Use patterns and frequency of hand hygiene in healthcare facilities: Analysis of electronic surveillance data

Publication date: Available online 18 May 2018
Source:American Journal of Infection Control
Author(s): Jessica Albright, Bruce White, Daniel Pedersen, Pete Carlson, Lisa Yost, Cheryl Littau
BackgroundHealthcare workers perform hand hygiene much more frequently than workers in other fields. As a result, healthcare workers have a higher exposure to topical antiseptic products.MethodsFive tertiary care facilities were equipped with an electronic hand hygiene compliance monitoring system. Alcohol-based handrub (ABHR) and handwash use was recorded on a worker-specific basis for 6 months. Total hand hygiene product use and total hours worked were calculated for each worker to determine use frequency.ResultsA detailed, descriptive analysis of hand hygiene practices was performed. All facilities demonstrated high hand hygiene compliance rates (>85%). ABHR use was more frequent (9.1 uses/hour, 95^th percentile) than handwashing (2.1 uses/hour, 95^th percentile). This study identified a relationship between hand hygiene frequency and job function. Nursing and nonclinical support staff demonstrated higher usage rates than other healthcare workers. For these workers with high hand hygiene frequency, 95^th percentile usage rates for ABHR use and handwashing were 9.6 and 2.2 uses/hour, respectively.ConclusionsThis extensive dataset, monitoring nearly 4000 healthcare workers and more than 6 million data points, provides a detailed description of current hand hygiene practices of hospital staff. ABHR was used more frequently than handwashing. Job function was found to affect hand hygiene frequency, with nonclinical staff and nursing staff demonstrating elevated rates of hand hygiene.



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