Quantification of hand hygiene compliance in anesthesia providers at a tertiary care center in northern India

Hand hygiene (HH) compliance continues to remain poor amongst anesthetists mainly because of multitasking and the need for repeated HH. We aimed to quantify HH compliance amongst anesthesia providers while performing anesthesia-related procedures inside operating rooms. The observations for HH befor...

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Bibliographic Details
Published in:American journal of infection control 2015-10, Vol.43 (10), p.1134-1136
Main Authors: Sahni, Neeru, MD, Biswal, Manisha, MD, Gandhi, Komal, MD, Yaddanapudi, Sandhya, MD
Format: Article
Language:English
Subjects:
Anesthesia - methods
Anesthetist
Compliance
Guideline Adherence
Hand Hygiene - methods
Hand washing
Hands
Health Personnel
Health Services Research
Humans
Hygiene
India
Infection Control
Infection Control - methods
Infectious Disease
Medical personnel
Multitasking
Operating room
Tertiary Care Centers
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Summary:Hand hygiene (HH) compliance continues to remain poor amongst anesthetists mainly because of multitasking and the need for repeated HH. We aimed to quantify HH compliance amongst anesthesia providers while performing anesthesia-related procedures inside operating rooms. The observations for HH before and after procedures, including placement of intravenous cannula, intubation, central line placement, arterial line placement, and neuraxial and peripheral nerve block, were made by a single observer in operating rooms where elective surgeries are carried out. The overall compliance of all health care workers was 39.6%. Resident physicians were less likely to be compliant than consultant physicians and there was significant variation in procedure-related HH with maximum compliance before neuraxial block (100%) followed by arterial line placement (93.7%), central line insertion (86.7%), and peripheral nerve block (80%) ( P  
ISSN:0196-6553
1527-3296
DOI:10.1016/j.ajic.2015.05.035