Bharara Tanisha, Gur Renu, Duggal Shalini, Chugh Vandana
Department of Microbiology, Dr. Baba Saheb Ambedkar Hospital, Delhi, India.
Department of Anaesthesia, Dr. Baba Saheb Ambedkar Hospital, Delhi, India.
J Family Med Prim Care. 2020 Apr 30;9(4):1939-1943. doi: 10.4103/jfmpc.jfmpc_1050_19. eCollection 2020 Apr.
World Health Organization (WHO) initiated a global movement to achieve universal health coverage (UHC). Hand hygiene (HH) is critical for achieving UHC as it is a practical and evidence-based approach with a gaugeable impact on the quality of care and patient safety in healthcare.
A cross-sectional observational study was conducted in an intensive care unit of a government hospital spanning a period of 3 years. WHO single-observer direct observation technique was used and HH compliance was noted. The results were compared over the years since the hospital was preparing to undergo a National Accreditation Board for Hospitals and Healthcare (NABH) assessment.
The overall compliance significantly increased over the years ( < 0.0001). HH compliance for hand rub (HR) and hand wash (HW) was compared among doctors, nurses, and ICU technicians, respectively. HR compliance remained more or less the same over the years ( = 0.4738) while HW compliance significantly improved ( < 0.0001).
This is one of the first studies from our country evaluating HH compliance over the years in a healthcare setup undergoing accreditation. During the course of the study, we observed a significant increase in HH compliance. This can be attributed to the unflinching support of our hospital's administration and relentless efforts of our infection control team. This is our first step initiative towards improving HH and thus preventing healthcare-associated infections (HCAIs) in our setup.
世界卫生组织（WHO）发起了一项旨在实现全民健康覆盖（UHC）的全球运动。手卫生（HH）对于实现全民健康覆盖至关重要，因为它是一种实用且基于证据的方法，对医疗保健中的护理质量和患者安全具有可衡量的影响。
在一家政府医院的重症监护病房进行了一项为期3年的横断面观察性研究。采用WHO单观察者直接观察技术，并记录手卫生依从性。由于该医院正准备接受国家医院和医疗保健认证委员会（NABH）的评估，因此对多年来的结果进行了比较。
多年来总体依从性显著提高（<0.0001）。分别比较了医生、护士和重症监护室技术人员对手部擦拭（HR）和洗手（HW）的手卫生依从性。多年来HR依从性大致保持不变（=0.4738），而HW依从性显著提高（<0.0001）。
这是我国最早的一批研究之一，评估了一家正在接受认证的医疗机构多年来的手卫生依从性。在研究过程中，我们观察到手卫生依从性显著提高。这可归因于我院管理层的坚定支持和感染控制团队的不懈努力。这是我们在改善手卫生从而预防我院医疗相关感染（HCAIs）方面的第一步举措。
