Akihiko Saitoh1, Kiyomi Sato2, Yoko Magara2, Kakuei Osaki3, Kiyoko Narita4, Kumiko Shioiri5, Karen E Fowler6, David Ratz6, Sanjay Saint6,7. 1. Department of Pediatrics, Niigata University Graduate School of Medical and Dental Sciences, Niigata Japan. 2. Department of Nursing, Niigata Saiseikai Daini Hospital, Niigata, Japan. 3. Department of Nursing, Niigata City General Hospital, Niigata, Japan. 4. Department of Nursing, Naga-oka Red Cross Medical Center, Niigata, Japan. 5. Department of Nursing, Niigata Prefectural Shibata Hospital, Niigata, Japan. 6. Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, Michigan. 7. Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, Michigan.
Abstract
BACKGROUND: Hand hygiene is key to preventing healthcare-associated infection and the spread of respiratory viruses like the novel coronavirus that causes COVID-19. Unfortunately, hand hygiene adherence of healthcare workers (HCWs) in Japan is suboptimal according to previous studies. OBJECTIVES: Our objectives were to evaluate hand hygiene adherence among physicians and nurses before touching hospitalized patients and to evaluate changes in hand hygiene adherence after a multimodal intervention was implemented. DESIGN, SETTING, AND PARTICIPANTS: We conducted a pre- and postintervention study with HCWs at four tertiary hospitals in Niigata, Japan. Hand hygiene observations were conducted from June to August 2018 (preintervention) and February to March 2019 (postintervention). INTERVENTION: The multimodal hand hygiene intervention recommended by the World Health Organization was tailored to each hospital and implemented from September 2018 to February 2019. MAIN OUTCOMES AND MEASURES: We observed hand hygiene adherence before touching patients in each hospital and compared rates before and after intervention. Intervention components were also evaluated. RESULTS: There were 2,018 patient observations preintervention and 1,630 postintervention. Overall, hand hygiene adherence improved from 453 of 2,018 preintervention observations (22.4%) to 548 of 1,630 postintervention observations (33.6%; P < .001). Rates improved more among nurses (13.9 percentage points) than among doctors (5.7 percentage points). Improvement varied among the hospitals: Hospital B (18.4 percentage points) was highest, followed by Hospitals D (11.4 percentage points), C (11.3 percentage points), and Hospital A (6.5 percentage points). CONCLUSIONS: A multimodal intervention improved hand hygiene adherence rates in physicians and nurses in Niigata, Japan; however, further improvement is necessary. Given the current suboptimal hand hygiene adherence rates in Japanese hospitals, the spread of COVID-19 within the hospital setting is a concern.
BACKGROUND: Hand hygiene is key to preventing healthcare-associated infection and the spread of respiratory viruses like the novel coronavirus that causes COVID-19. Unfortunately, hand hygiene adherence of healthcare workers (HCWs) in Japan is suboptimal according to previous studies. OBJECTIVES: Our objectives were to evaluate hand hygiene adherence among physicians and nurses before touching hospitalized patients and to evaluate changes in hand hygiene adherence after a multimodal intervention was implemented. DESIGN, SETTING, AND PARTICIPANTS: We conducted a pre- and postintervention study with HCWs at four tertiary hospitals in Niigata, Japan. Hand hygiene observations were conducted from June to August 2018 (preintervention) and February to March 2019 (postintervention). INTERVENTION: The multimodal hand hygiene intervention recommended by the World Health Organization was tailored to each hospital and implemented from September 2018 to February 2019. MAIN OUTCOMES AND MEASURES: We observed hand hygiene adherence before touching patients in each hospital and compared rates before and after intervention. Intervention components were also evaluated. RESULTS: There were 2,018 patient observations preintervention and 1,630 postintervention. Overall, hand hygiene adherence improved from 453 of 2,018 preintervention observations (22.4%) to 548 of 1,630 postintervention observations (33.6%; P < .001). Rates improved more among nurses (13.9 percentage points) than among doctors (5.7 percentage points). Improvement varied among the hospitals: Hospital B (18.4 percentage points) was highest, followed by Hospitals D (11.4 percentage points), C (11.3 percentage points), and Hospital A (6.5 percentage points). CONCLUSIONS: A multimodal intervention improved hand hygiene adherence rates in physicians and nurses in Niigata, Japan; however, further improvement is necessary. Given the current suboptimal hand hygiene adherence rates in Japanese hospitals, the spread of COVID-19 within the hospital setting is a concern.
Authors: Carlos Roncero; Llanyra García-Ullán; Javier I de la Iglesia-Larrad; Carmen Martín; Pilar Andrés; Ana Ojeda; David González-Parra; Javier Pérez; Clara Fombellida; Ana Álvarez-Navares; José Antonio Benito; Virginia Dutil; Carolina Lorenzo; Ángel Luis Montejo Journal: Psychiatry Res Date: 2020-07-02 Impact factor: 3.222
Authors: Edlaine Faria de Moura Villela; Rossana Verónica Mendoza López; Ana Paula Sayuri Sato; Fábio Morato de Oliveira; Eliseu Alves Waldman; Rafael Van den Bergh; Joseph Nelson Siewe Fodjo; Robert Colebunders Journal: BMC Public Health Date: 2021-01-18 Impact factor: 3.295