promotion of hand hygiene strengthening initiative in a Nigerian teaching hospital: implication for improved patient safety in low-income health facilities
Background: Health care-associated infection remains a significant hazard for hospitalized patients. Hand hygiene is a fundamental action for ensuring patient safety. Objective: To promote adoption of World Health Organization Hand Hygiene Guidelines to enhance compliance among doctors and nurses an...
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doaj-eedaa729811e400d91a565bf6efee8a82020-11-25T01:19:33ZengElsevierBrazilian Journal of Infectious Diseases1413-86702014-01-011812127S1413-86702014000100021Promotion of hand hygiene strengthening initiative in a Nigerian teaching hospital: implication for improved patient safety in low-income health facilitiesChigozie Jesse Uneke0Chinwendu Daniel Ndukwe1Patrick Gold Oyibo2Kingsley Onuoha Nwakpu3Richard Chukwuka Nnabu4Nittita Prasopa-Plaizier5Department of Medical Microbiology/Parasitology, Faculty of Clinical Medicine, Ebonyi State University, Abakaliki, Nigeria; Corresponding author at: Department of Medical Microbiology/Parasitology, Faculty of Clinical Medicine, Ebonyi State University, PMB 053 Abakaliki, Nigeria.Department of Community Medicine, Faculty of Clinical Medicine, Ebonyi State University, Abakaliki, NigeriaDepartment of Community Medicine, Faculty of Clinical Medicine, Delta State University, Abraka, NigeriaDepartment of Medical Microbiology/Parasitology, Faculty of Clinical Medicine, Ebonyi State University, Abakaliki, NigeriaDepartment of Community Medicine, Faculty of Clinical Medicine, Ebonyi State University, Abakaliki, NigeriaThe World Health Organization Patient Safety Research Programme, SwitzerlandBackground: Health care-associated infection remains a significant hazard for hospitalized patients. Hand hygiene is a fundamental action for ensuring patient safety. Objective: To promote adoption of World Health Organization Hand Hygiene Guidelines to enhance compliance among doctors and nurses and improve patient safety. Methods: The study design was a cross sectional intervention in a Federal Teaching Hospital South-eastern Nigeria. Interventions involved training/education; introduction of hand rub; and hand hygiene reminders. The impact of interventions and hand hygiene compliance were evaluated using World Health Organization direct observation technique. Results: The post-intervention hand hygiene compliance rate was 65.3%. Hand hygiene indications showed highest compliance rate ‘after body fluid exposure’ (75.3%) and ‘after touching a patient’ (73.6%) while the least compliance rate was recorded ‘before touching a patient’ (58.0%). Hand hygiene compliance rate was significantly higher among nurses (72.9%) compared to doctors (59.7%) (χ2 = 23.8, p < 0.05). Hand hygiene indication with significantly higher compliance rate was “before clean/aseptic procedure” (84.4%) (χ2 = 80.74, p < 0.05). Out of the 815 hand hygiene practices recorded 550 (67.5%) were hand rub action. Conclusions: hand hygiene campaigns using the World Health Organization tools and methodology can be successfully executed in a tertiary health facility of a low-income setting with far reaching improvements in compliance. Keywords: Hand hygiene, Health worker, Patient safety, Compliancehttp://www.sciencedirect.com/science/article/pii/S1413867013001943 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Chigozie Jesse Uneke Chinwendu Daniel Ndukwe Patrick Gold Oyibo Kingsley Onuoha Nwakpu Richard Chukwuka Nnabu Nittita Prasopa-Plaizier |
spellingShingle |
Chigozie Jesse Uneke Chinwendu Daniel Ndukwe Patrick Gold Oyibo Kingsley Onuoha Nwakpu Richard Chukwuka Nnabu Nittita Prasopa-Plaizier Promotion of hand hygiene strengthening initiative in a Nigerian teaching hospital: implication for improved patient safety in low-income health facilities Brazilian Journal of Infectious Diseases |
author_facet |
Chigozie Jesse Uneke Chinwendu Daniel Ndukwe Patrick Gold Oyibo Kingsley Onuoha Nwakpu Richard Chukwuka Nnabu Nittita Prasopa-Plaizier |
author_sort |
Chigozie Jesse Uneke |
title |
Promotion of hand hygiene strengthening initiative in a Nigerian teaching hospital: implication for improved patient safety in low-income health facilities |
title_short |
Promotion of hand hygiene strengthening initiative in a Nigerian teaching hospital: implication for improved patient safety in low-income health facilities |
title_full |
Promotion of hand hygiene strengthening initiative in a Nigerian teaching hospital: implication for improved patient safety in low-income health facilities |
title_fullStr |
Promotion of hand hygiene strengthening initiative in a Nigerian teaching hospital: implication for improved patient safety in low-income health facilities |
title_full_unstemmed |
Promotion of hand hygiene strengthening initiative in a Nigerian teaching hospital: implication for improved patient safety in low-income health facilities |
title_sort |
promotion of hand hygiene strengthening initiative in a nigerian teaching hospital: implication for improved patient safety in low-income health facilities |
publisher |
Elsevier |
series |
Brazilian Journal of Infectious Diseases |
issn |
1413-8670 |
publishDate |
2014-01-01 |
description |
Background: Health care-associated infection remains a significant hazard for hospitalized patients. Hand hygiene is a fundamental action for ensuring patient safety. Objective: To promote adoption of World Health Organization Hand Hygiene Guidelines to enhance compliance among doctors and nurses and improve patient safety. Methods: The study design was a cross sectional intervention in a Federal Teaching Hospital South-eastern Nigeria. Interventions involved training/education; introduction of hand rub; and hand hygiene reminders. The impact of interventions and hand hygiene compliance were evaluated using World Health Organization direct observation technique. Results: The post-intervention hand hygiene compliance rate was 65.3%. Hand hygiene indications showed highest compliance rate ‘after body fluid exposure’ (75.3%) and ‘after touching a patient’ (73.6%) while the least compliance rate was recorded ‘before touching a patient’ (58.0%). Hand hygiene compliance rate was significantly higher among nurses (72.9%) compared to doctors (59.7%) (χ2 = 23.8, p < 0.05). Hand hygiene indication with significantly higher compliance rate was “before clean/aseptic procedure” (84.4%) (χ2 = 80.74, p < 0.05). Out of the 815 hand hygiene practices recorded 550 (67.5%) were hand rub action. Conclusions: hand hygiene campaigns using the World Health Organization tools and methodology can be successfully executed in a tertiary health facility of a low-income setting with far reaching improvements in compliance. Keywords: Hand hygiene, Health worker, Patient safety, Compliance |
url |
http://www.sciencedirect.com/science/article/pii/S1413867013001943 |
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