Hand rub dose needed for a single disinfection varies according to product: A bias in benchmarking using indirect hand hygiene indicator

Raphaële Girard; Martine Aupee; Martine Erb; Anne Bettinger; Alice Jouve

doi:10.1016/j.jegh.2012.10.001

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Volume 2, Issue 4, December 2012, Pages 193 - 198

Hand rub dose needed for a single disinfection varies according to product: A bias in benchmarking using indirect hand hygiene indicator

Authors

Raphaële Girard^a^{, *}^,raphaele.girard@chu-lyon.fr, Martine Aupee^b, Martine Erb^c, Anne Bettinger^d, Alice Jouve^b

^aUnité d’Hygiène et Epidémiologie, Groupement Hospitalier Sud Hospices Civils de Lyon, France

^bCCLIN Ouest, Rennes, France

^cService de Gestion du risque infectieux et des vigilances, CHU Lille, France

^dAntenne régionale Alsace de Lutte contre les Infections Nosocomiales, Strasbourg, France

^*Corresponding author. Address: Unité d’Hygiène et Epidémiologie, Bâtiment 3B, Centre Hospitalier Lyon Sud, 69495 Pierre Bénite Cedex, France. Tel.: +33 04 78 86 12 73; fax: +33 04 78 86 41 22.

Corresponding Author

Raphaële Girardraphaele.girard@chu-lyon.fr

Received 10 August 2012, Revised 9 October 2012, Accepted 10 October 2012, Available Online 20 November 2012.

DOI: 10.1016/j.jegh.2012.10.001 How to use a DOI?
Keywords: Hand hygiene; Compliance; Hand rub; Benchmarking
Abstract: Background: The 3 ml volume currently used as the hand hygiene (HH) measure has been explored as the pertinent dose for an indirect indicator of HH compliance. A multicenter study was conducted in order to ascertain the required dose using different products.

Method: The average contact duration before drying was measured and compared with references. Effective hand coverage had to include the whole hand and the wrist. Two durations were chosen as points of reference: 30 s, as given by guidelines, and the duration validated by the European standard EN 1500. Each product was to be tested, using standardized procedures, by three nosocomial infection prevention teams, for three different doses (3, 2 and 1.5 ml).

Results: Data from 27 products and 1706 tests were analyzed. Depending on the product, the dose needed to ensure a 30-s contact duration in 75% of tests ranging from 2 ml to more than 3 ml, and to ensure a contact duration exceeding the EN 1500 times in 75% of tests ranging from 1.5 ml to more than 3 ml. The aftermath interpretation is the following: if different products are used, the volume utilized does not give an unbiased estimation of the HH compliance. Other compliance evaluation methods remain necessary for efficient benchmarking.
Open Access: This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)

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Journal: Journal of Epidemiology and Global Health
Volume-Issue: 2 - 4
Pages: 193 - 198
Publication Date: 2012/11/20
ISSN (Online): 2210-6014
ISSN (Print): 2210-6006
DOI: 10.1016/j.jegh.2012.10.001 How to use a DOI?
Open Access: This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)

Cite this article

ris enw bib

TY  - JOUR
AU  - Raphaële Girard
AU  - Martine Aupee
AU  - Martine Erb
AU  - Anne Bettinger
AU  - Alice Jouve
PY  - 2012
DA  - 2012/11/20
TI  - Hand rub dose needed for a single disinfection varies according to product: A bias in benchmarking using indirect hand hygiene indicator
JO  - Journal of Epidemiology and Global Health
SP  - 193
EP  - 198
VL  - 2
IS  - 4
SN  - 2210-6014
UR  - https://doi.org/10.1016/j.jegh.2012.10.001
DO  - 10.1016/j.jegh.2012.10.001
ID  - Girard2012
ER  -

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