1375. Healthcare Workers’ Compliance To The ‘Five Moments of Hand Hygiene’: Comparison of Two Interventional Methods
Session: Poster Abstract Session: HAI: Hand Hygiene
Friday, October 28, 2016
Room: Poster Hall
  • Moghnieh et al. IDWEEK 2016.pdf (1.4 MB)
  • Background: Hand hygiene (HH) is the most effective measure in reducing the incidence of hospital-acquired infections.

    Methods: This a prospective interventional study conducted at Makassed General hospital, Beirut Lebanon, during 21 weeks from November 2015-March 2016. We compared two interventional methods for implementing compliance to the ‘WHO 5 moments for HH’ among 89 nurses. There were 3 groups: control, incentive-driven, and audit/feedback. The intervention was from week-1 to week-14. From week-15 to week-21 was an observational phase where we studied the sustainability of HH behavior.


    The baseline HH compliance rate (HHCR) was 16% in the control group, 21% in the incentive-driven group, and 23% in the feedback group. During the whole study, the HHCR did not change in the control group. The incentive-based group showed significant increase in the HHCR compared to baseline peaking at 77% by week-14. (P<0.0001) The audit/feedback group also showed progress yet to a lesser extent than the incentive-based group; HHCR peaked at 51% during week-14. (P<0.0001) After stopping the interventions, the HHCR in the incentive-based group dropped to 34% by week-21 unlike the audit/feedback group, which achieved a steady state in HHCR till the end. (P<0.0001) Sustainability in HHCR in the audit/feedback group was significantly higher than that of incentive-based group. (P<0.0001) Upon analyzing each of the 5 moments of HH separately, we realized that participants were mostly complaint to Moments 4 and 3. They were least compliant to Moment 2.


    Compliance to the 5 moments for HH was not achieved by default. The incentive-driven intervention helped boost the HH compliance and Feedback/Audit intervention helped maintain it.

    Rima Moghnieh, MD1, Dania Abdallah, PharmD2, Rami Soboh, MD3, Amin Abyad, MD3 and Mona Al-Helou, MD3, (1)Internal Medicine, Makassed General Hospital, Beirut, Lebanon, (2)Pharmacy, Makassed General Hospital, Beirut, Lebanon, (3)Makassed General Hospital, Beirut, Lebanon


    R. Moghnieh, None

    D. Abdallah, None

    R. Soboh, None

    A. Abyad, None

    M. Al-Helou, None

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    Findings in the abstracts are embargoed until 12:01 a.m. CDT, Wednesday Oct. 26th with the exception of research findings presented at the IDWeek press conferences.