Session: Poster Session: Hand Hygiene: Compliance and Improvement
Tuesday, October 28, 2008: 12:00 AM
Room: Hall C
Background: The achievement of large-scale country commitment to reduce healthcare-associated infection (HAI) is one of the key objectives of the WHO 1st GPSC. Methods: Implementation of the WHO multimodal hand hygiene improvement (MHHI) strategy is considered a major success indicator of the 1st GPSC. Between October 2005 and May 2008, 85 countries pledged to support the 1st GPSC and 20 inaugurated a hand hygiene (HH) campaign. Preliminary data from Italy are presented. Results: Following the pledge, the Italian ministry of health (MoH) launched a national HH campaign in November 2006. The WHO MHHI strategy was fully adopted and 40 technical tools are available in Italian through the MoH website. The MoH partly financed the campaign and each participating hospital agreed to dedicate local resources and give feedback on the main success indicators and lessons learned from implementation. One national and 3 regional training courses for hospital coordinators were organized. 133 healthcare facilities, representing more than 300 wards, from 15 regions are participating. Facilities are conducting evaluation surveys before/after implementation, promotion of alcohol-based handrub use, consumption monitoring, staff education, compliance observation and data feedback. HAI incidence rates are being monitored before/after implementation in 47 intensive care units. At baseline 53,417 HH opportunities were observed and overall HH compliance was 42.5%. Conclusions: Italy is an example of very rapid, efficient and centrally monitored implementation of the WHO MHHI strategy at national scale. Evaluation of structure, process and outcome indicators and lessons learned from the Italian campaign are providing large-scale results on the effectiveness of HH promotion and the feasibility of the WHO strategy.