308. Hand Hygiene Compliance Rates in Intensive Care Units in Wuhan, China
Session: Poster Abstract Session: Hand Hygiene in Healthcare Settings
Thursday, October 3, 2013
Room: The Moscone Center: Poster Hall C
  • HH ICU poster40x56.pdf (323.7 kB)
  • Background: Improvement in hand hygiene (HH) compliance has repeatedly been shown to decrease health care-associated infection rates, yet compliance remains low. Few studies on HH compliance in China have been published in the English literature. The primary aim of this study was to determine the HH compliance rates of HCP in intensive care units (ICUs) at Zhongnan and Renmin Hospitals in Wuhan, China.

    Methods: HH compliance, as defined by the WHO “5 Moments for Hand Hygiene” campaign, was measured using direct observation of a convenience sample of Healthcare Providers (HCP: nurses, physicians, nursing students, medical students and support staff) in the general, neurological, neonatal, cardiac and respiratory ICUs at Renmin and Zhongnan Hospitals, both affiliated with Wuhan University. HCP were informed of the purpose of the study and observed for up to 20 minutes.

    Results: 3901 observations were made (1966 at Zhongnan, 1935 at Renmin). The overall HH compliance rate was 31% (N=3901) and shown in figure 1.  Alcohol-based hand sanitizer was used for 66% of HH events.  Overall, nurses had a significantly higher compliance rate (40%, N=1641, P<0.0001) compared to non-nurse HCP. Physicians had a significantly lower compliance rate compared to non-physician HCP (36%, N=2750, P<0.0001). Compliance before patient contact was 23%, before clean/aseptic procedure was 22%, after body fluid exposure risk was 29%, after patient contact was 44% (significantly higher compared to all other moments, P<0.0001), and after contact with patient surroundings was 30%. Renmin neonatal ICU HCP demonstrated a significantly higher compliance rate (69%, N=357, P<0.0001) compared to HCP in all other ICUs and was unique in having monthly infection control checks. During direct observation of patient care, nursing staff frequently reminded other HCP, including physicians, to wash or sanitize hands.

    Conclusion: The overall hand hygiene compliance rate at the two hospitals in Wuhan, China was similar to rates found in Hong Kong and Beijing and lower than the global median compliance rate. In this study, commitment to infection control practices on the part of the nursing staff along with regular observation and feedback are factors that were associated with improved compliance.

    Lisa Sun1, Wenjing Zong1, Yaqing Xu, MD2, Ivy Morgan3, Brian Cooper3, Emily Landon, MD4 and Renslow Sherer, MD5, (1)Pritzker School of Medicine, University of Chicago, Chicago, IL, (2)Department of infection control, Renmin Hospital, Wuhan University, Wuhan, China, (3)Biological Sciences Division, Medicine, Infectious Diseases and Global Health, University of Chicago, Chicago, IL, (4)Infectious Diseases & Global Health, University of Chicago, Chicago, IL, (5)Infectious Diseases and Global Health, University of Chicago Medicine, Chicago, IL


    L. Sun, None

    W. Zong, None

    Y. Xu, None

    I. Morgan, None

    B. Cooper, None

    E. Landon, None

    R. Sherer, None

    Findings in the abstracts are embargoed until 12:01 a.m. PST, Oct. 2nd with the exception of research findings presented at the IDWeek press conferences.