CitationLarson, Elaine L.; Albrecht, Sandra S.; & O'Keefe, Mary (2005). Hand Hygiene Behavior in a Pediatric Emergency Department and a Pediatric Intensive Care Unit: Comparison of Use of 2 Dispenser Systems. American Journal of Critical Care, 14(4), 304-11; quiz 312.
AbstractBACKGROUND: Adherence to hand hygiene standards is poor. Approaches and systems to improve hand hygiene practices warrant testing.
OBJECTIVE: To compare the frequency of use of manually operated and touch-free dispensers of sanitizer for hand hygiene.
METHODS: Manual and touch-free dispensers of alcohol sanitizer were placed in the emergency department and an intensive care unit of a large pediatric hospital for two 2-month periods for each type of dispenser. Counting devices installed in each dispenser and direct observations were used to determine actual frequency of and indications for hand hygiene.
RESULTS: The touch-free dispensers were used significantly more often than were the manual dispensers. The means for the number of episodes of hand hygiene per hour were 4.42 for the touch-free dispensers and 3.33 for the manual dispensers (P=.04); the means for the number of episodes per patient per hour were 2.22 and 1.79, respectively (P=.004); and the means for the number of uses of the dispenser per day were 41.2 and 25.6, respectively (P=.02). However, the overall compliance rate was 38.4% (2136 episodes of hand hygiene per 5568 indications for hand hygiene).
CONCLUSIONS: The type of dispensing system influenced hand hygiene behavior. Nevertheless, overall hand hygiene compliance remained low. In order for interventions to have a major effect on hand hygiene, multiple factors must be considered.
Reference TypeJournal Article
Journal TitleAmerican Journal of Critical Care
Author(s)Larson, Elaine L.
Albrecht, Sandra S.