title: Adherence to hand hygiene and risk factors for poor adherence in 13 Ontario acute care hospitals.
abstract: Multicenter studies assessing hand hygiene adherence and risk factors for poor performance are scarce. In an observational study involving 13 hospitals across Ontario, Canada, we found a mean adherence rate of 31.2%, and that adherence was positively associated with nurses, single rooms, contact precautions, and the availability of alcohol hand rub dispensers.
authors.affiliation: Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada; Michael G. DeGroote Institute for Infectious Disease Research, McMaster University, Hamilton, Ontario, Canada.
authors.forename: Dominik
authors.initials: D
authors.lastname: Mertz
authors.affiliation: Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada; Michael G. DeGroote Institute for Infectious Disease Research, McMaster University, Hamilton, Ontario, Canada; Department of Medicine, McMaster University, Hamilton, Ontario, Canada.
authors.forename: Jennie
authors.initials: J
authors.lastname: Johnstone
authors.affiliation: Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada; Department of Family and Community Medicine, University of Toronto, Toronto, Ontario, Canada.
authors.forename: Paul
authors.initials: P
authors.lastname: Krueger
authors.affiliation: Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada; St. Josephs Health System, Ontario, Canada.
authors.forename: Kevin
authors.initials: K
authors.lastname: Brazil
authors.affiliation: Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada.
authors.forename: Stephen D
authors.initials: SD
authors.lastname: Walter
authors.affiliation: Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada; Michael G. DeGroote Institute for Infectious Disease Research, McMaster University, Hamilton, Ontario, Canada; Department of Medicine, McMaster University, Hamilton, Ontario, Canada; Department of Pathology and Molecular Medicine, McMaster University, Hamilton, Ontario, Canada. Electronic address: loebm@mcmaster.ca.
authors.forename: Mark
authors.initials: M
authors.lastname: Loeb
mesh_terms: D000438:Alcohols / Q000008:administration & dosage; D005260:Female; D019983:Guideline Adherence; D006235:Hand Disinfection / Q000379:methods* / Q000592:standards; D006282:Health Personnel / Q000523:psychology*; D006761:Hospitals; D006801:Humans; D006920:Hygiene; D008297:Male; D019370:Observation / Q000379:methods; D009864:Ontario; D012307:Risk Factors
chemical_list: D000438:Alcohols