Hand Hygiene Among Doctors in Transplant Departments in Poland: A Cross-sectional Survey

被引:2
作者
Rostkowska, Olga Maria [1 ]
Zgliczynski, Wojciech Stefan [2 ]
Jankowski, Mateusz [2 ]
Kuthan, Robert [3 ]
Pinkas, Jaroslaw [2 ]
Durlik, Magdalena [1 ]
机构
[1] Med Univ Warsaw, Dept Transplantat Med Nephrol & Internal Med, Warsaw, Poland
[2] Ctr Postgrad Med Educ, Sch Publ Hlth, Kleczewska 61-63, PL-01826 Warsaw, Poland
[3] Med Univ Warsaw, Chair & Dept Med Microbiol, Warsaw, Poland
关键词
HEALTH-CARE WORKERS; STETHOSCOPE DISINFECTION; CONTAMINATION; EXPOSURE;
D O I
10.1016/j.transproceed.2020.01.111
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Introduction. Hand hygiene (HH) is often under-discussed in clinical work, but it is hard to overestimate its role in preventing health care associated infections (HCAIs), especially among immunocompromised populations such as transplant patients. Objectives. This study aimed to investigate the compliance of doctors in transplant departments in Poland with HH and other selected infection control measures. Material and Methods. An on-line cross-sectional survey was carried out among doctors from all Polish transplant departments listed by POLTRANSPLANT. The questionnaire addressed HH in different clinical settings and based on the World Health Organization (WHO) "My 5 Moments for Hand Hygiene." Results. Completed questionnaires were obtained from 204 physicians (49% women; response rate: 24.7%). The lowest proportion of doctors who always comply with HH was observed in 2 out of 5 critical moments for hand hygiene: "before touching a patient" (40.2%) and "after contact with patient surroundings" (21.6%). Most respondents declared correct HH action that they would apply in a particular clinical situation as listed in the survey. More than half of doctors (57.4%) declared disinfecting stethoscopes "before and/or after each use." The lack of alcohol-based hand-rub nearby or nonfunctional containers, daily rush, and occurring emergencies were identified as the main reasons for noncompliance with HH recommendations. Conclusion. Doctors in transplant departments in Poland have a satisfactory level of knowledge about HH in various situations. However, further organizational and educational activities are needed to promote compliance with HH recommendations in health care facilities.
引用
收藏
页码:1964 / 1976
页数:13
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