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Am J Infect Control. 2008 Sep;36(7):495-7. doi: 10.1016/j.ajic.2007.10.017.

Adherence to hand hygiene in an Italian long-term care facility.

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Institute of Tropical and Infectious Diseases, Spedali Civili, University of Brescia, Brescia, Italy.


In an Italian long-term-care facility (LTCF), we observed a 17.5% adherence to hand hygiene (HH), as well as 47.5% rate of glove use. Performing a procedure at high risk for cross-transmission of germs was the factor most strongly associated with noncompliance (odds ratio = 13.3; 95% confidence interval = 6.2 to 28.8; P < .0001). No significant differences in compliance related to health care worker category were found. Adherence to HH in the LTCF was similar to that found in a rehabilitation medicine unit of an acute care hospital (15.8%) but significantly lower than that reported in an infectious disease unit (53.7%; P < .0001). Our findings indicate that compliance with HH is a similar problem in LTCFs as in acute care facilities.

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