The impact of COVID-19 pandemic on hand hygiene performance in hospitals
The impact of COVID-19 pandemic on hand hygiene performance in hospitals
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DOI：
10.1016/j.ajic.2020.08.021
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发表时间：
2021-01-01
影响因子：
4.9
通讯作者：
Arbogast, James W.
中科院分区：
文献类型：
--
作者：
Moore, Lori D.;Robbins, Greg;Arbogast, James W.
背景：实现卫生保健人员高水平的手部卫生遵从性一直是一个持续的挑战。目的：探讨新冠肺炎疫情对急诊医院手卫生绩效的影响。方法：采用手部卫生自动监测系统，对7所医院74个成人病房和2所儿童医院10个儿科病房的手卫生绩效进行测算。使用分段回归模型估计了新冠肺炎相关里程碑事件(如学校停课)前10周和之后10周内HHP发生率的轨迹。结果：存在三个效应，均在P<；.01显著。在与大流行相关的学校停课前的几个月里，HHP的平均比率从46%上升到56%。紧随其后的是学校停课时6%的上升。HHP患病率连续4周保持在60%以上，研究结束时下降至54%。结论：手部卫生自动监测系统的数据显示，HHP在疫情早期呈多方向变化。我们讨论了为什么HHP在大流行开始时先是增加，然后随着大流行的进展而减少的可能原因。(C)2020感染控制和流行病学专业人员协会。由Elsevier Inc.出版。保留所有权利。
Background: Achieving high levels of hand hygiene compliance of health care personnel has been an ongoing challenge. The objective of this study was to examine the impact of the COVID-19 pandemic on hand hygiene performance (HHP) rates in acute care hospitals.Methods: HHP rates were estimated using an automated hand hygiene monitoring system installed in 74 adult inpatient units in 7 hospitals and 10 pediatric inpatient units in 2 children's hospitals. A segmented regression model was used to estimate the trajectory of HHP rates in the 10 weeks leading up to a COVID-19-related milestone event (eg, school closures) and for 10 weeks after.Results: Three effects emerged, all of which were significant at P < .01. Average HHP rates increased from 46% to 56% in the months preceding pandemic-related school closures. This was followed by a 6% upward shift at the time school closures occurred. HHP rates remained over 60% for 4 weeks before declining to 54% at the end of the study period.Conclusions: Data from an automated hand hygiene monitoring system indicated that HHP shifted in multiple directions during the early stages of the pandemic. We discuss possible reasons why HHP first increased as the pandemic began and then decreased as it progressed. (C) 2020 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.