Onco-Hematology Unit, Hospital Israelita Albert Einstein, São Paulo, Brazil.
Am J Infect Control. 2013 Nov;41(11):997-1000. doi: 10.1016/j.ajic.2013.03.301. Epub 2013 Jun 14.
In managing hematology-oncology patients, there is a great opportunity for performing hand hygiene (HH).
Over a 4-month period, we compared HH compliance measurement by 3 different methods: direct observation, electronic handwash counter for alcohol gel, and measuring the volume of product used (alcohol gel) in a 40-bed hematology-oncology unit at a tertiary care, private hospital.
There were 388 directly observed opportunities for HH, and the overall HH compliance rate was 84.5%. A total of 235,923 HH episodes was recorded by the electronic devices. The mean HH episodes per patient-day was 77.7. There were 91.1 mL of alcohol gel used per patient-day in the unit. The correlation and P value between the percentage of HH compliance and HH episodes per 1,000 patient-days were ρ = 0.442 and P = .076, respectively. The correlation and P value between HH episodes per patient-days and alcohol gel consumption in milliliters per patient-days were ρ = 0.142 and P = .586.
HH compliance was high in this unit. Direct observation, although useful, has many drawbacks. Other measures must be considered, such as electronic devices and measurement of volume use per patient-day to stimulate health care workers to increase and sustain HH compliance.
在管理血液肿瘤患者时，有很多机会进行手部卫生（HH）。
在 4 个月的时间里，我们通过 3 种不同的方法比较了 HH 依从性的测量：直接观察、电子酒精洗手液计数器和测量 40 张病床的血液肿瘤病房中酒精凝胶的用量（产品）。
共有 388 次直接观察 HH 的机会，HH 总依从率为 84.5%。电子设备共记录了 235923 次 HH 事件。每位患者每天的 HH 事件平均值为 77.7 次。该病房每位患者每天使用 91.1 毫升酒精凝胶。HH 依从率与每位患者每天 1000 天 HH 事件之间的相关性和 P 值分别为 ρ = 0.442 和 P =.076。每位患者每天 HH 事件与每位患者每天酒精凝胶消耗量（毫升）之间的相关性和 P 值分别为 ρ = 0.142 和 P =.586。
该病房的 HH 依从性较高。直接观察虽然有用，但有许多缺点。必须考虑其他措施，如电子设备和测量每位患者每天的用量，以鼓励医护人员增加并维持 HH 依从性。
