Indian Journal of Medical Specialities

ORIGINAL ARTICLE
Year
: 2021  |  Volume : 12  |  Issue : 2  |  Page : 64--68

Feasibility of direct observation and consumption method for hand hygiene compliance in an intensive care unit of a Tertiary Care Hospital


Bineeta Kashyap1, Rajat Jhamb2, Rituparna Saha1, Pratima Prasad3, NP Singh1 
1 Department of Microbiology, University College of Medical Sciences, Guru Teg Bahadur Hospital, Delhi, India
2 Department of Medicine, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, India
3 Hospital Infection Control Committee, Guru Teg Bahadur Hospital, Delhi, India

Correspondence Address:
Dr. Bineeta Kashyap
Department of Microbiology, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi
India

Background: Emerging pandemics, rampant multidrug resistance, and diversity of healthcare-associated infections entail hand hygiene (HH) compliance, surveillance, and documentation as the cornerstone of infection control practices. Methods: HH adherence rates (HHARs) were determined by the WHO's “Direct Observation” technique and compared with the “Indirect Hand-Rub Consumption” method, in the main intensive care unit of a tertiary care hospital over a period of 15 days, encompassing 3000 HH opportunities. HHARs were also compared over the study duration and among doctors and nurses. Results: The overall HHAR estimated by direct observation as per the WHO criteria was 28.5% and by “indirect hand-rub consumption” method was 12.12%. Healthcare workers adhered maximally to the WHO HH moment 3 (64.6%) followed by 5 (31.6%), 4 (27%), and 2 (27%). Conclusion: The direct observation technique for monitoring HH, though conventionally deemed as the gold standard, mandates skilled personnel and devoted time which may deter daily surveillance in resource-limited settings. The time constraints in addition to the observation biases often confound or may even push HH surveillance to the backburners. The indirect “hand-rub consumption” technique, on the other hand, might prove to be an attractive alternative in resource-limited settings, which, in addition to providing an overall glimpse of existing HH culture, is also devoid of observation biases.


How to cite this article:
Kashyap B, Jhamb R, Saha R, Prasad P, Singh N P. Feasibility of direct observation and consumption method for hand hygiene compliance in an intensive care unit of a Tertiary Care Hospital.Indian J Med Spec 2021;12:64-68


How to cite this URL:
Kashyap B, Jhamb R, Saha R, Prasad P, Singh N P. Feasibility of direct observation and consumption method for hand hygiene compliance in an intensive care unit of a Tertiary Care Hospital. Indian J Med Spec [serial online] 2021 [cited 2022 Jan 21 ];12:64-68
Available from: http://www.ijms.in/article.asp?issn=0976-2884;year=2021;volume=12;issue=2;spage=64;epage=68;aulast=Kashyap;type=0