title: Improving hand hygiene compliance among healthcare workers: an intervention study in a Hospital in Guizhou Province, China.
abstract: OBJECTIVE
  Hand hygiene (HH) is a critical component for controlling hospital-acquired infection (HAI). The present study was designed to develop an intervention approach to improve compliance with HH among healthcare workers in a hospital setting.
  
  
  METHODS
  The HH intervention study was conducted in Guizhou Provincial People's Hospital, Guiyang, China and organized by its Department of HAI Management. It was an observational, prospective, quasiexperimental (before-after intervention) study. The study was divided into two phases: the baseline phase and the intervention phase. The investigative team included clinical monitoring staff and infection control practitioners who received a series of instructions on HH compliance, monitoring skills, and measurement of the use of HH products.
  
  
  RESULTS
  Based on 27,852 observations in a 17-month period, the rate of compliance with HH improved from 37.78% at baseline to 75.90% after intervention. Significant improvement in compliance and an increase in consumption of HH products was observed after intervention. The per patient-day consumption of alcohol-based hand rub products and handwash agents increased by 4.75mL and 4.55mL, respectively. The consumption of paper towels increased 3.41 sheets per patient-day. During the same period, the prevalence rate of HAI decreased 0.83%.
  
  
  CONCLUSIONS
  This study demonstrates that a significant improvement in compliance with HH can be achieved through a systemic, multidimensional intervention approach involving all categories of healthcare workers in a hospital setting, which may result in a decrease of the HAI rate.
authors.affiliation: Guizhou Provincial People's Hospital, Department of Hospital-Acquired Infection Management, Guiyang, China.
authors.forename: Xia
authors.initials: X
authors.lastname: Mu
authors.affiliation: Guizhou Provincial People's Hospital, Department of Hospital-Acquired Infection Management, Guiyang, China.
authors.forename: Yan
authors.initials: Y
authors.lastname: Xu
authors.affiliation: Guizhou Provincial People's Hospital, Department of Hospital-Acquired Infection Management, Guiyang, China.
authors.forename: Tingxiu
authors.initials: T
authors.lastname: Yang
authors.affiliation: Guizhou Provincial People's Hospital, Department of Hospital-Acquired Infection Management, Guiyang, China.
authors.forename: Ji
authors.initials: J
authors.lastname: Zhang
authors.affiliation: Guizhou Provincial People's Hospital, Department of Hospital-Acquired Infection Management, Guiyang, China.
authors.forename: Chong
authors.initials: C
authors.lastname: Wang
authors.affiliation: Guizhou Provincial People's Hospital, Department of Hospital-Acquired Infection Management, Guiyang, China.
authors.forename: Wei
authors.initials: W
authors.lastname: Liu
authors.affiliation: Guizhou Provincial People's Hospital, Department of Hospital-Acquired Infection Management, Guiyang, China.
authors.forename: Jing
authors.initials: J
authors.lastname: Chen
authors.affiliation: Guizhou Provincial People's Hospital, Department of Hospital-Acquired Infection Management, Guiyang, China.
authors.forename: Luyu
authors.initials: L
authors.lastname: Tang
authors.affiliation: Guizhou Provincial People's Hospital, Department of Hospital-Acquired Infection Management, Guiyang, China. Electronic address: mumud117@163.com.
authors.forename: Huai
authors.initials: H
authors.lastname: Yang
mesh_terms: D002681:China; D019983:Guideline Adherence / Q000706:statistics & numerical data*; D063373:Hand Hygiene / Q000379:methods*; D006761:Hospitals; D006801:Humans; D017053:Infection Control / Q000379:methods*; D017757:Infectious Disease Transmission, Professional-to-Patient / Q000517:prevention & control*; D010564:Personnel, Hospital / Q000193:education*; D015397:Program Evaluation; D011446:Prospective Studies; D013997:Time Factors
keywords: Compliance; Hand hygiene; Hospital-acquired infection