HH practices should be a priority to improve patient safety in Benin. They missed two opportunities out of three to apply HH and when HH was applied, technique and duration were not appropriate. ConclusionĬompliance in surgery was found to be low in Benin hospitals. We also noted a lack of permanent hand hygiene infrastructures such as sink, soap, towels and clean water. no artificial fingernails, no jewellery).
Of the 432 HCWs observed, 77.3% followed HH prerequisites (i.e. Duration of HH performance was not correctly adhered to 94% of alcohol hand rub cases (mean duration 9 ± 6 s instead of 20 to 30 s) and 99.5% of hand washing cases (10 ± 7 s instead of the recommended 40 to 60 s). For instance, hand rub only was observed 3.9% after body fluid exposure and 16.3% before aseptic action compared to hand washing at 50.6 and 16.7% respectively. For all of the WHO five moments, hand washing was the most preferred action. HCWs were more likely to use soap and water (72.1%) compared to the alcohol based hand rub solution (27.9%). Generally, HCWs were more compliant after body fluid exposure (54.5%) and after touching patient (37.5%), but less before patient contact (25.9%) and after touching patient surroundings (29.1%). However, compliance rates differed ( p < 0.001) between obstetric (49.4%) and gastrointestinal surgery (24.3%).
#WHO HAND HYGIENE DEFINITION HANDRUBB MOMENT PROFESSIONAL#
Overall, the compliance rate was 33.3% (438/1315), without significant difference between professional categories (nurses =34.2% auxiliaries =32.7% and physicians =32.4% p = 0.705). ResultsĪ total of 1315 HH opportunities were identified during observation period. HH technique and duration were also observed. HH compliance was calculated by dividing the number of times HH was performed by the total number of opportunities. The World Health Organization (WHO) Hand Hygiene Observation Tool was used in obstetric and gastrointestinal surgery through six public hospitals in Benin.
MethodsĪ multicenter prospective observational study was conducted for two months. The aim of this study was to investigate the HH compliance among Health-care Workers (HCWs) in Benin surgical care units. Compliance to HH is a fundamental quality indicator. Hand Hygiene (HH) has been described as the cornerstone and starting point in all infection control.
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