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J Infect Public Health. 2016 May-Jun;9(3):366-9. doi: 10.1016/j.jiph.2015.11.006. Epub 2015 Dec 19.

Assessment of hand hygiene techniques using the World Health Organization's six steps.

Author information

1
Infection Control Department, TCH Hamad Medical Corporation, Doha, Qatar. Electronic address: Aarias@hamad.qa.
2
Infection Control Department, TCH Hamad Medical Corporation, Doha, Qatar. Electronic address: Hgarcell@hamad.qa.
3
Nursing Department, TCH Hamad Medical Corporation, Doha, Qatar. Electronic address: Yochoa@hamad.qa.
4
Nursing Department, TCH Hamad Medical Corporation, Doha, Qatar. Electronic address: Karias@hamad.qa.
5
Nursing Department, TCH Hamad Medical Corporation, Doha, Qatar. Electronic address: Fmiranda@hamad.qa.

Abstract

The quality of hand hygiene was evaluated via direct observation for compliance with the six recommended World Health Organization steps. A total of 2497 HH opportunities, of which 1573 (63.0%) were hand rubs, were monitored over a five month period. Compliance was higher in nurses compared with physicians and auxiliaries and in steps 1 and 2 for hand rubs as well as the first three steps of hand washing, with lower rates after these steps. Rubbing of the thumbs and fingertips achieved the lowest rates of compliance in both HH types. A combination of the five recommended moments and six steps and staff education is recommended to improve the quality of hand hygiene.

KEYWORDS:

Hand hygiene; Medical staff; Technique; WHO six steps

PMID:
26707705
DOI:
10.1016/j.jiph.2015.11.006
[Indexed for MEDLINE]
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