OBJECTIVE: To gather baseline data on hand hygiene (HH) practices in an African hospital with a newly established infection prevention and control team. DESIGN: Cross-sectional, observational study. Setting. Komfo Anokye Teaching Hospital, a large teaching hospital in Ghana with approximately 1,000 beds. PARTICIPANTS: All hospital staff with patient contact were eligible for assessment of HH practices. INTERVENTIONS: HH observations were conducted using a standardized data collection tool and method based on the World Health Organization's "5 Moments of Hand Hygiene." Small-group interviews were conducted to gather additional information on perceptions of HH and barriers to its use. HH resource needs were also assessed using a standardized tool. RESULTS: HH was attempted in 12% of the opportunities and was performed appropriately in 4% of the opportunities. Most main wards (89%) had at least 1 functional HH station. The most commonly identified barriers to HH were limited resources and lack of knowledge on appropriate times to perform HH. CONCLUSION: We developed and applied tools to evaluate HH resources and practices in a large African hospital. These assessments were undertaken to guide future efforts to improve HH at this hospital but can also serve as a model of the way to perform a systematic assessment at acute care hospitals in developing countries.
OBJECTIVE: To gather baseline data on hand hygiene (HH) practices in an African hospital with a newly established infection prevention and control team. DESIGN: Cross-sectional, observational study. Setting. Komfo Anokye Teaching Hospital, a large teaching hospital in Ghana with approximately 1,000 beds. PARTICIPANTS: All hospital staff with patient contact were eligible for assessment of HH practices. INTERVENTIONS: HH observations were conducted using a standardized data collection tool and method based on the World Health Organization's "5 Moments of Hand Hygiene." Small-group interviews were conducted to gather additional information on perceptions of HH and barriers to its use. HH resource needs were also assessed using a standardized tool. RESULTS: HH was attempted in 12% of the opportunities and was performed appropriately in 4% of the opportunities. Most main wards (89%) had at least 1 functional HH station. The most commonly identified barriers to HH were limited resources and lack of knowledge on appropriate times to perform HH. CONCLUSION: We developed and applied tools to evaluate HH resources and practices in a large African hospital. These assessments were undertaken to guide future efforts to improve HH at this hospital but can also serve as a model of the way to perform a systematic assessment at acute care hospitals in developing countries.
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Authors: Nana Ama Amissah; Andrew H Buultjens; Anthony Ablordey; Lieke van Dam; Ampomah Opoku-Ware; Sarah L Baines; Dieter Bulach; Caitlin S Tetteh; Isaac Prah; Tjip S van der Werf; Alexander W Friedrich; Torsten Seemann; Jan Maarten van Dijl; Ymkje Stienstra; Timothy P Stinear; John W Rossen Journal: Front Microbiol Date: 2017-10-06 Impact factor: 5.640