title: Evaluation of an educational campaign to increase hand hygiene at a small animal veterinary teaching hospital.
abstract: OBJECTIVE
  To establish baseline data on rates of hand hygiene behavior, evaluate the effectiveness of an educational intervention aimed at improving hand hygiene, and determine whether methods similar to those applied in human hospitals to improve hand hygiene can be successfully applied in a small animal veterinary hospital.
  
  
  METHODS
  Prospective observational study.
  
  
  METHODS
  568 and 187 observations of interactions between small animal patients and veterinary health-care providers before and after, respectively, educational intervention.
  
  
  METHODS
  Proper hand hygiene practices were defined as use of antibacterial foam or hand washing before or after physical interactions between health-care providers (veterinary medical faculty members, residents, interns, students, and technicians) and patients or proper use of gloves. Data were collected by anonymous direct observation. After an initial observation period, a multimodal educational campaign promoted proper hand hygiene with specific attention to increasing use of antibacterial foam. Two months later, data on proper hand hygiene practices after intervention were collected.
  
  
  RESULTS
  At baseline, 117 of 568 (20.6%) interactions met criteria for proper hand hygiene practices; after intervention, a significantly greater proportion (78/187 [41.7%]) of interactions met criteria for proper hand hygiene practices. Use of antibacterial foam significantly increased from 34 of 568 (6.0%) to 67 of 187 (35.8%) interactions. Health-care providers were 4.1 times as likely to wash their hands with soap and water or to use antibacterial foam on their hands after the intervention than before the intervention.
  
  
  CONCLUSIONS
  Initial low rates of proper hand hygiene practices at baseline were improved substantially 2 months after implementing a low-cost multimodal educational campaign.
authors.affiliation: Cummings School of Veterinary Medicine, Tufts University, North Grafton, MA 02155, USA.
authors.forename: Annie
authors.initials: A
authors.lastname: Shea
authors.forename: Scott
authors.initials: S
authors.lastname: Shaw
mesh_terms: D017750:Animal Technicians; D000818:Animals; D000900:Anti-Bacterial Agents; D004520:Education, Veterinary / Q000379:methods*; D017575:Gloves, Protective; D006235:Hand Disinfection; D007722:Health Knowledge, Attitudes, Practice; D006762:Hospitals, Animal; D006801:Humans; D006920:Hygiene; D057805:Pets; D012915:Soaps; D013334:Students; D018634:Veterinarians
chemical_list: D000900:Anti-Bacterial Agents; D012915:Soaps