Evolución de la adhesión a la higiene de manos: la pandemia un punto de inflexión
Evolution of adhesion to hand hygiene: the pandemic a turning point
Abstract
ABSTRACT:
INTRODUCTION: Hand hygiene is crucial to prevent nosocomial infections, with the hands of professionals and patients being significant vectors of transmission. The objective of this study was to evaluate adherence to hand hygiene at the Rafael Méndez General University Hospital between 2016 and 2022.
METHODOLOGY: An observational and descriptive study was carried out in medical-surgical units, collecting annual data. The sample included 1097 professionals and 5416 observation opportunities.
RESULTS: The results showed an improvement in hand hygiene until 2021, with a reduction in omission from 64% in 2016 to an overall compliance of 55% in 2020 and 2021. However, in 2022 a significant decline was observed with 79% of omission. The evolution varied depending on the moment and the category observed.
CONCLUSION: Adherence to hand hygiene in the Rafael Méndez General University Hospital has shown a positive trend with a gradual annual increase until 2021, highlighting 2020 as a turning point. However, the relaxation of post-pandemic measures has decreased compliance. It is recommended to continue promoting training and evaluation actions to improve hand hygiene among health professionals.
Keywords: hands hygiene, hands washing and friction.
Downloads
References
Miranda CM, Navarrete TL. Semmelweis y su aporte científico a la medicina: Un lavado de manos salva vidas. Rev Chil Infectol. 2008;25(1):54–7.
Organization WH (OMS). Directrices_de_la_OMS_sobre_higiene_de_las_manos_la_atencio.pdf. 2020.
Organization WH. Reto Mundial en Pro de la Seguridad del Paciente. World Alliance Patient Saf. 2005;53(9):1689–99.
Organization WH. Manual técnico de referencia para la higiene de las manos. Int J Risk Saf Med. 2009;21(4):235–6.
Sociedad Española de Medicina Preventiva Salud Pública e Higiene. ESTUDIO EPINE-EPPS no 30: 2021 Informe España. Estud EPiNE [Internet]. 2019;33–6. Available from: https://epine.es/api/documento-publico/2021 EPINE Informe España 27112021.pdf/reports-esp%0Ahttp://dx.doi.org/10.1016/j.cirp.2016.06.001%0Ahttp://dx.doi.org/10.1016/j.powtec.2016.12.055%0Ahttps://doi.org/10.1016/j.ijfatigue.2019.02.006%0Ahttps://doi.org/1
Organization WH (OMS). Guía de aplicación estrategia multimodal de la OMS para la Higiene de Manos.2022
Organizacion Mundial de la Salud (OMS). Guía de la OMS sobre Higiene de Manos en la Atención de la Salud : Resumen. 2022;8–80.
Ministerio de Sanidad. Medidas de prevención, higiene y promoción de la salud frente a covid-19 para centros educativos. Com Salud Pública [Internet]. 2021;2(1):1–41. Available from: https://www.mscbs.gob.es/profesionales/saludPublica/ccayes/alertasActual/nCov/documentos/COVID19_Medidas_centros_educativos_Curso_2020_2021.pdf
Ministerio de Sanidad. Gobierno de España. Las 6M Siempre En Mente. 17 Febrero 2021 [Internet]. :6. Available from: https://www.mscbs.gob.es/profesionales/saludPublica/ccayes/alertasActual/nCov/documentos/Infografia_6M.pdf
Armstrong-Novak JD, Juan HY, Cooper K, Bailey P. Healthcare Personnel Hand Hygiene Compliance: Are We There Yet? Curr Infect Dis Rep [Internet]. 2023;25(7):123–9. Available from: https://doi.org/10.1007/s11908-023-00806-8
SAFETY WAFP. Manual De Referencia Para Observadores Proyecto Atencion Limpia Es Una Atencion. 2009;
Ocampo M, Liseth A, Narváez L. Higiene de manos en el personal de salud en un ámbito hospitalario . Una revisión de la literatura Han d hygiene in health staff in a hospital area . a review. 2020;17:93–106.
Iversen, A. M., Kavalaris, C. P., Hansen, R., Hansen, M. B., Alexander, R., Kostadinov, K., Holt, J., Kristensen, B., Knudsen, J. D., Møller, J. K., & Ellermann-Eriksen, S. Clinical experiences with a new system for automated hand hygiene monitoring: A prospective observational study. American Journal of Infection Control. 2020. 48(5), 527–533. Available from: https://doi.org/10.1016/j.ajic.2019.09.003
Noboa Pullaguari, K. D. Estrategias de enfermería para reducir las infecciones nosocomiales en entornos hospitalarios. LATAM Revista Latinoamericana de Ciencias Sociales y Humanidades. 2023; 4(6). Available from: https://doi.org/10.56712/latam.v4i6.1556
Srigley, J. A., Furness, C. D., & Gardam, M. Interventions to improve patient hand hygiene: a systematic review. Journal of Hospital Infection. 2016. 94 (1): 23–29. W.B. Saunders Ltd. Available from: https://doi.org/10.1016/j.jhin.2016.04.018
Speth J. Guidelines in Practice: Hand Hygiene. AORN J. 2023;118(2):101–8
Braithwaite, I., Callender, T., Bullock, M., & Aldridge, R. W. Automatedand partly automated contact tracing: a systematic review to inform the control of COVID-19. The Lancet Digital Health. 2020. 2 (11): e607–e621. Elsevier Ltd. Available from: https://doi.org/10.1016/S2589-7500(20)30184-9
Veys K, Dockx K, Van Remoortel H, Vandekerckhove P, De Buck E. The effect of hand hygiene promotion programs during epidemics and pandemics of respiratory droplet-transmissible infections on health outcomes: a rapid systematic review. BMC Public Health. 2021;21(1):1–11.
Coronavirus disease (COVID-19) [Internet]. WHO TEAM Emergencies Preparedness. 2021. Available from: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/advice-for-public
de Arriba-Fernández A, Molina-Cabrillana MJ, Majem LS. Evolution of adherence to hand hygiene in health care professionals in a third-level hospital in relation to the sars-cov-2 pandemic. Rev Esp Quimioter. 2021;34(3):214–9.
McCarney R, Warner J, Iliffe S, Van Haselen R, Griffin M, Fisher P. The Hawthorne Effect: A randomised, controlled trial. BMC Med Res Methodol. 2007;7:1–8.
- 15-01-2025 (2)
- 14-01-2025 (1)
Copyright (c) 2024 Global Nursing
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
The works published in this magazine are subject to the following terms:
1. The Publications Service of the University of Murcia (the publisher) preserves the copyright of the published works, and encourages and allows the reuse of the works under the license for use stated in point 2.
© Servicio de Publicaciones, Universidad de Murcia, 2011 (© Publications Service, University of Murcia, 2011)
2. The works are published in the electronic edition of the journal under Creative Commons Reconocimiento-NoComercial-SinObraDerivada 3.0 España(texto legal) “ a Attribution-NonCommercial-NoDerivatives 3.0 Spain license (legal text)”. They can be copied, used, broadcasted, transmitted and publicly displayed, provided that: i) the authorship and original source of their publication (journal, publisher and URL) are cited; (ii) are not used for commercial purposes; iii) the existence and specifications of this license is mentioned.
3. Conditions of self-archiving. Authors are allowed and encouraged to electronically disseminate the pre-print (pre-reviewed ) and / or post-print (reviewed and accepted for publication) versions of their works prior to publication, as it ensures a wider circulation and dissemination which may lead to a possible increase in its mention and a higher scope among the academic community. RoMEO color: green.