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Adherence to the five moments for hand hygiene among intensive care professionals

Adherencia de los profesionales de una unidad de cuidados intensivos a los cinco momentos de higiene de las manos

Objective:

to identify the adherence of health professionals of an intensive care unit to the five moments for hand hygiene.

Method:

cross-sectional analytical study with a quantitative approach, based on secondary data from a database of a hospital infection control service at an institution in southern Brazil. A total of 793 observations were analyzed from July to December 2012.

Results:

hand washing was not performed in 446 (56.2%) of the observations, and the adherence rate was 43.7%. The greatest adherence to hand hygiene was among the physiotherapists (53.5%) and the lowest adherence was among the nursing staff (29.2%). The indications with the lowest adherence rates to hand hygiene were "before touching the patient" (18.4%) and "before aseptic procedure" (20.9%).

Conclusion:

we conclude that adherence to hand washing does not comply with the national and international guidelines, especially when we consider the current scenario of growing infections caused by multidrug-resistant microorganisms.

Nursing; Intensive care; Cross infection; Hand hygiene; Hand disinfection; Patient safety


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