Impact of conducting hand hygiene audits during the COVID-19 pandemic in an intensive care unit at a tertiary care centre in Kerala, India.

IF 1.7 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

GMS Hygiene and Infection Control Pub Date : 2024-04-30 eCollection Date: 2024-01-01 DOI:10.3205/dgkh000478

Ardra Mohandas, Chithra Valsan, Sofia Joseph, Resmi Varghese, Jinsy Baby, Shibi Jacob, Nithya Sani, Shyby Babu

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Abstract

Background: The COVID-19 pandemic era had witnessed an upsurge of healthcare-associated infections (HAI) in COVID intensive care units (ICUs), which can be reduced by following proper hand hygiene (HH) practice. Performing HH auditing in COVID ICUs and providing timely feedback to the stake holders is crucial to reduce HAIs.

Methods: From July 2021 to December 2021, HH auditing was conducted in COVID ICUs. Hand hygiene (HH) complete adherence rate (HHCAR), HH partial adherence rate (HHPAR) and HH total adherence rate (HHTAR) were analysed. Profession-specific HHTAR and moment-specific HHTAR (for each WHO moment) were also calculated.

Results: HHCAR, HHPAR and HHTAR were found to be 47%, 19% and 66%, respectively. There was a significant increase in the monthly HHTAR from 62.2% to 72.2% (p<.001). The profession-specific hand-hygiene adherence rate (HHAR) was found to be highest among nurses (67%), and the moment-specific HHAR of WHO-moments 2 (90%) and 3 (94.8%) had the highest HH adherence.

Conclusions: Auditing HH and providing timely feedback significantly improved HH adherence. The greatest need now is to regularly conduct HH auditing in COVID locations of all healthcare facilities to reduce the HAI rate among the COVID-19 infected patients in ICUs.

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印度喀拉拉邦一家三级医疗中心的重症监护室在 COVID-19 大流行期间开展手部卫生审核的影响。

背景：在COVID-19大流行时期，COVID重症监护病房（ICU）中的医护相关感染（HAI）急剧上升，而正确的手部卫生（HH）操作可以减少HAI的发生。在 COVID 重症监护病房进行手卫生审核并及时向利益相关者提供反馈对于减少 HAIs 至关重要：方法：2021年7月至2021年12月，在COVID重症监护室进行手卫生审核。方法：从 2021 年 7 月至 2021 年 12 月，在 COVID ICU 进行了手卫生审核，分析了手卫生完全依从率 (HHCAR)、手卫生部分依从率 (HHPAR) 和手卫生总依从率 (HHTAR)。此外，还计算了特定职业的 HHTAR 和特定时刻的 HHTAR（世卫组织的每个时刻）：结果：HHCAR、HHPAR 和 HHTAR 分别为 47%、19% 和 66%。每月的 HHTAR 从 62.2% 显著增加到 72.2%（p 结论：对家庭健康状况进行审核并及时提供反馈信息，可显著提高家庭健康状况的依从性。目前最需要的是在所有医疗机构的 COVID 地点定期进行 HH 审核，以降低重症监护病房中 COVID-19 感染患者的 HAI 感染率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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GMS Hygiene and Infection Control PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

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10 weeks