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Published in: Current Infectious Disease Reports 4/2015

01-04-2015 | Healthcare Associated Infections (G Bearman, Section Editor)

Hand Hygiene Compliance Monitoring: the State of the Art

Authors: Claudia Jarrin Tejada, Gonzalo Bearman

Published in: Current Infectious Disease Reports | Issue 4/2015

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Abstract

Hand hygiene is crucial to prevent transmission of hospital-acquired infections. The WHO recommends five moments for hand hygiene: (1) before patient contact, (2) before performing an aseptic task, (3) after exposure with body fluids, (4) after patient contact, and (5) after contact with patient’s surroundings. Nevertheless, hand hygiene compliance rates remain low among healthcare workers. Direct observation is the gold standard method for hand hygiene monitoring; however, it is time consuming and observer dependent. Technology has allowed the development of several other hand hygiene surveillance methods. In this article, we review the different modalities for hand hygiene compliance monitoring.
Literature
1.
go back to reference Pittet D, Allengranzi B, Boyce J. The World Health Organization Guidelines on hand hygiene in health care and their consensus recommendations. Infect Control Hosp Epidemiol. 2009;30:611–22.CrossRefPubMed Pittet D, Allengranzi B, Boyce J. The World Health Organization Guidelines on hand hygiene in health care and their consensus recommendations. Infect Control Hosp Epidemiol. 2009;30:611–22.CrossRefPubMed
2.
go back to reference Swoboda SM, Earsing K, Strauss K, et al. Electronic monitoring and voice prompts improve hand hygiene and decrease nosocomial infections in an intermediate care unit. Crit Care Med. 2004;32:358–63.CrossRefPubMed Swoboda SM, Earsing K, Strauss K, et al. Electronic monitoring and voice prompts improve hand hygiene and decrease nosocomial infections in an intermediate care unit. Crit Care Med. 2004;32:358–63.CrossRefPubMed
3.
go back to reference Kampf G, Löffler H, Gastmeier P. Hand hygiene for the prevention of nosocomial infections. Dtsch Arztebl Int. 2009;106:649–55.PubMedCentralPubMed Kampf G, Löffler H, Gastmeier P. Hand hygiene for the prevention of nosocomial infections. Dtsch Arztebl Int. 2009;106:649–55.PubMedCentralPubMed
4.
go back to reference Jabbar U, Leischner J, Kasper D, et al. Effectiveness of alcohol-based hand rubs for removal of Clostridium difficile spores from hands. Infect Control Hosp Epidemiol. 2010;31:565–70.CrossRefPubMed Jabbar U, Leischner J, Kasper D, et al. Effectiveness of alcohol-based hand rubs for removal of Clostridium difficile spores from hands. Infect Control Hosp Epidemiol. 2010;31:565–70.CrossRefPubMed
7.
go back to reference Boyce JM, Pittet D. Guideline for Hand Hygiene in Health-Care Settings. Recommendations of the Healthcare Infection Control Practices Advisory Committee and the HICPAC/SHEA/APIC/IDSA Hand Hygiene Task Force. Society for Healthcare Epidemiology of America/Association for Professionals in Infection Control/Infectious Diseases Society of America. MMWR Recomm Rep. 2002;51:1–45.PubMed Boyce JM, Pittet D. Guideline for Hand Hygiene in Health-Care Settings. Recommendations of the Healthcare Infection Control Practices Advisory Committee and the HICPAC/SHEA/APIC/IDSA Hand Hygiene Task Force. Society for Healthcare Epidemiology of America/Association for Professionals in Infection Control/Infectious Diseases Society of America. MMWR Recomm Rep. 2002;51:1–45.PubMed
8.
9.
go back to reference Gilbert K, Stafford C, Crosby K. Does hand hygiene compliance among health care workers change when patients are in contact precaution rooms in ICUs? Am J Infect Control. 2010;38:515–7.CrossRefPubMed Gilbert K, Stafford C, Crosby K. Does hand hygiene compliance among health care workers change when patients are in contact precaution rooms in ICUs? Am J Infect Control. 2010;38:515–7.CrossRefPubMed
10.
go back to reference Biddle C, Shah J. Quantification of anesthesia providers’ hand hygiene in a busy metropolitan operating room: what would Semmelweis think? Am J Infect Control. 2012;40:756–9.CrossRefPubMed Biddle C, Shah J. Quantification of anesthesia providers’ hand hygiene in a busy metropolitan operating room: what would Semmelweis think? Am J Infect Control. 2012;40:756–9.CrossRefPubMed
11.
go back to reference Scheithauer S, Oberröhrmann A, Haefner H. Compliance with hand hygiene in patients with methicillin-resistant Staphylococcus aureus and extended-spectrum β-lactamase-producing enterobacteria. J Hosp Infect. 2010;76:320–3.CrossRefPubMed Scheithauer S, Oberröhrmann A, Haefner H. Compliance with hand hygiene in patients with methicillin-resistant Staphylococcus aureus and extended-spectrum β-lactamase-producing enterobacteria. J Hosp Infect. 2010;76:320–3.CrossRefPubMed
12.
go back to reference Graf K, Chanberny IF, Vonberg RP. Beliefs about hand hygiene: a survey in medical students in their first clinical year. Am J Infect Control. 2011;39:885–8.CrossRefPubMed Graf K, Chanberny IF, Vonberg RP. Beliefs about hand hygiene: a survey in medical students in their first clinical year. Am J Infect Control. 2011;39:885–8.CrossRefPubMed
13.
go back to reference Conrad A, Kaier K, Frank U, et al. Are short training sessions on hand hygiene effective in preventing hospital-acquired MRSA? A time-series analysis. Am J Infect Control. 2010;38:559–61.CrossRefPubMed Conrad A, Kaier K, Frank U, et al. Are short training sessions on hand hygiene effective in preventing hospital-acquired MRSA? A time-series analysis. Am J Infect Control. 2010;38:559–61.CrossRefPubMed
14.
go back to reference Armellino D, Hussain E, Schilling ME. Using high-technology to enforce low-technology safety measures: the use of third-party remote video auditing and real-time feedback in healthcare. Clin Infect Dis. 2012;54:1–7.CrossRefPubMed Armellino D, Hussain E, Schilling ME. Using high-technology to enforce low-technology safety measures: the use of third-party remote video auditing and real-time feedback in healthcare. Clin Infect Dis. 2012;54:1–7.CrossRefPubMed
15.•
go back to reference Fakhry M, Hanna GB, Anderson O, et al. Effectiveness of an audible reminder on hand hygiene adherence. Am J Infect Control. 2012;40:320–3. This is a pre and post-interventional study that describes the benefits of audible reminders in increasing HH compliance rates.CrossRefPubMed Fakhry M, Hanna GB, Anderson O, et al. Effectiveness of an audible reminder on hand hygiene adherence. Am J Infect Control. 2012;40:320–3. This is a pre and post-interventional study that describes the benefits of audible reminders in increasing HH compliance rates.CrossRefPubMed
16.
go back to reference Reid N, Moghaddas J, Loftus M, et al. Can we expect patients to question health care workers’ hand hygiene compliance? Infect Control Hosp Epidemiol. 2012;33:531–2.CrossRefPubMed Reid N, Moghaddas J, Loftus M, et al. Can we expect patients to question health care workers’ hand hygiene compliance? Infect Control Hosp Epidemiol. 2012;33:531–2.CrossRefPubMed
17.
go back to reference Schweizer ML, Reisinger HS, Ohl M, Formanek MB, et al. Searching for an optimal hand hygiene bundle: a meta-analysis. Clin Infect Dis. 2014;58:248–59.CrossRefPubMed Schweizer ML, Reisinger HS, Ohl M, Formanek MB, et al. Searching for an optimal hand hygiene bundle: a meta-analysis. Clin Infect Dis. 2014;58:248–59.CrossRefPubMed
18.
go back to reference Marra AR, Edmond MB. Hand hygiene: state-of-the-art review with emphasis on new technologies and mechanisms of surveillance. Curr Infect Dis Rep. 2012;14:585–91.CrossRefPubMed Marra AR, Edmond MB. Hand hygiene: state-of-the-art review with emphasis on new technologies and mechanisms of surveillance. Curr Infect Dis Rep. 2012;14:585–91.CrossRefPubMed
20.
go back to reference Boyce JM. Measuring healthcare worker hand hygiene activity: current practices and emerging technologies. Infect Control Hosp Epidemiol. 2011;32:1016–28.CrossRefPubMed Boyce JM. Measuring healthcare worker hand hygiene activity: current practices and emerging technologies. Infect Control Hosp Epidemiol. 2011;32:1016–28.CrossRefPubMed
22.
go back to reference Edmond MD, Goodell A, Zuelzer W, et al. Successful use of alcohol sensor technology to monitor and report hand hygiene compliance. J Hosp Infect. 2010;76:364–5.CrossRefPubMed Edmond MD, Goodell A, Zuelzer W, et al. Successful use of alcohol sensor technology to monitor and report hand hygiene compliance. J Hosp Infect. 2010;76:364–5.CrossRefPubMed
23.•
go back to reference Polgreen PM, Hlady CS, Severson MA, et al. Method for automated monitoring of hand hygiene adherence with our radio-frequency identification. Infect Control Hosp Epidemiol. 2010;31:1294–7. This study describes a novel, less expensive method of electronic surveillance monitoring.CrossRefPubMedCentralPubMed Polgreen PM, Hlady CS, Severson MA, et al. Method for automated monitoring of hand hygiene adherence with our radio-frequency identification. Infect Control Hosp Epidemiol. 2010;31:1294–7. This study describes a novel, less expensive method of electronic surveillance monitoring.CrossRefPubMedCentralPubMed
24.••
go back to reference Sahud AG, Bhanot N, Radhakrishnan A, et al. An electronic hand hygiene surveillance device: a pilot study exploring surrogate markers for hand hygiene compliance. Infect Control Hosp Epidemiol. 2010;31:634–9. This is a pilot study that compares the direct observation method versus electronic monitoring.CrossRefPubMed Sahud AG, Bhanot N, Radhakrishnan A, et al. An electronic hand hygiene surveillance device: a pilot study exploring surrogate markers for hand hygiene compliance. Infect Control Hosp Epidemiol. 2010;31:634–9. This is a pilot study that compares the direct observation method versus electronic monitoring.CrossRefPubMed
25.
go back to reference Venkatesh AK, Lankford MG, Rooney DM, et al. Use of electronic alerts to enhance hand hygiene compliance and decrease transmission of vancomycin-resistant Enterococcus in a hematology unit. Am J Infect Control. 2008;36:199–205.CrossRefPubMed Venkatesh AK, Lankford MG, Rooney DM, et al. Use of electronic alerts to enhance hand hygiene compliance and decrease transmission of vancomycin-resistant Enterococcus in a hematology unit. Am J Infect Control. 2008;36:199–205.CrossRefPubMed
26.••
go back to reference Pineles LL, Morgan DJ, Limper HM, et al. Accuracy of a radiofrequency identification (RFID) badge system to monitor hand hygiene behavior during routine clinical activities. Am J Infect Control. 2014;42:144–7. This (multisite) study assessed the accuracy of RFID badge system to monitor HH.CrossRefPubMed Pineles LL, Morgan DJ, Limper HM, et al. Accuracy of a radiofrequency identification (RFID) badge system to monitor hand hygiene behavior during routine clinical activities. Am J Infect Control. 2014;42:144–7. This (multisite) study assessed the accuracy of RFID badge system to monitor HH.CrossRefPubMed
27.
go back to reference Davis CR. Infection-free surgery: how to improve hand-hygiene compliance and eradicate methicillin-resistant Staphylococcus aureus from surgical wards. Ann R Coll Surg Engl. 2010;92:316–9.CrossRefPubMedCentralPubMed Davis CR. Infection-free surgery: how to improve hand-hygiene compliance and eradicate methicillin-resistant Staphylococcus aureus from surgical wards. Ann R Coll Surg Engl. 2010;92:316–9.CrossRefPubMedCentralPubMed
Metadata
Title
Hand Hygiene Compliance Monitoring: the State of the Art
Authors
Claudia Jarrin Tejada
Gonzalo Bearman
Publication date
01-04-2015
Publisher
Springer US
Published in
Current Infectious Disease Reports / Issue 4/2015
Print ISSN: 1523-3847
Electronic ISSN: 1534-3146
DOI
https://doi.org/10.1007/s11908-015-0470-0

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