Hand hygiene behavior divides into two categories: the innate hand hygiene and the selective hand hygiene. the innate hand hygiene includes whatever most of the people in the society do when they meet an obvious and apparent contaminate. the selective hand hygiene involves whatever is not included in the first category.
Methods
Among all of the factors influencing the selective hand hygiene, the researchers decided to investigate the reason for the crowdedness in the units and its agreement with hand hygiene divided in all of the five situations.- for the sake of that, who hand hygiene forum was filled for all of the personnel in the work time by direct observation method and then the average of the calculated percentages were reported.
1- round and the direct supervision of each unit, undertaken by the control group, at least once in three months;
2- direct supervision of the infection controlintermediaries in each unit, at least once in three months;
3- direct supervision of the other units’ infection control intermediaries randomly by the other units’ infection control group as guests, at least once in three months;
in who forum, the 1, 2, 3, 4, and 5 situations of hand hygiene is defined according to its own indications.
Results
. among all of the units with the average of 136% taken beds, kids emergencies with 110%, nephrology with 102%, adults’ gastroenterology with 98% subsequently were the most intensive working units of namazi hospital during the research period. the agreement of hand hygiene in nephrology unit was 78.1%, in adults’ gastroenterology unit was 56.8%, in total of the units was 33.71%, in kids’ emergencies unit was 0%. the average of hand hygiene in all of the units was 57%. the unusual increase in occupying beds to higher than 100%, has a significant impact on the agreement in all of the situations.
Conclusion
Observing the five situations in these units indicated that the agreement average in the second situation ( i.e. before undertaking the aseptic procedures) was the lowest and in the fifth one (i.e. after contact with the patients’ environment) was the highest number.
