998. Improving hand hygiene adherence in an endoscopy unit
Session: Poster Abstract Session: Hand Hygiene 2012
Friday, October 19, 2012
Room: SDCC Poster Hall F-H

Although hand hygiene is the most important measure to prevent infection transmission in health care settings, adherence to recommendations among health care workers is low. We implemented and assessed the impact of a WHO recommended educational intervention to improve hand hygiene adherence at the endoscopy unit of a Brazilian tertiary hospital. Evaluation of adherence to hand hygiene was carried out before and one and 10 months after an educational intervention.


Adherence to hand hygiene was evaluated at the endoscopy unit through direct observation, collecting data on hand hygiene carried out whenever indicated (opportunity for hand hygiene). In addition to assessing hand hygiene practices at the endoscopy unit, we also evaluated staff’s knowledge about hand hygiene and its importance through standardized questionnaires administered before and after the education intervention. Adherence was defined as hand hygiene/disinfection in an opportunity for hand hygiene according to the WHO “My five moments for hand hygiene” tool.


Overall adherence improved from 21.4% pre-intervention to 63.3% after one month and 73.5% after 10 months of the educational intervention. Correct answers to the questionnaire were above 80% on pre-test and post-test.


Despite knowing the importance of hand hygiene for prevention of infections, as demonstrated by the pre-tests, in practice hand hygiene rates were very low prior to the education intervention and improved significantly immediately after it. Differently than expected, adherence to hand hygiene practices increased further 10 months after the intervention, reinforcing its positive impact. To our knowledge, this is the first published study to assess the long term effects of such an intervention in an endoscopy unit, serving mainly outpatients.

Luciene X Santos1, Maria Beatriz GS Dias1, Larissa TG Cavassin1, Renata Lobo1, Rubia Cristina Schwenck1, Tatiana Puschiavo1, Cristiana Toscano2, Kiyoshi Hashiba1 and Ana Luiza Bierrenbach2, (1)Hospital Sírio Libanês, São Paulo, Brazil, (2)Sanas Epidemiology and Research, São Paulo, Brazil, São Paulo, Brazil


L. X. Santos, None

M. B. G. Dias, None

L. T. Cavassin, None

R. Lobo, None

R. C. Schwenck, None

T. Puschiavo, None

C. Toscano, None

K. Hashiba, None

A. L. Bierrenbach, None

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