Assessment of hand hygiene compliance among healthcare workers at tertiary care hospital in Gujarat

• Author Details:   
• Hiral K Patel ^*
• Jayasukhbhai D Mangukiya
• Milankumar V Dharsandia
• Payal D Soni
• Vicky P Gandhi
• Parimal H Patel

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Background: Hand hygiene is a critical component of infection prevention and control in healthcare settings. This study aimed to assess hand hygiene compliance among healthcare workers (HCWs) at a tertiary care hospital in Gujarat.
Materials and Methods: A cross-sectional observational study was conducted to assess hand hygiene compliance among HCWs in various departments of the hospital. Trained data collectors observed hand hygiene practices and recorded compliance rates using standardized protocols. Compliance rates were compared among different categories of HCWs and at various World Health Organization (WHO) defined moments of hand hygiene.
Results: A total of 576 hand hygiene opportunities were observed, with an overall compliance rate of 52.60%. Hand hygiene action with Alcohol-Based Hand Rub (ABHR) was noted in 55.44% of opportunities, while hand washing action was observed in 44.66% of opportunities. Compliance rates varied among different categories of HCWs, with medical students demonstrating the highest compliance 69.05% followed by laboratory technician 57.97%, nurses 56.38%, doctors 48.82%, and housekeeping staff 30.77%. WHO Moment 3 (After the procedure or body fluid exposure) had the highest hand hygiene compliance rate (60%) followed by WHO Moment 2(Before aseptic procedure) with HH Compliance rate (58.82%).
Conclusion: The study highlights the importance of hand hygiene compliance among HCWs in preventing healthcare-associated infections. While compliance rates varied among different categories of HCWs and moments of hand hygiene, there is room for improvement across all areas. Strategies to enhance hand hygiene practices, including education, training, access to resources, and feedback mechanisms, are essential for promoting a culture of hand hygiene and ensuring patient safety in healthcare settings.

Keywords: Hand hygeine, Compliance, Hand washing, Hand rub, Infection Control, Health care worker