ArticleThe Journal of the Egyptian Public Health Association2020
Multimodal intervention program to improve hand hygiene compliance: effectiveness and challenges.
Article in The Journal of the Egyptian Public Health Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 16 citations in OpenAlex.
- ATP Bioluminescence Feedback Is Associated with Reduced Residual Hand Contamination Among Healthcare Workers: A Single-Center Before-and-After Study.Healthcare (Basel, Switzerland) · 2026Article
- Capability, opportunity, and motivation: a structural equation model of hand hygiene behavior based on the COM-B framework in a Chinese hospital setting.Frontiers in public health · 2026Article
- From Knowledge to Practice: The Effect of Multimodal Strategies on Hand Hygiene Improvement in Tunisia.Tropical medicine and infectious disease · 2025Article
- Hand hygiene compliance and improvement interventions in the Eastern Mediterranean Region: a systematic review and meta-analysis.Infection prevention in practice · 2024Review
- Factors associated with the disinfection of devices attached to peripheral intravenous catheters performed by the nursing team in pediatric units.Journal of infection prevention · 2024Article
- Effect of the "Normalized Epidemic Prevention and Control Requirements" on hospital-acquired and community-acquired infections in China.BMC infectious diseases · 2021Article
- Impact of a Multimodal Improvement Strategy to Promote Hand Hygiene at a Hospital in Mauritius.Cureus · 2021Article
- Hand Areas Which Are Commonly Missed during Hand Disinfection by Nursing Students Who Completed a Basic Educational Course in Hand Hygiene.International journal of environmental research and public health · 2021Article
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Authors and funding
9 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHand hygiene (HH) is considered the most important measure to tackle the transmission of healthcare-associated pathogens. However, compliance with recommendations is usually low and effective improvement strategies are needed. We aimed to assess the effectiveness of an intervention targeting hand hygiene promotion among healthcare workers (HCWs).
methodsWe conducted a pre-post interventional study design in the university hospital Sahloul, Sousse, Tunisia, from January 2015 to December 2016. The intervention program consisted of training sessions and distribution of posters of hand hygiene guidelines. To assess the evolution of HH observance at pre- and post-intervention, the same observation form was distributed and collected at healthcare workers' workplace.
resultsOf the 1201 and 1057 opportunities for hand hygiene observed among all categories of HCWs, overall compliance enhanced significantly from 32.1 to 39.4% (p < 0.001) respectively at pre- and post-intervention. Nurses were the most compliant with a significant improvement from 34.1 to 45.7% (p < 0.001) respectively at pre- and post-intervention. Furthermore, analysis by department showed significant improvement of compliance in orthopedic department (p < 0.001), maxillofacial-surgery department (p < 0.001), pediatrics department (p = 0.013), and emergencies (p = 0.038).
conclusionThis study showed the feasibility and effectiveness of a health-setting-based intervention to enhance hand hygiene observance in the context of a developing country.
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