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Interdisciplinary Perspectives on Infectious Diseases
Volume 2012, Article ID 579681, 5 pages
http://dx.doi.org/10.1155/2012/579681
Research Article

Low Compliance to Handwashing Program and High Nosocomial Infection in a Brazilian Hospital

1Departamento de Imunologia, Microbiologia, Parasitologia e Patologia, Instituto de Patologia Tropical e Saúde Pública, Universidade Federal de Goiás, Goiânia, GO, Brazil
2Programa de Pós Graduação em Imunologia e Parasitologia Aplicadas, Universidade Federal de Uberlândia, Uberlândia, MG, Brazil
3Faculdade de Medicina, Comissão de Controle de Infecção Hospitalar, Universidade Federal de Uberlândia, Uberlândia, MG, Brazil
4Instituto de Ciências Biomédicas, Comissão de Controle de Infecção Hospitalar, Universidade Federal de Uberlândia, Uberlândia, MG, Brazil

Received 6 February 2012; Revised 13 April 2012; Accepted 17 April 2012

Academic Editor: Dinesh Mondal

Copyright © 2012 Lizandra Ferreira de Almeida e Borges et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. It is a fact that hand hygiene prevents nosocomial infection, but compliance with recommended instructions is commonly poor. The purpose of this study was to implement a hand hygiene program for increase compliance with hand hygiene and its relationship with nosocomial infection (NI) and MRSA infection/colonization rates. Methods. Compliance to hand hygiene was evaluated in a hospital by direct observation and measured of health care-associated infections, including methicillin resistant Staphylococcus aureus, before and after an educational intervention, using visual poster, colorful stamps, and feedback of the results. Results. Overall compliance did not increase during intervention, only handwashing before and after patient contact has improved from 40% to 76% ( 𝑃 = 0 . 0 1 ) for HCWs, but NI and MRSA rates remained high and stable. Conclusion. In a combination of high prevalence of NI and low compliance to hand hygiene, the programme of measure does not motivate the HCW hand hygiene. Future interventions should employ incremental evaluation to develop effective hand hygiene initiatives.