Compliance with hygiene guidelines: The effect of a multimodal hygiene intervention and validation of direct observations
2013 (English)In: American Journal of Infection Control, ISSN 0196-6553, E-ISSN 1527-3296, Vol. 41, no 5, E45-E48 p.Article in journal (Refereed) Published
Good compliance with hygiene guidelines is essential to prevent bacterial transmission and health care-associated infections. However, the compliance is usually <50%.
A multimodal and multidisciplinary hygiene intervention was launched once the baseline compliance was determined through direct observations in 4 departments of obstetrics and gynecology. Detailed evaluations of the compliance rates were performed at point of stability (at 80%) and follow-up (3 years after hygiene intervention). Validation of direct observations was performed using blinded double appraisal and multiappraisal.
At baseline, the compliance with barrier precautions and the dress code at the 4 departments were 39% to 47% and 79% to 98%, respectively. Point of stability was reached approximately 1 year after the hygiene intervention was launched. The compliance with barrier precautions was significantly higher at follow-up compared with baseline in 3 departments. In the validation by double appraisal, 471 of 483 components were judged identical between observers. In the multiappraisal, 95% to 100% of the observers correctly judged the 7 components.
It is possible to improve compliance with hygiene guidelines, but, to ensure a long-lasting effect, a continuous focus on barrier precautions is required. Observation is a valid method to monitor compliance.
Place, publisher, year, edition, pages
Elsevier, 2013. Vol. 41, no 5, E45-E48 p.
Multidisciplinary, Adherence, Double appraisal, Multiappraisal, Self-reporting, Hand hygiene, Barrier precautions, Dress code
IdentifiersURN: urn:nbn:se:liu:diva-93971DOI: 10.1016/j.ajic.2012.09.008ISI: 000318611200002OAI: oai:DiVA.org:liu-93971DiVA: diva2:628266
Funding Agencies|Futurum-the Academy for Healthcare, County Council, Jonkoping||Medical Research Council of Southeast Sweden||2013-06-132013-06-132015-12-07Bibliographically approved