title: Compliance of hand hygiene in maintaining the catheter for hemodialysis.
abstract: OBJECTIVE
  to assess the compliance of the practice of hand hygiene in maintaining the temporary double-lumen catheter for hemodialysis, through the use of process indicator at the University Hospital of the University of São Paulo.
  
  
  METHODS
  a quantitative, exploratory, descriptive, observational study. Sample consists of 155 observations of patients with catheter from March to November 2011, using the Maintenance Indicator Temporary Dual Lumen Catheter for Hemodialysis.
  
  
  RESULTS
  the overall compliance rate was 65.8%. Of the 13 specific components evaluated, 9 (69.2%) had 100% compliance. Hand hygiene by health professionals presented one of the worst rates (83.9%).
  
  
  CONCLUSIONS
  it is necessary to implement strategies to reduce the rates of non-compliance, improve quality of care and safety of patients with catheter, and explore factors that affect the process, such as structural issues, and behavioral materials.
authors.affiliation: Programa de Pós-Graduação em Gerenciamento em Enfermagem, Escola de Enfermagem, Universidade de São Paulo, São Paulo, SP, Brazil.
authors.forename: Késia Alves Gomes
authors.initials: KA
authors.lastname: Rosetti
authors.affiliation: Programa de Pós-Graduação em Gerenciamento em Enfermagem, Escola de Enfermagem, Universidade de São Paulo, São Paulo, SP, Brazil.
authors.forename: Daisy Maria Rizatto
authors.initials: DM
authors.lastname: Tronchin
mesh_terms: D019983:Guideline Adherence; D063373:Hand Hygiene; D006282:Health Personnel; D006785:Hospitals, University; D006801:Humans; D006435:Renal Dialysis