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. 2011 Aug;39(6):517-20.
doi: 10.1016/j.ajic.2010.09.007. Epub 2011 Apr 15.

Hand hygiene practices and adherence determinants in surgical wards across Europe and Israel: a multicenter observational study

Andie Lee  1 , Annie Chalfine, George L Daikos, Silvia Garilli, Biljana Jovanovic, Sebastian Lemmen, José Antonio Martínez, Cristina Masuet Aumatell, Joanne McEwen, Didier Pittet, Bina Rubinovitch, Hugo Sax, Stephan Harbarth; MOSAR-04 Study Team
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Hand hygiene practices and adherence determinants in surgical wards across Europe and Israel: a multicenter observational study

Andie Lee et al. Am J Infect Control. 2011 Aug.

Abstract

We examined hand hygiene practices in surgical wards in 9 countries in Europe and Israel through direct practice observation. There was marked interhospital variation in hand hygiene compliance (range, 14%-76%), as well as glove and alcohol-based handrub use. After multivariable analysis, surgical subspecialty, professional category, type of care activity, and workload were independently associated with compliance. Hand hygiene practices are influenced by numerous factors, and a tailored approach may be required to improve practices.

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