title: Video Surveillance Audit of Hand-washing Practices in a Neonatal Intensive Care Unit.
abstract: OBJECTIVE
  To audit hand-washing practices by video-surveillance.
  
  
  METHODS
  Six main steps (step 2 to step 7) of World Health Organizations hand hygiene technique with soap and water were used for evaluation. Handwashing was categorized as excellent, acceptable and unacceptable.
  
  
  RESULTS
  Of 1081 recordings, 403 (37.3%) were excellent, 521 (48.2%) were acceptable and 157 (14.5%) were unacceptable handwash. Unacceptable handwashing was more prevalent in the night in comparison to daytime (17.5% vs 12.5%). Thirteen people washed their face after washing their hands.
  
  
  CONCLUSIONS
  Innovative interventions are required to improve handwashing during night shifts.
authors.affiliation: Department of Pediatrics, Pramukhswami Medical College; and #Central Research Services, Charutar Arogya Mandal; Karamsad, Anand, Gujarat, India. Correspondence to: Prof Somashekhar Nimbalkar, Department of Pediatrics, Pramukhswami Medical College, Karamsad, Anand, Gujarat 388 325, India. somu_somu@yahoo.com.
authors.forename: Rutvi
authors.initials: R
authors.lastname: Shah
authors.forename: Dipen V
authors.initials: DV
authors.lastname: Patel
authors.forename: Kushal
authors.initials: K
authors.lastname: Shah
authors.forename: Ajay
authors.initials: A
authors.lastname: Phatak
authors.forename: Somashekhar
authors.initials: S
authors.lastname: Nimbalkar
mesh_terms: D005260:Female; D006235:Hand Disinfection / Q000592:standards*; D007722:Health Knowledge, Attitudes, Practice; D006282:Health Personnel / Q000706:statistics & numerical data; D006801:Humans; D007363:Intensive Care Units, Neonatal / Q000706:statistics & numerical data*; D008297:Male; D062486:Public Health Surveillance; D014741:Video Recording; D014789:Visitors to Patients / Q000706:statistics & numerical data