[Factors related with the performance of a proper hand hygiene].
OBJECTIVE
To identify factors related with the performance of a proper hand hygiene technique in a hand hygiene campaign.


METHODS
We developed two cross-sectional studies on 15 hospital units. The outcome variable was complied HH with proper technique and the exposures variables were care factors (unit, professional group, etc) and other factors related with the HH campaign (training on hand washing).


METHODS
The strength of association was measured using odds ratios (OR) with their 95% confidence interval (CI). Adjusting for confounders was performed using multiple logistic regression.


RESULTS
12% of the observed 1241 hand hygiene were performed with proper technique. The strongest associated factors were ICUS (OR: 4.07 (CI 95% (1.95-8.51)), surgical wards (OR: 3.24 (CI 95% (1.52-6.92), procedures with high risk of contamination (OR: 2,56 CI 95% (1.34-4.70)), and physicians (OR: 2.52 CI 95% (0.93-6.85)). Training increased by 21% the probability of hand hygiene with proper technique for every 10% increase in trained health care workers (OR: 1.21 CI 95% (1.01-1.45).


CONCLUSIONS
Hand Washing Training was associated with proper technique especially in surgical services and physicians.
Dierssen-Sotos
Trinidad
T
Grupo de Medicina Preventiva y Salud Pública, Universidad de Cantabria, Santander, España. trinidad.dierssen@unican.es
de la Cal-López
Marta
M
Navarro-Córdoba
Mar
M
Rebollo-Rodrigo
Henar
H
Antolín-Juarez
Francisco Manuel
FM
Llorca
Javier
J
D000328:Adult; D000891:Anti-Infective Agents, Local; D003430:Cross-Sectional Studies; D005260:Female; D019983:Guideline Adherence; D006235:Hand Disinfection; D006757:Hospital Units; D006801:Humans; D017757:Infectious Disease Transmission, Professional-to-Patient / Q000517:prevention & control; D007362:Intensive Care Units; D008297:Male; D008505:Medical Staff, Hospital / Q000193:education; D009728:Nursing Assistants / Q000193:education; D009740:Nursing Staff / Q000193:education; D012915:Soaps; D013030:Spain; D013503:Surgery Department, Hospital
D000891:Anti-Infective Agents, Local; D012915:Soaps