Effectiveness of a training programme to improve hand hygiene compliance in primary healthcare.
BACKGROUND
Hand hygiene is the most effective measure for preventing infections related to healthcare, and its impact on the reduction of these infections is estimated at 50%. Non-compliance has been highlighted in several studies in hospitals, although none have been carried out in primary healthcare.


OBJECTIVE
To evaluated the effect of a "Hand Hygiene for the reduction of healthcare-associated infections" training program for primary healthcare workers, measured by variation from correct hand hygiene compliance, according to regulatory and specific criteria, 6 months after the baseline, in the intervention group (group receiving a training program) and in the control group (a usual clinical practice).


OBJECTIVE
-To describe knowledges, attitudes and behaviors as regards hand hygiene among the professionals, and their possible association with "professional burnout", stratifying the results by type of group (intervention and usual clinical practice).-To estimate the logistic regression model that best explains hand hygiene compliance.


METHODS
Experimental study of parallel groups, with a control group, and random assignment by Health Center.Area of study.- Health centers in north-eastern Madrid (Spain).Sample studied.- Healthcare workers (physicians, odontostomatologists, pediatricians, nurses, dental hygienists, midwife and nursing auxiliaries).Intervention.- A hand hygiene training program, including a theoretical-practical workshop, provision of alcohol-based solutions and a reminder strategy in the workplace.Other variables: sociodemographic and professional knowledges, attitudes, and behaviors with regard to hand hygiene.


METHODS
descriptive and inferential, using multivariate methods (covariance analysis and logistic regression).


CONCLUSIONS
This study will provide valuable information on the prevalence of hand hygiene non-compliance, and improve healthcare.
Martín-Madrazo
Carmen
C
Unidad de Formación e Investigación Area 4, Madrid, Spain. cmartinm.gapm04@salud.madrid.org
Cañada-Dorado
Asunción
A
Salinero-Fort
Miguel Angel
MA
Abanades-Herranz
Juan Carlos
JC
Arnal-Selfa
Rosa
R
García-Ferradal
Inmaculada
I
Espejo-Matorral
Flora
F
Carrillo-de Santa-Pau
Enrique
E
Soto-Diaz
Sonia
S
D017598:Efficiency, Organizational; D019983:Guideline Adherence; D006235:Hand Disinfection / Q000592:standards*; D006282:Health Personnel / Q000193:education*; D006801:Humans; D006920:Hygiene / Q000193:education*; D007318:Inservice Training; D012107:Research Design; D013030:Spain