Relationship between healthcare worker surface contacts, care type and hand hygiene an observational study in a single-bed hospital ward.pdfVIP

Relationship between healthcare worker surface contacts, care type and hand hygiene an observational study in a single-bed hospital ward.pdf

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Relationship between healthcare worker surface contacts, care type and hand hygiene an observational study in a single-bed hospital ward.pdf

Journal of Hospital Infection 94 (2016) 48e51 Available online at Journal of Hospital Infection journal homepage: /journals/jhin Short report Relationship between healthcare worker surface contacts, care type and hand hygiene: an observational study in a single-bed hospital ward M-F. King a,*, C.J. Noakes a, P.A. Sleigh a, S. Bale b, L. Waters b a Institute for Public Health and Environmental Engineering, School of Civil Engineering, University of Leeds, Leeds, UK b Research Development Department, The Friars, Newport, UK ARTICLE INFO Article history: Received 19 February 2016 Accepted 5 May 2016 Available online 13 May 2016 Keywords: Hospital-acquired infection Hand hygiene Surface contacts SUMMARY This study quanti?es the relationship between hand hygiene and the frequency with which healthcare workers (HCWs) touch surfaces in patient rooms. Surface contacts and hand hygiene were recorded in a single-bed UK hospital ward for six care types. Surface contacts often formed non-random patterns, but hygiene before or after patient contact depends signi?cantly on care type (P?0.001). The likelihood of hygiene correlated with the number of surface contacts (95% con?dence interval 1.1e5.8, P?0.002), but not with time spent in the room. This highlights that a potential subconscious need for hand hygiene may have developed in HCWs, which may support and help focus future hygiene education programmes. a 2016 The Authors. Published by Elsevier Ltd on behalf of the Healthcare Infection Society. This is an open access article under the CC BY license (/licenses/by/4.0/). Introduction The risk of acquiring nosocomial infections is a recognized problem in hospitals worldwide.1 Recent studies have highlighted the importance of surface contamination and suggest a causal link to subsequent patient infection.2e4 Understanding which surfaces are touched by healthcare workers (HCWs) and how this relates to hand hygiene is therefore important in assessing patient risk. This paper repor

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