Hand hygiene adherence according to World Health Organization Recommendations in a Neonatal Intensive Care Unit

Daiane Santos Silva, Ana Amelia G. Dourado, Caroline Ramos Eustaquio Cerqueira,Fernando Hernandez Romero, Nair Almeida Amaral,Patricia F. Pearce, Lívia Pinheiro Pereira,Juan Ignácio Calcagno

Revista Brasileira de Saúde Materno Infantil(2017)

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Abstract
Abstract Objectives: to evaluate the application of hand hygiene technique, according to the World Health Organization (WHO) recommendations, in the neonatal intensive care unit, at a Maternity in Salvador de Bahia, Brazil. Methods: cross-sectional study. Hand hygiene technique by professional category and alcohol solution consumption were systematically registered. For this task an adapted instrument created by the WHO was used and applied using factsheets. The sample was taken from medical physicians, physiotherapists, nurses and nursing technicians. Results: hand hygiene adherence regarding WHO recommendations was deficient in terms of technique and in terms of frequency (adequate technique ranged from 0% to 13.3% between professional categories). Hand hygiene was frequently ignored (27% between physicians and 51.8% between nursing technicians). The moment right after touching surfaces next to patients was the most ignored one. Alcohol gel solution monthly use was only 35% of the expected value for the unit. Conclusions: despite the international investigations and efforts for better results, the adherence and compliance to the hand hygiene guidelines is still deficient and continues to be a major problem.
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Key words
Hand hygiene,Intensive care neonatal,World Health Organization
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