545. Risk Factors Associated with Poor Hand Hygiene Adherence among Physicians
Session: Poster Session: Hospital-acquired and Transplant Infections
Friday, October 30, 2009: 12:00 AM
Room: Poster Hall A
Background: Adherence to hand hygiene among physicians did not improve substantially since the hospital-wide introduction of alcohol-based liquid or gel hand disinfectant in 2004, compared with significant improvement of that among nurses. We investigated risk factors for poor adherence with hand hygiene among physicians.
Methods: We performed a cross-sectional study of physician hand hygiene practices and perceptions toward hand hygiene in a tertiary-care teaching hospital in Korea during April 2009. Hand hygiene practices of individual physicians were directly observed during routine patient care with documentation of relevant risk factors, and each physician completed a self-report questionnaire for perceptions toward hand hygiene, used in The University of Geneva Hospital, administered immediately after patient contact. We identified factors associated with hand hygiene adherence using multivariate logistic regression analysis.
Results: Adherence averaged 19.5% (39 of total 200 opportunities for hand hygiene) and varied across age, professional status, or medical specialties. Sixteen of total 56 physicians (28.6%) were aware of being observed. In multivariate logistic regression, adherence was associated with professor (odds ratio, 16.225; 95% CI, 1.188-221.676, p= .037), surgery (odds ratio, 0.031; 95% CI, 0.002-0.559; p= .019), high risk of cross-transmission (odds ratio, 2.979; 95% CI, 1.218-7.284, p= .017), attitude toward hand hygiene between contact with different sites on the same patient (odds ratio, 0.257; 95% CI, 0.070-0.935, p= .039). Adherence to hand hygiene was not associated with workload or the awareness of being observed.
Conclusion: Poor hand hygiene among physicians is associated with resident and intern, surgery, low to medium risk of cross-transmission, positive attitude toward hand hygiene between contact with different sites on the same patient. There is a big difference between hand hygiene practices and most of positive perception toward hand hygiene.
Juhee Lee, RN1, Seung Soon Lee, M.D.2, SE Jeong Park, RN1 and  S. Lee, None..
S. Park, None..
J. Lee, None., (1)HALLYM UNIVERSITY SACRED HEART HOSPITAL, Anyang-si, Korea, Republic of, (2)Hallym University Sacred Heart Hospital, Anyang-si, Korea, Republic of