ArticleInjury2017
Hand Hygiene Compliance in the Setting of Trauma Resuscitation.
Article in Injury, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.
- Hand hygiene practices for prevention of health care-associated infections associated with admitted infectious patients in the emergency department: a systematic review.Irish journal of medical science · 2023Pooled it
- Alcohol-based decontamination of gloved hands: A randomized controlled trial.Infection control and hospital epidemiology · 2024Trial
- Using a basic life support stress-test to assess the influence of ethanol-based hand rubs nitril gloves and of physically demanding clinical tasks on personal protective equipment fit (GLOVDIS-1) - a pilot Manikin study.GMS hygiene and infection control · 2026Article
- World Hand Hygiene Day 2025: A perspective from theInfection prevention in practice · 2025Article
- Feasibility of hand disinfection in paediatric advanced life support (PALS): A simulation study.Infection prevention in practice · 2025Article
- Hand hygiene in emergencies: Multiprofessional perceptions from a mixed methods based online survey in Germany.International journal of nursing studies advances · 2024Article
- Hand hygiene knowledge, attitude, barriers and improvement measures among healthcare workers in the Republic of Korea: a cross-sectional survey exploring interprofessional differences.Antimicrobial resistance and infection control · 2023Article
- Healthcare Personnel Hand Hygiene Compliance: Are We There Yet?Current infectious disease reports · 2023Review
- SHEA/IDSA/APIC Practice Recommendation: Strategies to prevent healthcare-associated infections through hand hygiene: 2022 Update.Infection control and hospital epidemiology · 2023Article
- The impact of workload on hand hygiene compliance: Is 100% compliance achievable?Infection control and hospital epidemiology · 2022Article
- Antimicrobial resistance control in the emergency department: a need for concrete improvement.Antimicrobial resistance and infection control · 2022Article
- Indications for hand and glove disinfection in Advanced Cardiovascular Life Support: A manikin simulation study.Frontiers in medicine · 2022Article
- Infection Prevention for the Emergency Department: Out of Reach or Standard of Care?Emergency medicine clinics of North America · 2018Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors at 3 institutions in 1 country.
Funding
Abstract
introductionHealthcare-associated infections are a significant health burden, and hand hygiene (HH) is an essential prevention strategy. World Health Organization (WHO) 2009 guidelines recommend washing hands during five moments of patient care; 1)before touching a patient; 2)before a clean procedure; 3)after body fluid exposure; and 4)after touching a patient or 5)patient surroundings. HH opportunities at these 5 moments are frequent and compliance is low (22-60%). Infection risk is particularly high in trauma patients, and HH compliance during active trauma resuscitation has yet to be evaluated. MATERIALS AND
methodsUsing video surveillance, all healthcare worker (HCW)-patient interactions for 30 patients were retrospectively reviewed for HH compliance according to WHO guidelines and glove use during initial resuscitation at a level-1 trauma center.
results342 HCW-patient interactions and 1034 HH opportunities were observed. HH compliance with the WHO moments was 7% (71/1034) overall; 3% (10/375) before patient contact, 0% (0/178) before a clean procedure, 11% (2/19) after body fluid contact, 15% (57/376) after patient contact and 2% (2/86) after contact with the environment. Glove use was more common, particularly before (69%) and after (47%) patient contact and after body fluid contact (58%). No HH was observed before clean procedures, but HCW donned new gloves 75% of the time before bedside procedures. If donning/removing gloves was included with HH as compliant, compliance was 57% overall.
conclusionHH opportunities are frequent and compliance with WHO HH guidelines may be infeasible, requiring significant amounts of time that may be better spent with the patient during the golden hour of trauma resuscitation. In an era where more scrutiny is being applied to patient safety, particularly the prevention of inpatient infections, more research is needed to identify alternative strategies (e.g. glove use, prioritizing moments) that may more effectively promote compliance in this setting.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.