Compliance with hand hygiene in emergency medical services : an international observational study

Show simple item record

dc.contributor.author Vikke, Heidi Storm
dc.contributor.author Vittinghus, Svend
dc.contributor.author Giebner, Matthias
dc.contributor.author Kolmos, Hans Jorn
dc.contributor.author Smith, Karen
dc.contributor.author Castren, Maaret
dc.contributor.author Lindström, Veronica
dc.date.accessioned 2020-02-06T10:26:02Z
dc.date.available 2020-02-06T10:26:02Z
dc.date.issued 2019-03
dc.identifier.citation Vikke , H S , Vittinghus , S , Giebner , M , Kolmos , H J , Smith , K , Castren , M & Lindström , V 2019 , ' Compliance with hand hygiene in emergency medical services : an international observational study ' , Emergency Medicine Journal , vol. 36 , no. 3 , pp. 171-175 . https://doi.org/10.1136/emermed-2018-207872
dc.identifier.other PURE: 131535062
dc.identifier.other PURE UUID: 8faf5591-d9c1-4686-ae34-034e1a099b94
dc.identifier.other WOS: 000471815500010
dc.identifier.uri http://hdl.handle.net/10138/311173
dc.description.abstract Introduction Healthcare-associated infection caused by insufficient hygiene is associated with mortality, economic burden, and suffering for the patient. Emergency medical service (EMS) providers encounter many patients in different surroundings and are thus at risk of posing a source of microbial transmission. Hand hygiene (HH), a proven infection control intervention, has rarely been studied in the EMS. Methods A multicentre prospective observational study was conducted from December 2016 to May 2017 in ambulance services from Finland, Sweden, Australia and Denmark. Two observers recorded the following parameters: HH compliance according to WHO guidelines (before patient contact, before clean/aseptic procedures, after risk of body fluids, after patient contact and after contact with patient surroundings). Glove use and basic parameters such as nails, hair and use of jewellery were also recorded. Results Sixty hours of observation occurred in each country, for a total of 87 patient encounters. In total, there were 1344 indications for HH. Use of hand rub or hand wash was observed: before patient contact, 3%; before clean/aseptic procedures, 2%; after the risk of body fluids, 8%; after patient contact, 29%; and after contact with patient-related surroundings, 38%. Gloves were worn in 54% of all HH indications. Adherence to short or up done hair, short, clean nails without polish and no jewellery was 99%, 84% and 62%, respectively. HH compliance was associated with wearing gloves (OR 45; 95% CI 10.8 to 187.8; p=0.000) and provider level (OR 1.7; 95% CI 1.1 to 2.4; p=0.007), but not associated with gender (OR 1.3; 95% CI 0.9 to 1.9; p=0.107). Conclusion HH compliance among EMS providers was remarkably low, with higher compliance after patient contacts compared with before patient contacts, and an over-reliance on gloves. We recommend further research on contextual challenges and hygiene perceptions among EMS providers to clarify future improvement strategies. en
dc.format.extent 5
dc.language.iso eng
dc.relation.ispartof Emergency Medicine Journal
dc.rights cc_by_nc
dc.rights.uri info:eu-repo/semantics/openAccess
dc.subject 3126 Surgery, anesthesiology, intensive care, radiology
dc.title Compliance with hand hygiene in emergency medical services : an international observational study en
dc.type Article
dc.contributor.organization Department of Diagnostics and Therapeutics
dc.contributor.organization University Management
dc.contributor.organization HUS Emergency Medicine and Services
dc.description.reviewstatus Peer reviewed
dc.relation.doi https://doi.org/10.1136/emermed-2018-207872
dc.relation.issn 1472-0205
dc.rights.accesslevel openAccess
dc.type.version publishedVersion

Files in this item

Total number of downloads: Loading...

Files Size Format View
171.full.pdf 464.3Kb PDF View/Open

This item appears in the following Collection(s)

Show simple item record