Systematic Review of Studies on Compliance with Hand Hygiene Guidelines in Hospital Care

  title={Systematic Review of Studies on Compliance with Hand Hygiene Guidelines in Hospital Care},
  author={Vicki Erasmus and Thea J Daha and Hans Brug and Jan Hendrik Richardus and Myra D Behrendt and Margreet C. Vos and Ed F. van Beeck},
  journal={Infection Control \&\#x0026; Hospital Epidemiology},
  pages={283 - 294}
Objectives. To assess the prevalence and correlates of compliance and noncompliance with hand hygiene guidelines in hospital care. Design. A systematic review of studies published before January 1, 2009, on observed or self-reported compliance rates. Methods. Articles on empirical studies written in English and conducted on general patient populations in industrialized countries were included. The results were grouped by type of healthcare worker before and after patient contact. Correlates… 
Hand Hygiene Compliance in the ICU: A Systematic Review.
Mean hand hygiene compliance appears notably lower than international targets, and the data collated may offer useful indicators for those evaluating, and seeking to improve, hand hygiene Compliance in ICUs internationally.
Hand Hygiene Adherence Among Health Care Workers at Japanese Hospitals: A Multicenter Observational Study in Japan
The hand hygiene adherence in Japanese teaching hospitals in the sample was low, even lower than reported mean values from other international studies, which should be encouraged in Japan.
Assessing hand hygiene compliance among healthcare workers in six Intensive Care Units
Overall, the involved ICUs showed low levels of adherence to best hygiene practices, suggesting the need to implement immediate strategies for infection control in the ICUs, and a multidisciplinary intervention could be effective in preventing and control the HAI risk.
Hand hygiene compliance rate among healthcare professionals.
The overall hand hygiene compliance rate of healthcare professionals reached 50% after a long education campaign, and was highest among the nurses.
What are the predictors of hand hygiene compliance in the intensive care unit? A cross-sectional observational study
It was revealed that physicians, allied healthcare professionals and auxiliary staff were less likely than nurses to engage in HH, and HCWs were more likely to comply during night shifts compared to morning shifts, and with self-protective HH moments.
Hand hygiene compliance in intensive care units: An observational study.
After implementation of the "German Clean Hands Campaign" interventions, an overall significant improvement of hand hygiene was detected and helped to raise awareness among health care professional groups.


Compliance with hand hygiene practice in pediatric intensive care
  • S. Harbarth, D. Pittet, L. Grady, D. Goldmann
  • Medicine
    Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
  • 2001
Average HH compliance was low, but it increased during high-risk patient-care activities, and intensified efforts are necessary to increase caretakers’ compliance and the awareness of the risk of bacterial contamination after interrupted patient- care activities.
A multicentre survey of hand hygiene practice in intensive care units.
Determinants of Good Adherence to Hand Hygiene Among Healthcare Workers Who Have Extensive Exposure to Hand Hygiene Campaigns
High self-reported rates of adherence to hand hygiene was independently associated with female sex, receipt of training in hand hygiene, participation in a previous hand hygiene campaign, peer pressure from colleagues, perceived good adherence by colleagues, and the perception that hand hygiene is relatively easy to perform.
Compliance with handwashing in a teaching hospital. Infection Control Program.
Variation across hospital ward and type of health care worker suggests that targeted educational programs may be useful and the association between noncompliance and intensity of care suggests that understaffing may decrease quality of patient care.
A survey on handwashing practices and opinions of healthcare workers.
This survey suggests that healthcare workers understand the importance of handwashing, but tend to overestimate their own compliance and are more attracted to interventions that make handwashing easier.
Hand hygiene practices in adult versus pediatric intensive care units at a university hospital before and after intervention
Adherence to hand hygiene in adult ICUs improved with institution of an educational program and increase in accessibility of alcohol-based hand rub; however, traditional handwashing was still preferred.
Differences in Hand Hygiene Behavior Related to the Contamination Risk of Healthcare Activities in Different Groups of Healthcare Workers
This study showed better compliance with hand hygiene than that reported by many previous studies, but compliance was still inadequate and varied significantly by type of HCW, type of activity, and location in the hospital.
Interventions to improve hand hygiene compliance in patient care.
It appears that single interventions based on short, 'one off' teaching sessions are unlikely to be successful, even short-term, and there is a need to undertake methodologically robust research to explore the effectiveness of soundly designed interventions to increase hand hygiene compliance.