Hand hygiene compliance during anaesthetic procedures

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Reference:

Sahni, N., Biswal, M., Gandhi, K. and Yaddanapudi, S. (2015) Quantification of hand hygiene compliance in anesthesia providers at a tertiary care center in northern India. American Journal of Infection Control. July 6th. [epub ahead of print].

Abstract:

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 < .001). The compliance after performing the above procedures was <50% for all procedures.

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