Komfo Anokye Teaching Hospital, Kumasi, Ghana.
Infect Control Hosp Epidemiol. 2010 Aug;31(8):802-8. doi: 10.1086/654005.
To gather baseline data on hand hygiene (HH) practices in an African hospital with a newly established infection prevention and control team.
Cross-sectional, observational study. Setting. Komfo Anokye Teaching Hospital, a large teaching hospital in Ghana with approximately 1,000 beds.
All hospital staff with patient contact were eligible for assessment of HH practices.
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.
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.
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.
在一家新成立感染预防与控制团队的非洲医院，收集手卫生（HH）实践的基线数据。
横断面观察性研究。
Komfo Anokye 教学医院，加纳的一家大型教学医院，约有 1000 张床位。
所有有患者接触的医院工作人员都有资格评估 HH 实践情况。
使用基于世界卫生组织“5 个手卫生时刻”的标准化数据收集工具和方法进行 HH 观察。通过小组访谈收集关于 HH 认知和使用障碍的更多信息。还使用标准化工具评估 HH 资源需求。
在 12%的机会中尝试了 HH，而在 4%的机会中正确执行了 HH。大多数主要病房（89%）至少有 1 个功能齐全的 HH 站。HH 最常被识别的障碍是资源有限和缺乏关于适当 HH 时间的知识。
我们开发并应用了工具来评估大型非洲医院的 HH 资源和实践情况。这些评估旨在指导该医院未来改善 HH 的努力，但也可以作为在发展中国家的急性护理医院进行系统评估的模式。
