ArticleTropical medicine and infectious disease2025
From Knowledge to Practice: The Effect of Multimodal Strategies on Hand Hygiene Improvement in Tunisia.
Article in Tropical medicine and infectious disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- A serial mediation model of patient safety climate on nurses' compliance with standard precautions: the roles of infection prevention climate and attitude.Frontiers in public health · 2025Article
- Impact of WHO multimodal strategy on hand hygiene in a Tunisian hospital: quasi-experimental study.Frontiers in public health · 2025Article
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Authors and funding
10 authors.
Funding
Abstract
Hand hygiene reduces healthcare-associated infections. The World Health Organization (WHO) recommends the multimodal hand hygiene strategy to improve hand hygiene. To compare hand hygiene knowledge and compliance of healthcare practitioners (HCPs) before and after the implementation of the WHO multimodal strategy, a before-and-after cross-sectional study was conducted in two Tunisian University Hospitals (2019-2023). Hand hygiene knowledge and compliance were assessed using the WHO questionnaire and observation tool. In 2019, 42 of 246 HCPs (17%) correctly answered ≥80% of 25 questions on hand hygiene knowledge. By 2023, this increased to 47 HCPs (19%). Knowledge on hand hygiene significantly improved for 10 out of 25 questions (12-38% increases) but declined for eight questions (5-40% decreases). Seven questions showed no significant changes in knowledge. Overall hand hygiene compliance increased from 21% in 2019 to 40% in 2023 (
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