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Adherence to hand hygiene in an Italian long-term care facility

In an Italian long-term-care facility (LTCF), we observed a 17.5% adherence to hand hygiene (HH), as well as 47.5% rate of glove use. Performing a procedure at high risk for cross-transmission of germs was the factor most strongly associated with noncompliance (odds ratio = 13.3; 95% confidence inte...

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Bibliographic Details
Published in:American journal of infection control 2008-09, Vol.36 (7), p.495-497
Main Authors: Pan, Angelo, MD, Domenighini, Francesca, RN, Signorini, Liana, MD, Assini, Renata, RN, Catenazzi, Patrizia, RN, Lorenzotti, Silvia, MD, Patroni, Andrea, MD, Carosi, Giampiero, MD, Guerrini, Gianbattista, MD
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Language:English
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Summary:In an Italian long-term-care facility (LTCF), we observed a 17.5% adherence to hand hygiene (HH), as well as 47.5% rate of glove use. Performing a procedure at high risk for cross-transmission of germs was the factor most strongly associated with noncompliance (odds ratio = 13.3; 95% confidence interval = 6.2 to 28.8; P < .0001). No significant differences in compliance related to health care worker category were found. Adherence to HH in the LTCF was similar to that found in a rehabilitation medicine unit of an acute care hospital (15.8%) but significantly lower than that reported in an infectious disease unit (53.7%; P < .0001). Our findings indicate that compliance with HH is a similar problem in LTCFs as in acute care facilities.
ISSN:0196-6553
1527-3296
DOI:10.1016/j.ajic.2007.10.017