دورية أكاديمية
أعرض في EDS

Factors associated with hand hygiene adherence among healthcare workers in Guatemala during the COVID-19 pandemic.

التفاصيل البيبلوغرافية
العنوان: Factors associated with hand hygiene adherence among healthcare workers in Guatemala during the COVID-19 pandemic.
المؤلفون: Fahsen N; Centro de Estudios en Salud, Universidad del Valle de Guatemala, Guatemala City, Guatemala. Electronic address: nfahsen@uvg.edu.gt., Garzaro P; Centro de Estudios en Salud, Universidad del Valle de Guatemala, Guatemala City, Guatemala., Lozier MJ; Division of Foodborne, Waterborne, and Environmental Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USA; United States Public Health Service, Bethesda, MD, USA., Pratt CQ; Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, GA, USA., Craig C; Division of Foodborne, Waterborne, and Environmental Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USA., McDavid K; Division of Foodborne, Waterborne, and Environmental Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USA., Vega Ocasio D; Division of Foodborne, Waterborne, and Environmental Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USA; Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, GA, USA., Cordon-Rosales C; Centro de Estudios en Salud, Universidad del Valle de Guatemala, Guatemala City, Guatemala., Call DR; Paul G. Allen School for Global Health, Washington State University, Pullman, WA, USA., Ramay BM; Centro de Estudios en Salud, Universidad del Valle de Guatemala, Guatemala City, Guatemala; Paul G. Allen School for Global Health, Washington State University, Pullman, WA, USA.
المصدر: The Journal of hospital infection [J Hosp Infect] 2024 Jul; Vol. 149, pp. 137-143. Date of Electronic Publication: 2024 May 21.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: W.B. Saunders For The Hospital Infection Society Country of Publication: England NLM ID: 8007166 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-2939 (Electronic) Linking ISSN: 01956701 NLM ISO Abbreviation: J Hosp Infect Subsets: MEDLINE
أسماء مطبوعة: Publication: London : W.B. Saunders For The Hospital Infection Society
Original Publication: New York, Academic Press.
مواضيع طبية MeSH: COVID-19*/prevention & control , Health Personnel*/statistics & numerical data , Health Personnel*/psychology , Hand Hygiene*/statistics & numerical data , Hand Hygiene*/methods , Hand Hygiene*/standards , Guideline Adherence*/statistics & numerical data, Humans ; Guatemala ; Female ; Male ; Hand Disinfection/methods ; Cross Infection/prevention & control ; Adult ; SARS-CoV-2 ; Infection Control/methods ; Health Facilities/statistics & numerical data
مستخلص: Background: Healthcare-associated infections are prevalent in low- and middle-income countries and may be reduced through proper hand hygiene (HH) adherence during patient care.
Aim: We produced and distributed alcohol-based hand rub (ABHR) to 19 public primary- and secondary-level healthcare facilities in Quetzaltenango, Guatemala, and carried out HH observations to assess healthcare workers' (HCWs) HH adherence, and to identify factors associated with this practice. HH adherence was defined as washing hands with soap and water or using ABHR.
Methods: Observations were conducted before (2021, baseline) and after (2022, follow-up) ABHR distribution to evaluate the evolution of HH practices over time. Bivariate comparisons and mixed-effects logistic regression models were used to explore associations between HH adherence and the following independent variables: healthcare facility level, type of contact performed, timing of HH performance, occupational category of HCW and materials present (e.g., water, soap, ABHR).
Findings: We observed 243 and 300 patient interactions among 67 and 82 HCWs at each time point, respectively. HH adherence was low for both observation periods (40% at baseline and 35% at follow-up). HCWs were more likely to adhere to HH during invasive contacts, after patient contact, and if the HCW was a physician.
Conclusion: HH adherence varied by scenario, which underscores the importance of addressing multiple determinants of behaviour change to improve adherence. This requires interventions implemented with a multi-modal approach that includes both increasing access to HH materials and infrastructure, as well as HH education and training, monitoring and feedback, reminders, and promoting a HH safety culture.
(Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved.)
فهرسة مساهمة: Keywords: Guatemala; Hand hygiene (HH); Healthcare-associated infections (HAIs); Low- or middle-income countries (LMICs); Water, sanitation and hygiene (WASH)
تواريخ الأحداث: Date Created: 20240523 Date Completed: 20240628 Latest Revision: 20240628
رمز التحديث: 20240629
DOI: 10.1016/j.jhin.2024.05.008
PMID: 38782055
قاعدة البيانات: MEDLINE
الوصف
تدمد:1532-2939
DOI:10.1016/j.jhin.2024.05.008