Hand hygiene opportunities in pediatric extended care facilities.
BACKGROUND
Introduction: Children in extended care facilities (ECFs) are at risk of healthcare-associated infections, but little hand hygiene (HH) research has been conducted in this unique setting.


METHODS
Eight children across four pediatric ECFs were observed for a cumulative 128 hours, and all care giver HH opportunities were characterized by the World Health Organization's '5 Moments for HH'. Data were analyzed using Pearson's χ2 test.


RESULTS
Observers documented 865 HH opportunities. Overall HH adherence was 43% and was significantly higher among clinical care givers than among non-clinical care givers (61% and 14%, respectively, (p < .01).


CONCLUSIONS
Hand hygiene adherence was low, suggesting multiple opportunities for transmission of infectious agents.
Columbia University, School of Nursing, New York, NY, USA. aeb2185@columbia.edu
Amanda
A
Buet
Bevin
B
Cohen
Melissa
M
Marine
Fiona
F
Scully
Paul
P
Alper
Edwin
E
Simpser
Lisa
L
Saiman
Elaine
E
Larson
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D063373:Hand Hygiene; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D012866:Skilled Nursing Facilities; D055815:Young Adult