Effectiveness and sustainability of the WHO multimodal hand hygiene improvement strategy in the University Hospital Bouaké, Republic of Côte d'Ivoire in the context of the COVID-19 pandemic.
Antimicrob Resist Infect Control
; 11(1): 36, 2022 02 17.
Article
in English
| MEDLINE | ID: covidwho-1703219
ABSTRACT
INTRODUCTION:
The most frequent adverse events in healthcare are healthcare-associated infections, whose burden is highest in resource-limited settings. In addition, low resource settings often lack Hand Hygiene (HH) knowledge and reliable supply to disinfectant, a necessity emphasized by the past West African Ebola Epidemic and the ongoing COVID-19 pandemic. PASQUALE aims to increase patient safety by introducing the WHO multimodal HH strategy in the University Hospital Bouaké, Côte d'Ivoire.METHODS:
Assessment of HH knowledge, perception and compliance was performed 12 months before, right after the intervention and at a ten months interval using questionnaires for knowledge and perception and direct observation for compliance. The intervention consisted of a HH training and the introduction of local production of alcohol-based hand-rub. In the absence of a control group, the effectiveness of the intervention was assessed by a before-and-after study.RESULTS:
Baseline knowledge score was 14/25, increased significantly to 17/25 (p < 0.001) upon first and decreased to 13/25 in second follow-up. Compliance showed a significant increase from 12.7% to 36.8% (p < 0.001) in first and remained at 36.4% in second follow-up. Alcohol-based hand-rub production and consumption almost doubled after first confirmed COVID-19 case in Côte d'Ivoire.CONCLUSION:
The WHO HH improvement strategy is an effective and pandemic-adaptable method to increase long-term HH compliance. This study emphasizes that the implementation of the strategy to build a robust system is of utmost importance.Keywords
AHRB; Alcohol-based hand rub; Bouaké; Clean care is safer care; Clean hands; Côte d'Ivoire; First WHO Global Patient Safety Challenge; Hand hygiene; Healthcare-associated infections; Infection prevention and control; Local disinfectant production; Nosocomial infections; University Hospital; WHO multimodal strategy
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
World Health Organization
/
Cross Infection
/
Pandemics
/
Hand Hygiene
/
COVID-19
/
Hospitals, University
Type of study:
Cohort study
/
Experimental Studies
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Observational study
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Prognostic study
/
Randomized controlled trials
Limits:
Adult
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Female
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Humans
/
Male
/
Young adult
Country/Region as subject:
Africa
Language:
English
Journal:
Antimicrob Resist Infect Control
Year:
2022
Document Type:
Article
Affiliation country:
S13756-021-01032-4
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