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Directly observed hand hygiene - from healthcare workers to patients

JOURNAL OF HOSPITAL INFECTION (2019)

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JOURNAL OF HOSPITAL INFECTION

卷 101, 期 4, 页码 380-382

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W B SAUNDERS CO LTD

DOI: 10.1016/j.jhin.2018.11.016

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Public, Environmental & Occupational Health Infectious Diseases

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Appropriate number of observations for determining hand hygiene compliance among healthcare workers

Se Yoon Park, Suyeon Park, Beom Seuk Hwang, Eunjung Lee, Tae Hyong Kim, Sungho Won

Summary: The study concluded that at least five observations were required to determine the optimal hand hygiene compliance rates in the hospital.

ANTIMICROBIAL RESISTANCE AND INFECTION CONTROL (2021)

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Article Psychology, Clinical

Capability, Opportunity, Motivation, and Hand Hygiene Behavior in Healthcare Workers: A Structural Equation Modeling

Shuangjiang Zheng, Qiuxia Yang, Xuemei Wang, Xinping Zhang, Qian Zhou

Summary: This study aimed to identify the determinants and underlying mechanism of hand hygiene behavior among healthcare workers. The results showed that capability, opportunity, and motivation have significant effects on hand hygiene behavior. Resource provision and motivation enhancement are crucial for improving hand hygiene behavior.

PSYCHOLOGY RESEARCH AND BEHAVIOR MANAGEMENT (2022)

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Article Public, Environmental & Occupational Health

Compliance with a novel hand hygiene protocol tailored to non-sterile healthcare workers in the operating theatre

M. D. Van Dijk, C. M. Waltmans-den Breejen, J. M. J. J. Vermeeren, S. van den Berg, E. F. Van Beeck, M. C. Vos, Cooperating Rijnmond Hospitals

Summary: This study developed and tested a hand hygiene protocol specifically designed for non-sterile healthcare workers in the operating theatre. The protocol includes written rules and visual representation of hand hygiene areas. The study found that hand hygiene compliance among healthcare workers in the operating theatre was below 50%, with variations among different hospitals and types of healthcare workers.

JOURNAL OF HOSPITAL INFECTION (2023)

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Article Public, Environmental & Occupational Health

Hand hygiene improvement of individual healthcare workers: results of the multicentre PROHIBIT study

Tjallie van der Kooi, Hugo Sax, Hajo Grundmann, Didier Pittet, Sabine de Greeff, Jaap van Dissel, Lauren Clack, Albert W. Wu, Judith Davitt, Sofia Kostourou, Alison Maguinness, Anna Michalik, Viorica Nedelcu, Marta Patyi, Janja Perme Hajdinjak, Milena Prosen, David Tellez, Eva Varga, Fani Veini, Miroslaw Zietkiewicz, Walter Zingg

Summary: This study analyzed individual hand hygiene compliance levels in intensive care units (ICUs) of European hospitals. The proportion of improving healthcare workers (HCWs) and their median individual improvement varied among ICUs, but correlated with the overall improvement in hand hygiene. Factors such as nurse profession, activity index, nurse-to-patient ratio, and baseline compliance were associated with individual improvement. This study provides insights to help design more effective hand hygiene interventions.

ANTIMICROBIAL RESISTANCE AND INFECTION CONTROL (2022)

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Article Veterinary Sciences

Hand Hygiene Evaluation Using Two Different Evaluation Tools and Hand Contamination of Veterinary Healthcare Workers in a Swiss Companion Animal Clinic

Kira Schmitt, Anna Barbara Emilia Zimmermann, Roger Stephan, Barbara Willi

Summary: This study compared an online application with the WHO evaluation form to assess hand hygiene in a Swiss companion animal clinic. The results showed poor compliance with hand hygiene, with variations in compliance observed between different hospital areas and hand hygiene indications.

VETERINARY SCIENCES (2021)

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Article Public, Environmental & Occupational Health

Hand hygiene compliance among healthcare workers before and during the COVID-19 pandemic

Susanne Gundersborg Sandbol, Eva Natalia Glassou, Svend Ellermann-Eriksen, Annette Haagerup

Summary: This study investigated hand hygiene compliance among healthcare workers before and during the COVID-19 pandemic. The findings revealed that hand hygiene compliance did not increase during the pandemic. There were variations in compliance rates across different departments, with some experiencing significantly lower compliance during the pandemic compared to before, while others remained unchanged.

AMERICAN JOURNAL OF INFECTION CONTROL (2022)

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Article Public, Environmental & Occupational Health

Differences in observed and self-reported compliance with 'Five Moments for Hand Hygiene' as a function of the empathy of healthcare workers

S. Diefenbacher, C. Plotzki, W. Schneider-Brachert, A. Ambrosch, J. Keller, H. Niesalla, S. Gaube, P. Gastmeier, C. Sassenrath, T. S. Kramer

Summary: This study investigated the relationship between empathy of healthcare workers (HCWs) and moment-specific hand hygiene compliance (HHC) rates. The findings showed a correlation between empathy and both observed and self-reported HHC rates. The interaction effect between empathy and designated time-points of hand hygiene was also significant.

JOURNAL OF HOSPITAL INFECTION (2022)

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Article Public, Environmental & Occupational Health

Hand Hygiene Social Norms Among Healthcare Workers During Early COVID-19: Results of a Global Survey

Giorgia Gon, Aron Szekely, Hattie Lowe, Marco Tosi

Summary: This study investigates hand hygiene social norms among healthcare workers and examines their predictors, as well as the potential impact of COVID-19 on these norms. The findings indicate that healthcare workers have strong social expectations, personal beliefs, punishment, and rewards regarding hand hygiene. The study also shows variations in social expectations across different occupations and age groups, with doctors having lower social expectations compared to nurses/midwives. Furthermore, the study suggests that social expectations increased during the COVID-19 pandemic.

INTERNATIONAL JOURNAL OF PUBLIC HEALTH (2022)

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Article Public, Environmental & Occupational Health

Hand Hygiene and Mask-Wearing Practices during COVID-19 among Healthcare Workers: Misinformation as a Predictor

Senhu Wang, Lambert Zixin Li, Natasha van Antwerpen, Sutrisno Suparman, Mergy Gayatri, Ningrum Paramita Sari, Stephen X. Zhang

Summary: Lack of public health information poses a challenge in infectious disease control. The study found significant associations between healthcare workers' hand hygiene and mask-wearing behaviors during the COVID-19 pandemic and misinformation. It is crucial to enhance public health information on COVID-19 to improve healthcare workers' preventive practices.

AMERICAN JOURNAL OF TROPICAL MEDICINE AND HYGIENE (2021)

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Article Medicine, General & Internal

The impact of COVID-19 pandemic on hand hygiene compliance of healthcare workers in a tertiary hospital in East China

Xing Zhang, Yonghui Ma, Li Kong, Yusen Li, Juan Wang, Ning Li, Yujie Xia, Peng Wang, Min Zhang, Lili Liu, Dingding Zhang, Luhan Wen, Shuangshuang Wang, Zhenghui Liu, Xia Yue, Jixia Wang, Tong Zhang, Xiujuan Meng

Summary: This study evaluated the hand hygiene performance (HHP) rate in a tertiary hospital before and after the COVID-19 outbreak. The results showed that the hand hygiene rate of healthcare workers (HCWs) significantly increased after the pandemic. The highest HHP rate was observed after contact with body fluids or blood of patients.

FRONTIERS IN MEDICINE (2023)

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Article Infectious Diseases

Comparison of two electronic hand hygiene monitoring systems in promoting hand hygiene of healthcare workers in the intensive care unit

Xiao Zhong, Dong-Li Wang, Li-Hua Xiao, Lan-Fang Mo, Qing-Fei Wu, Yan-Wei Chen, Xiao-Feng Luo

Summary: The study compared the role of two types of electronic hand hygiene monitoring systems in promoting hand hygiene of healthcare workers in the ICU. Results showed that the system with real-time reminders and feedback had a more noticeable effect on improving hand hygiene compliance.

BMC INFECTIOUS DISEASES (2021)

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Article Pharmacology & Pharmacy

Healthcare workers' hand hygiene knowledge and compliance evaluation, in a Greek university hospital

X. Sinopidis, E. Tsekoura, P. Plotas, D. Gkentzi, S. Roupakias, S. Fouzas, A. Karatza, M. Skaperda, O. Panagiotopoulou, I. Spyridakis, G. Sakellaris, E. Jelastopulu

Summary: This study translated and validated the WHO hand hygiene knowledge questionnaire, showing good reliability and validity. The survey revealed that only half of the participants had received formal training on hand hygiene, indicating the need for more organized training.

EUROPEAN REVIEW FOR MEDICAL AND PHARMACOLOGICAL SCIENCES (2022)

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Article Pharmacology & Pharmacy

Healthcare workers' hand hygiene knowledge and compliance evaluation, in a Greek university hospital

X. Sinopidis, E. Tsekoura, P. Plotas, D. Gkentzi, S. Roupakias, S. Fouzas, A. Karatza, M. Skaperda, O. Panagiotopoulou, I. Spyridakis, G. Sakellaris, E. Jelastopulu

Summary: This study aimed to measure the hand hygiene knowledge and compliance of healthcare workers at a university hospital. The translated and validated questionnaire proved to be an acceptable, reliable, and valid instrument. The findings suggest that hand hygiene is more of a habit than a knowledge issue, and there is a need for more organized training.

EUROPEAN REVIEW FOR MEDICAL AND PHARMACOLOGICAL SCIENCES (2022)

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Article Psychology, Multidisciplinary

Has the COVID 19 Virus Changed Adherence to Hand Washing among Healthcare Workers?

Rosalia Ragusa, Marina Marranzano, Alessandro Lombardo, Rosalba Quattrocchi, Maria Alessandra Bellia, Lorenzo Lupo

Summary: The study aimed to assess hand washing adherence among healthcare workers in hospital wards over time, finding that adherence to WHO guidelines did not change globally over the past six years. However, during the pandemic, the adherence rate significantly increased in ICU and the use of gloves increased in 2020. The permanent monitoring of hand washing revealed the ongoing challenge of achieving correct hand hygiene in all opportunities despite the fear of contagion.

BEHAVIORAL SCIENCES (2021)

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Article Public, Environmental & Occupational Health

Utilizing behavioral theories to explain hospital visitors' observed hand hygiene behavior

Susanne Gaube, Wulf Schneider-Brachert, Thomas Holzmann, Peter Fischer, Eva Lermer

Summary: The study revealed that visitors tend to over-report their hand hygiene behavior, with critical facilitators including attitude, risk perception, planning, and social influences, while key barriers include perceived behavioral control, resources, and memory. Future behavior change interventions should focus on the visibility and accessibility of cleaning products, informing laypeople about their role in infection prevention, and leveraging social influence processes.

AMERICAN JOURNAL OF INFECTION CONTROL (2021)

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Article Immunology

Impact of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Variant-Associated Receptor Binding Domain (RBD) Mutations on the Susceptibility to Serum Antibodies Elicited by Coronavirus Disease 2019 (COVID-19) Infection or Vaccination

Lin-Lei Chen, Lu Lu, Charlotte Yee-Ki Choi, Jian-Piao Cai, Hoi-Wah Tsoi, Allen Wing-Ho Chu, Jonathan Daniel Ip, Wan-Mui Chan, Ricky Ruiqi Zhang, Xiaojuan Zhang, Anthony Raymond Tam, Daphne Pui-Ling Lau, Wing-Kin To, Tak-Lun Que, Cyril Chik-Yan Yip, Kwok-Hung Chan, Vincent Chi-Chung Cheng, Kwok-Yung Yuen, Ivan Fan-Ngai Hung, Kelvin Kai-Wang To

Summary: SARS-CoV-2 variants P.3 and B.1.617.1 can evade neutralizing response from convalescent serum and vaccine-induced serum. The E484K mutation in the spike protein has the greatest impact on receptor binding domain binding.

CLINICAL INFECTIOUS DISEASES (2022)

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Airborne transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2): What is the implication of hospital infection control?

Shuk-Ching Wong, Lithia Lai-Ha Yuen, Veronica Wing-Man Chan, Jonathan Hon-Kwan Chen, Kelvin Kai-Wang To, Kwok-Yung Yuen, Vincent Chi-Chung Cheng

INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY (2022)

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Hepatitis E Virus Species C Infection in Humans, Hong Kong

Siddharth Sridhar, Cyril Chik-Yan Yip, Kelvin Hon-Yin Lo, Shusheng Wu, Jianwen Situ, Nicholas Foo-Siong Chew, Kit-Hang Leung, Helen Shuk-Ying Chan, Sally Cheuk-Ying Wong, Anthony Wai-Shing Leung, Cindy Wing-Sze Tse, Kitty S. C. Fung, Owen Tak-Yin Tsang, Kam-Lun Hon, Vincent Chi-Chung Cheng, Ken Ho-Leung Ng, Kwok-Yung Yuen

Summary: This study investigated human HEV-C1 infections detected in Hong Kong, with a focus on outcomes in immunocompromised individuals. The findings showed that immunocompromised HEV-C1-infected patients frequently progress to persistent HEV-C1 infection, for which ribavirin is a suitable treatment option.

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Article Public, Environmental & Occupational Health

Air dispersal of respiratory viruses other than severe acute respiratory coronavirus virus 2 (SARS-CoV-2) and the implication on hospital infection control

Shuk-Ching Wong, Veronica Wing-Man Chan, Christine Ho-Yan Auyeung, Jonathan Hon-Kwan Chen, Cyril Chik-Yan Yip, Simon Yung-Chun So, Xin Li, David Christopher Lung, Anita Man-Ching Tsang, Kelvin Kai-Wang To, Kwok-Yung Yuen, Vincent Chi-Chung Cheng

Summary: This study found that the air dispersal of respiratory viruses may have important implications for infection prevention and public health. The viral load of patients is closely associated with the air dispersal of viruses in isolation rooms. Patients placed in double-bed isolation rooms had a higher viral load in the air compared to singly isolated patients.

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Shuk-Ching Wong, Veronica Wing-Man Chan, Germaine Kit Ming Lam, Lithia Lai-Ha Yuen, Christine Ho-Yan AuYeung, Xin Li, Jonathan Hon-Kwan Chen, Pui-Hing Chau, Kwok-Yung Yuen, Vincent Chi-Chung Cheng

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Risk Factors for Slow Viral Decline in COVID-19 Patients during the 2022 Omicron Wave

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Summary: This retrospective cohort study investigated viral shedding kinetics and risk factors associated with slow viral decline in adult patients hospitalized for COVID-19 during the Omicron wave in early 2022. The study identified older age as an independent risk factor for slow viral decline and suggested that age should be considered when determining the timing of de-isolation.

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Directly observed hand hygiene - from healthcare workers to patients

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W B SAUNDERS CO LTD

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