title: Hand hygiene practices and adherence determinants in surgical wards across Europe and Israel: a multicenter observational study.
abstract: We examined hand hygiene practices in surgical wards in 9 countries in Europe and Israel through direct practice observation. There was marked interhospital variation in hand hygiene compliance (range, 14%-76%), as well as glove and alcohol-based handrub use. After multivariable analysis, surgical subspecialty, professional category, type of care activity, and workload were independently associated with compliance. Hand hygiene practices are influenced by numerous factors, and a tailored approach may be required to improve practices.
authors.affiliation: Infection Control Program, University of Geneva Hospitals and Faculty of Medicine, Geneva, Switzerland.
authors.forename: Andie
authors.initials: A
authors.lastname: Lee
authors.forename: Annie
authors.initials: A
authors.lastname: Chalfine
authors.forename: George L
authors.initials: GL
authors.lastname: Daikos
authors.forename: Silvia
authors.initials: S
authors.lastname: Garilli
authors.forename: Biljana
authors.initials: B
authors.lastname: Jovanovic
authors.forename: Sebastian
authors.initials: S
authors.lastname: Lemmen
authors.forename: José Antonio
authors.initials: JA
authors.lastname: Martínez
authors.forename: Cristina
authors.initials: C
authors.lastname: Masuet Aumatell
authors.forename: Joanne
authors.initials: J
authors.lastname: McEwen
authors.forename: Didier
authors.initials: D
authors.lastname: Pittet
authors.forename: Bina
authors.initials: B
authors.lastname: Rubinovitch
authors.forename: Hugo
authors.initials: H
authors.lastname: Sax
authors.forename: Stephan
authors.initials: S
authors.lastname: Harbarth
mesh_terms: D003428:Cross Infection / Q000517:prevention & control; D005060:Europe; D005932:Gloves, Surgical / Q000706:statistics & numerical data; D019983:Guideline Adherence / Q000706:statistics & numerical data*; D006235:Hand Disinfection / Q000379:methods*; D006761:Hospitals; D006801:Humans; D007557:Israel