Hand hygiene in emergency care: cross-sectional study on adherence and behavior of the team

Andre Luiz Silva Alvim; Cristiane Araújo; Claudilene Fernandes da Silva; Camila Ribeiro  Araújo; Yuri Neves Arantes Paulino; Herica Silva Dutra; Luciane Ribeiro de Faria; Odinéa Maria Amorim Batista

doi:10.26694/repis.v8i1.3900

Hand hygiene in emergency care: cross-sectional study on adherence and behavior of the team

Autores/as

Andre Luiz Silva Alvim Faculdade de Enfermagem. Programa de Pós-Graduação Mestrado em Enfermagem. Universidade Federal de Juiz de Fora
Cristiane Araújo Hospital Ciências Médicas de Belo Horizonte. Belo Horizonte, Minas Gerais, Brasil
Claudilene Fernandes da Silva Hospital Universitário da Universidade Federal de Juiz de Fora, EBSERH. Juiz de Fora, Minas Gerais, Brasil
Camila Ribeiro Araújo Universidade Federal de Juiz de Fora, Faculdade de Enfermagem, Programa de Pós-Graduação em Enfermagem. Juiz de Fora, Minas Gerais, Brasil
Yuri Neves Arantes Paulino Universidade Federal de Juiz de Fora, Faculdade de Enfermagem, Programa de pós-graduação na modalidade residência multiprofissional em saúde. Juiz de Fora, Minas Gerais, Brasil
Herica Silva Dutra Universidade Federal de Juiz de Fora, Faculdade de Enfermagem, Programa de Pós-Graduação em Enfermagem. Juiz de Fora, Minas Gerais, Brasil
Luciane Ribeiro de Faria Universidade Federal de Juiz de Fora, Faculdade de Enfermagem, Programa de Pós-Graduação em Enfermagem. Juiz de Fora, Minas Gerais, Brasil
Odinéa Maria Amorim Batista Universidade Federal do Piauí (UFPI), Departamento de Enfermagem. Teresina, Piauí, Brasil

DOI:

https://doi.org/10.26694/repis.v8i1.3900

Palabras clave:

Hand Disinfection, Emergency Medical Services, Health Personnel, Patient Safety, Cross Infection

Resumen

Introduction: Healthcare professionals working in emergency care perform hand hygiene on few occasions when in contact with the patient and/or nearby areas. Aim: To verify adherence and behavior of healthcare professionals regarding hand hygiene practices in emergency care. Outlining: Cross-sectional, descriptive, quantitative study conducted with 39 healthcare professionals working in emergency care. Data were analyzed using descriptive statistics and multiple linear regression. Results: A total of 230 observations were made during day and night shifts. The majority did not use adornments during their workday (81.0%). The adherence rate was 33.0%, with the lowest frequency before performing aseptic procedures (24.0%) and before contacting the patient (27.1%). Nurses stood out among the evaluated professionals (39.5%). There was no statistical difference between the products used for handhygiene and the adherence rate (p=0.20). Implications: It is necessary to implement strategies to sensitize healthcare professionals about hand hygiene, as the participants' performance was low.

Biografía del autor/a

Andre Luiz Silva Alvim, Faculdade de Enfermagem. Programa de Pós-Graduação Mestrado em Enfermagem. Universidade Federal de Juiz de Fora

Professor Adjunto da Universidade Federal de Juiz de Fora, Departamento de Enfermagem Aplicada, MG, Brasil.

Citas

Alvim ALS, Reis LC, Couto BRGM, Starling CEF, Vaz R. Avaliação das práticas de higienização das mãos em três unidades de terapia intensiva. Rev Epidemiol Control Infect [Internet]. 2019 [cited 2022 Dez 5];9(1). Available from: https://doi.org/10.17058/reci.v9i1.11605

Mouajou V, Adams K, DeLisle G, Quach C. Hand hygiene compliance in the prevention of hospital-acquired infections: a systematic review. J Hosp Infect [Internet]. 2022 [cited 2022 Dez 5];119:33-48. Available from: https://doi.org/10.1016/j.jhin.2021.09.016

Word Health Organization (WHO). World Hand Hygiene Day 2021, Seconds save lives – clean your hands. Geneva: WHO; 2021 [cited 2022 Dez 5]. Available from: https://www.who.int/campaigns/world-hand-hygiene-day/2021

Batista J, Silva DP, Nazário SS, Cruz EDA. Multimodal strategy for hand hygiene in field hospitals of COVID-19. Rev Bras Enferm [Internet]. 2020 [cited 2022 Dez 5];73(Suppl 2):e20200487. Available from: http://dx.doi.org/10.1590/0034-7167-2020-0487

Brasil. Agência Nacional de Vigilância Sanitária. Projeto de Implantação Nacional da Estratégia Multimodal de Melhoria da higiene das Mãos em Serviços de Saúde para a Segurança do Paciente, 2022-2023. Brasília: Anvisa; 2022 [cited 2022 Dez 5]. Available from: https://www.gov.br/anvisa/pt-br/centraisdeconteudo/publicacoes/servicosdesaude/higiene das-maos/projeto-de-implantacao-nacional-da-estrategia-multimodal-de-melhoria-da-higiene-das-maos-em-servicos-de-saude-para-a-seguranca-do-paciente-2013-2022-2023

Zottele C, Apud Magnago Tsbs, Dullius Ais, Kolankiewicz Acb, Ongaro Jd, 2014. Hand hygiene compliance of healthcare professionals in an emergency department. Rev Esc Enferm USP [Internet]. 2017 [cited 2022 Dez 5];51:e03242. Available from: https://doi.org/10.1590/S1980-220X2016027303242

Seo HJ, Sohng KY, Chang SO, Chaung SK, Won JS, Choi MJ. Interventions to improve hand hygiene compliance in emergency departments: a systematic review. J Hosp Infect [Internet]. 2019 [cited 2022 Dez 5];102(4):394-406. Available from: https://doi.org/10.1016/j.jhin.2019.03.013

Cheng A, Kessler D, Mackinnon R, Chang TP, Nadkarni VM, Hunt EA, et al. Reporting Guidelines for Health Care Simulation Research. Simul Healthc J Soc Simul Healthc [Internet]. 2016 [cited 2022 Dez 5];11(4):238-48. Available from: https://doi.org/10.1097/SIH.0000000000000150

World Health Organization (WHO). A Guide to the Implementation of the WHO Multimodal Hand Hygiene Improvement Strategy. Geneva: WHO; 2009 [cited 2022 Dez 8]. Available from: https://apps.who.int/iris/bitstream/handle/10665/70030/WHO_IER_PSP_2009.02_eng.pdf

Apiratwarakul K, Jumroenketpratheep K, Ienghong K, Ruttanaseeha W, Buranasakda M, Bhudhisawasdi V. Hand Hygiene of Emergency Medical Service Healthcare Providers. J Med Assoc Thai [Internet]. 2020 [cited 2022 Dez 8];103:8-10. Available from: http://jmatonline.com/index.php/jmat/article/view/11091#

Lambe KA, Lydon S, Madden C, Vellinga A, Hehir A, Walsh M, O'Connor P. Hand Hygiene Compliance in the ICU: A Systematic Review. Crit Care Med [Internet]. 2019 [cited 2022 Dez 8];47(9):1251-57. Available from: https://doi.org/10.1097/CCM.0000000000003868

Contreiro KS, Jantsch LB, Arrué AM, Oliveira DC, Bandeira D. Adesão à higienização das mãos dos profissionais da saúde em unidade de terapia intensiva neonatal. Rev Enf Contemp [Internet]. 2020 [cited 2022 Dez 8];10(1):25-32. Available from: https://doi.org/10.17267/2317 3378rec.v10i1.3094

Tartari E, Tomczyk S, Pires D, Zayed B, Rehse APC, Kariyo P et al. Implementation of the infection prevention and control core components at the national level: a global situational analysis. J Hosp Infect [Internet]. 2021 [cited 2022 Dez 10];108:94-103. Available from: https://doi.org/10.1016/j.jhin.2020.11.025

Silva CSS, Pereira AA, Parente AT, Silva AZM, Margotti E, Branco JEB. Higienização das mãos em uma unidade de terapia intensiva neonatal. São Paulo: Rev Recien [Internet]. 2021 [cited 2022 Dez 10];11(34):41-51. Available from: https://doi.org/10.24276/rrecien2021.11.34.41-51 15. Vikke HS, Vittinghus S, Giebner M, Kolmos HJ, Smith K, Castrén M, Lindström V. Compliance with hand hygiene in emergency medical services: an international observational study. Emerg Med J [Internet]. 2019 [cited 2022 Dez 10];36(3):171-75. Available from: https://doi.org/10.1136/emermed-2018-207872

Jemal S. Knowledge and Practices of Hand Washing among Health Professionals in Dubti Referral Hospital, Dubti, Afar, Northeast Ethiopia. Adv Prev Med [Internet]. 2018 [cited 2022 Dez 10]:5290797 Available from: https://doi.org/10.1155/2018/5290797

Sardenberg HA, de Souza Cavalcante R, Fortaleza CM. Mudanças em padrões de consumo de álcool gel para higiene das mãos antes e durante a pandemia de COVID‐19. Braz J Infect Dis [Internet]. 2021 [cited 2022 Dez 10];25:101354. Available from: https://doi.org/10.1016/j.bjid.2020.101354

Hillier MD. Using effective hand hygiene practice to prevent and control infection. Nurs Stand [Internet]. 2020 [cited 2022 Dez 11];35(5):45-50. Available from: https://doi.org/10.7748/ns.2020.e11552

Descargas

Publicado

2023-04-12

Cómo citar

Alvim, A. L. S., Araújo, C., Silva , C. F. da, Araújo, C. R., Paulino, Y. N. A., Dutra, H. S., … Batista, O. M. A. (2023). Hand hygiene in emergency care: cross-sectional study on adherence and behavior of the team. Revista De Prevención De Infecciones Y Salud, 8(1). https://doi.org/10.26694/repis.v8i1.3900