989. Implementing a Performance Improvement Strategy to Improve Hand Hygiene Compliance in the ICU in Low-middle Income Countries: A Multicenter Study
Session: Poster Abstract Session: Hand Hygiene 2012
Friday, October 19, 2012
Room: SDCC Poster Hall F-H
  • Abstract_36383 Kasatpibal.pdf (1012.3 kB)
  • Background: Hand hygiene is the most effective way to prevent the spread of infectious diseases. However, the compliance of hand hygiene is quite low in low-middle income countries. This study aimed to examine whether a multifaceted strategy could increase the compliance of hand hygiene.

    Methods: A pre-post test research was conducted during August 2011 to April 2012 in six institutions including St. Luke's Medical Center at Quezon City in the Philippines, St. Luke's Medical Center at Global City in the Philippines, Kasturba Medical College in India, KIMS Hospital in India, Shanghai Shuguang Hospital in China, and Bach Mai Hospital in Vietnam. The following tools were employed, including JCI - Performance Improvement (Plan, Do, Check, Act) Framework  and WHO - Hand Hygiene Observation Form and  5 Moments for Hand Hygiene Education Training Package. Reminding posters, education video, signature to render staff commitment, and education by head of unit were implemented after baseline data collection. The compliance rate was calculated to compare the compliance rate between the pre- and post-intervention periods.

    Results: After providing multifaceted strategy, the compliance rate increased from 72% to 81%, 65% to 85%, 50% to 69%, 51% to 58%, 43% to 63%, and 51% to 90% in St. Luke's Medical Center at Quezon City, St. Luke's Medical Center at Global City, Kasturba Medical College, KIMS Hospital, Shanghai Shuguang Hospital, and Bach Mai Hospital, respectively. There was a compliance rate improvement at an average of 19% among the six facilities.

    Conclusion: The findings suggest that a multifaceted strategy could improve the compliance of hand hygiene in the ICU in low-middle income countries. Hand hygiene compliance increased in all the ICUs involved in the multicenter study. Combined-focus interventions / programs may further facilitate an increase in hand hygiene compliance and lead to successful reduction in HAI rates.

    Nongyao Kasatpibal, PhD, -, Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand and On behalf of the Asia Pacific Infection Expert: Performance Improvement Group


    N. Kasatpibal, None

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