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Interventions to improve hand hygiene compliance in patient care

Cochrane Database of Systematic Reviews, 2010

Interventions to improve hand hygiene compliance in patient care - The Cochrane Library - Gould - Wiley Online Library from LOGIN Enter e-mail address Enter password REMEMBER ME > > > > DATABASE TOOLS DATABASE MENU FIND ARTICLES OTHER RESOURCES Intervention Review You have full text access to this content Interventions to improve hand hygiene compliance in patient care Dinah J Gould 1,* , Donna Moralejo 2 , Nicholas Drey 1 , Jane H Chudleigh 3 Editorial Group: Published Online: 8 SEP 2010 Assessed as up-to-date: 2 AUG 2010 DOI: 10.1002/14651858.CD005186.pub3 Copyright © 2011 The Cochrane Collaboration.
Publication History Publication Status: Edited (no change to conclusions) Published Online: 8 SEP 2010 SEARCH ARTICLE TOOLS Abstract Abstract Background Health care-associated infection is a major cause of morbidity and mortality.
Objectives To update the review done in 2007, to assess the short and longer-term success of strategies to improve hand hygiene compliance and to determine whether a sustained increase in hand hygiene compliance can reduce rates of health care-associated infection.
Originally searched to July 2006, for the update databases were searched from August 2006 until November 2009.
Selection criteria Randomised controlled trials, controlled clinical trials, controlled before and after studies, and interrupted time series analyses meeting explicit entry and quality criteria used by the Cochrane Effective Practice and Organisation of Care Group were eligible for inclusion.
Studies reporting indicators of hand hygiene compliance and proxy indicators such as product use were considered.
Studies to promote hand hygiene compliance as part of a care bundle approach were included, providing data relating specifically to hand hygiene were presented separately.
Studies were excluded if hand hygiene was assessed in simulations, non-clinical settings or the operating theatre setting.
Data collection and analysis Two reviewers independently extracted data and assessed data quality.
Main results Four studies met the criteria for the review: two from the original review and two from the update.
Two studies evaluated simple education initiatives, one using a randomized clinical trial design and the other a controlled before and after design. Both measured hand hygiene compliance by direct observation. The other two studies were both interrupted times series studies.