546. The Utility of a Hand Hygiene Intervention in Preventing Healthcare-Associated Infections in Vietnam
Session: Poster Session: Hospital-acquired and Transplant Infections
Friday, October 30, 2009: 12:00 AM
Room: Poster Hall A
Background: Healthcare-associated infections (HAI) are associated with significant morbidity and mortality in Vietnam and have been deemed a public health priority by the Ministry of Health. Thus, we conducted this study to determine the utility of an organized hand hygiene program in preventing HAI.
Methods: During May - November, 2005 (study period), a hand hygiene program was implemented in the surgical and obstetrics departments, and the intensive care unit (ICU) at three provincial general hospitals in Vietnam. The program included the following: (i) writing and justification of policies; (ii) provision of hand hygiene training for designated healthcare workers (HCWs); and (iii) institution of alcohol-based handrubs. Hand hygiene compliance was ascertained through observational studies; HAI rates were determined through conduction of monthly point prevalence surveys of HAI. HAI rates and compliance in the pre-intervention and post-intervention periods were compared.
Results:
VariablePre-intervention Post-interventionp-value
Hand hygiene compliance10/159 (6.3%)391/595 (65.7%)<0.001
Crude HAI rate42/246 (17.1%)13/271 (4.7%)<0.001

The correlation between improved HCW hand hygiene compliance and fall in crude HAI rate was found to be statistically significant (p < 0.001).
Conclusion: An intervention consisting of a structured education program and enhancement of alcohol-based hand rub use among HCWs was associated with a significant reduction of HAIs in three provincial hospitals in Vietnam. Implementation of similar programs in other hospitals across Vietnam will likely improve patient outcomes.
Truong Anh Thu, MD, MPH1, Lennox Archibald, MD, PhD2, Tran Quy, MD, PhD3, Le Thi Thanh Thuy, MD1, Vu Van Giang, MD, MPH4, Nguyen Viet Hung, MD, PhD1 and  N. Viet Hung, None..
T. Anh Thu, None..
L. Thanh Thuy, None..
T. Quy, None..
V. Van Giang, None. 
L. K. Archibald,
RTI Biologics Role(s): Other, Medical Director, Received: Salary., (1)Bach Mai Hospital, Hanoi, Viet Nam, (2)College of Medicine, University of Florida, Gainesville, FL, (3)Society of Infection Control, Hanoi, Viet Nam, (4)Thanh Nhan Hospital, Hanoi, Viet Nam