ArticleEpidemiology and infection2024
Impact of COVID-19 on the degree of compliance with hand hygiene: a repeated cross-sectional study.
Article in Epidemiology and infection, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Differences in hand hygiene knowledge and perceptions among nursing students and registered nurses during and after the COVID-19 pandemic: A comparative cross-sectional survey.International journal of nursing studies advances · 2026Article
- Changes in hand hygiene compliance and technique among non-healthcare professionals in a tertiary-care hospital: Before and during the COVID-19 pandemic.European journal of microbiology & immunology · 2026Article
- Minimizing hospital acquired intensive care unit infections: A focus on prevention.World journal of critical care medicine · 2026Review
- Assessing the COVID-19 legacy on hand hygiene: Retrospective observational before-after study of compliance and alcohol-based.PLOS global public health · 2026Article
- Does a multimodal educational intervention involving pre-intern 'hand hygiene covert observers' improve hand hygiene compliance among medical interns?Antimicrobial resistance and infection control · 2025Article
- Impact of the COVID-19 pandemic on alcohol-based hand rub consumption and hand hygiene compliance: a cross-sectional study using digital direct-observation tools in Slovakia.Infection prevention in practice · 2025Article
- Handwashing practice among dental students: lessons unlearned from the COVID-19 pandemic.BMC medical education · 2025Article
- Reasons for insufficient compliance with infection prevention and control measures in the intensive care unit: a qualitative study conducted in Türkiye in 2024.Antimicrobial resistance and infection control · 2025Article
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11 authors.
Funding
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Abstract
Hand hygiene (HH) is the paramount measure used to prevent healthcare-associated infections. A repeated cross-sectional study was undertaken with direct observation of the degree of compliance on HH of healthcare personnel during the SARS-CoV-2 pandemic. Between, 2018-2019, 9,083 HH opportunities were considered, and 5,821 in 2020-2022. Chi squared tests were used to identify associations. The crude and adjusted odds ratios were used along with a logistic regression model for statistical analyses. Compliance on HH increased significantly (p < 0.001) from 54.5% (95% CI: 53.5, 55.5) to 70.1% (95% CI: 68.9, 71.2) during the COVID-19 pandemic. This increase was observed in four of the five key moments of HH established by the World Health Organization (WHO) (p < 0.05), except at moment 4. The factors that were significantly and independently associated with compliance were the time period considered, type of healthcare-personnel, attendance at training sessions, knowledge of HH and WHO guidelines, and availability of hand disinfectant alcoholic solution in pocket format. Highest HH compliance occurred during the COVID-19 pandemic, reflecting a positive change in healthcare-personnel's behaviour regarding HH recommendations.
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