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. 2021 Jan;49(1):30-33.
doi: 10.1016/j.ajic.2020.08.021. Epub 2020 Aug 18.

The impact of COVID-19 pandemic on hand hygiene performance in hospitals

Lori D Moore  1 , Greg Robbins  2 , Jeff Quinn  2 , James W Arbogast  3
Affiliations

The impact of COVID-19 pandemic on hand hygiene performance in hospitals

Lori D Moore et al. Am J Infect Control. 2021 Jan.

Abstract

Background: Achieving high levels of hand hygiene compliance of health care personnel has been an ongoing challenge. The objective of this study was to examine the impact of the COVID-19 pandemic on hand hygiene performance (HHP) rates in acute care hospitals.

Methods: HHP rates were estimated using an automated hand hygiene monitoring system installed in 74 adult inpatient units in 7 hospitals and 10 pediatric inpatient units in 2 children's hospitals. A segmented regression model was used to estimate the trajectory of HHP rates in the 10 weeks leading up to a COVID-19-related milestone event (eg, school closures) and for 10 weeks after.

Results: Three effects emerged, all of which were significant at P < .01. Average HHP rates increased from 46% to 56% in the months preceding pandemic-related school closures. This was followed by a 6% upward shift at the time school closures occurred. HHP rates remained over 60% for 4 weeks before declining to 54% at the end of the study period.

Conclusions: Data from an automated hand hygiene monitoring system indicated that HHP shifted in multiple directions during the early stages of the pandemic. We discuss possible reasons why HHP first increased as the pandemic began and then decreased as it progressed.

Keywords: Automated hand hygiene monitoring; Electronic compliance monitoring; Hand hygiene; Hand hygiene compliance; Hand hygiene monitoring; Pandemic.

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Figures

Fig 1
Fig 1
Weekly opportunities (black bars), events (gray bars), and average performance rates (solid lines), for each hospital (2020).
Fig 2
Fig 2
Segmented regression analysis of performance rates over time, all 9 hospitals combined.
See this image and copyright information in PMC

References

    1. Boyce JM, Pittet D, HICPAC/SHEA/APIC/IDSA Hand Hygiene Task Force Guideline for hand hygiene in health-care settings. MMWR Morb Mortal Wkly Rep. 2002;51(RR-16):1–45. - PubMed
    1. Pittet D, Hugonnet S, Harbarth S, et al. Effectiveness of a hospital-wide programme to improve compliance with hand hygiene. Lancet. 2000;356:1307–1312. - PubMed
    1. Larson EL, Early E, Cloonan P, Sugrue S, Parides M. An organizational climate intervention associated with increased handwashing and decreased nosocomial infections. Behav Med. 2000;26:14–22. - PubMed
    1. Sickbert-Bennett EE, DiBiase LM, Willis TM, Wolak ES, Weber DJ, Rutala WA. Reduction of healthcare-associated infections by exceeding high compliance with hand hygiene practices. Emerg Infect Dis. 2016;22:1628–1630. - PMC - PubMed
    1. Lotfinejad N, Peters A, Pittet D. Hand hygiene and the novel coronavirus pandemic: the role of healthcare workers. J Hosp Infect. 2020;105:776–777. - PMC - PubMed

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