Artikel
Baseline hand hygiene compliance rates in 126 hospitals participating in the national German hand hygiene campaign
Händedesinfektions-Compliance in 126 an der deutschen nationalen Kampagne zur Händehygiene teilnehmenden Krankenhäusern
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Autoren
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C. Reichardt
- Universitätsmedizin Berlin, Charite, Institut für Hygiene und Umweltmedizin, Berlin, Germany
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S. Sroka
- Universitätsmedizin Berlin, Charite, Institut für Hygiene und Umweltmedizin, Berlin, Germany
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S. Hansen
- Universitätsmedizin Berlin, Charite, Institut für Hygiene und Umweltmedizin, Berlin, Germany
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M. Behnke
- Universitätsmedizin Berlin, Charite, Institut für Hygiene und Umweltmedizin, Berlin, Germany
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P. Gastmeier
- Universitätsmedizin Berlin, Charite, Institut für Hygiene und Umweltmedizin, Berlin, Germany
| Veröffentlicht: | 2. Juni 2010 |
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Gliederung
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Background: The national German hand hygiene campaign “AKTION Saubere Hände” started at January 1st 2008. The campaign is based on the WHO “Clean Care is Safer Care” campaign and is funded for three years be the German ministry of health. By November 1st 2009, 624 health institutions are actively participating. Among other measures, hand hygiene compliance observations are an essential but voluntary part of the campaign.
Objectives: We represent baseline compliance data from 126 hospitals stratified by indication and type of unit.
Methods: All participants used defined observation tools and where trained by the campaign team members. The definition of HH opportunities is based on the WHO Model “My 5 moments of hand hygiene”.
Results: The overall median baseline compliance in 126 hospitals was 62.5% (IQR 50.49%– 73.1%). The compliance per indication is shown in table 1. There was no difference between ICU's (overall median 62.2%) and non-ICU's (overall median 62.9%). The highest compliance rate was found in neonatology units (median 72.2%, IQR 66.7%–78.6%), the lowest in interdisciplinary units (median 60.2%, IQR 51.9%– 72.2%).
(Table 1 [Tab. 1])
Conclusions: So far only few observation data were available for German hospitals, so this is the first large scale dataset. Compared to other international campaigns, Germany starts at a fairly high level of compliance. Considering the relatively low compliance before patient contact and before aseptic tasks and the importance of these indications for patient outcome, the campaign is focussing within the next year on intervening these two situations.
