Vaidotas Marina, Yokota Paula Kiyomi Onaga, Marra Alexandre R, Camargo Thiago Zinsly Sampaio, Victor Elivane da Silva, Gysi Deisy Morselli, Leal Flavio, Santos Oscar Fernando Pavão dos, Edmond Michael B
Division of Medical Practice, Hospital Israelita Albert Einstein, São Paulo, Brazil.
Division of Medical Practice, Hospital Israelita Albert Einstein, São Paulo, Brazil.
Am J Infect Control. 2015 Jul 1;43(7):694-6. doi: 10.1016/j.ajic.2015.03.008. Epub 2015 Apr 29.
Despite the importance of hand hygiene in the health care setting, there are no studies evaluating hand hygiene compliance at hospital entrances.
The study was prospectively performed over a 33-week period from March 30, 2014-November 15, 2014, to evaluate hand hygiene compliance in 2 hospital reception areas. We compared electronic handwash counters with the application of radiofrequency identification (GOJO SMARTLINK) (electronic observer) that counts each activation of alcohol gel dispensers to direct observation (human observer) via remote review of video surveillance.
We found low hand hygiene compliance rates of 2.2% (99/4,412) and 1.7% (140/8,277), respectively, at reception areas A and D, detected by direct observation. Using the electronic observer, we measured rates of 17% (15,624/91,724) and 7.1% (51,605/730,357) at reception areas A and D, respectively. For the overall time period of simultaneous electronic and human observation, the human observer captured 1% of the hand hygiene episodes detected by the electronic observer.
Our study showed very low hand hygiene compliance in hospital reception areas, and we found an electronic hand hygiene system to be a useful method to monitor hand hygiene compliance.
尽管手部卫生在医疗环境中至关重要，但尚无研究评估医院入口处的手部卫生依从性。
该研究于2014年3月30日至2014年11月15日的33周期间前瞻性地进行，以评估2个医院接待区域的手部卫生依从性。我们将电子洗手计数器（应用射频识别技术（GOJO SMARTLINK））（电子观测器）对酒精凝胶分配器每次启动的计数与通过视频监控远程审查的直接观察（人工观测器）进行了比较。
通过直接观察发现，接待区域A和D的手部卫生依从率分别低至2.2%（99/4412）和1.7%（140/8277）。使用电子观测器，我们测得接待区域A和D的依从率分别为17%（15624/91724）和7.1%（51605/730357）。在电子和人工同步观察的整个时间段内，人工观测器捕捉到的手部卫生事件仅占电子观测器检测到的1%。
我们的研究表明医院接待区域的手部卫生依从性非常低，并且我们发现电子手部卫生系统是监测手部卫生依从性的一种有用方法。
