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Compliance with Hand Hygiene Among Healthcare Workers in Preventing Healthcare Associated Infections – A Systematic Review

Ema Buković orcid id ; Graduate nursing student, School of Medicine University of Zagreb, Croatia
Biljana Kurtović ; University of Applied Health Sciences, Zagreb, Croatia
Cecilija Rotim ; University of Applied Health Sciences, Zagreb, Croatia; Andrija Stampar Teaching Institute of Public Health, Zagreb, Croatia
Vesna Svirčević ; University of Applied Health Sciences, Zagreb, Croatia; Department of Neurosurgery,University Hospital Centre Sestre milosrdnice, Zagreb, Croatia
Adriano Friganović ; University of Applied Health Sciences, Zagreb, Croatia; Department of Anaesthesiology and Intensive Medicine,University Hospital Centre Zagreb, Zagreb, Croatia
Damir Važanić ; University of Applied Health Sciences, Zagreb, Croatia; Croatian Institute of Emergency Medicine, Zagreb, Croatia

Puni tekst: engleski pdf 210 Kb

str. 57-69

preuzimanja: 198



Introduction: Healthcare associated infections (HCAIs) represent a major public health issue. In Europe, 37 000 patients are affected annually by some sort of HCAI. HCAIs are preventable, and hand hygiene is an important measure in their prevention. During daily clinical practice, hands of healthcare workers (HCWs) are exposed to surfaces, various substances and objects; therefore, proper hand hygiene is the first step in preventing microorganism transmission.

Aim: To determine the HCWs hand hygiene compliance with the guidelines of the World Health Organization through a systematic review of literature.

Methods: A systematic review of literature based on the PRISMA statement guidelines using the PubMed database in a search for articles that evaluate the hand hygiene compliance among HCWs.

Results: Six articles were taken into consideration by the availability of full-text articles and years of publication between 2010 and 2020. Results showed that compliance rate was the highest in studies that implemented World Health Organisation’s Multimodal Hand Hygiene Improvement Strategy or its modifications.

Conclusion: The multimodal approach, as World Health Organisation’s multimodal strategy or its local modifications, has been shown as the best approach addressing the problem of hand hygiene compliance. Further areas for research include finding a better method of measuring compliance, technology-driven solutions for both delivery of alcohol-based handrub and monitoring of its use, a greater focus on evaluating proper hand hygiene techniques, and insuring longer-term programs of training and education to achieve the best effectiveness of hand hygiene compliance among HCWs.

Ključne riječi

hand hygiene, World Health Organisation, compliance rate, healthcare workers

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Podaci na drugim jezicima: hrvatski

Posjeta: 671 *