Surgical hand hygiene compliance and its associated factors among medical staff at Hospital 199, Da Nang city, 2022

Objectives: Assess the current status and identify factors relating surgical hand hygiene compliance among medical staff at Hospital 199, Da Nang City, in 2022.

Methods: A cross-sectional study was conducted on 52 medical staff participating in surgery with 156 observations. Use surveillance cameras and checklists (including 27 operating points and 3- time points) based on the Surgical Hand Hygiene Guidelines issued with Decision 3916/QD-BYT issued by the Ministry of Health.

Results: The overall compliance rate for surgical hand hygiene was 25% (39/156) based on 156 observations. Compliance rates for each step were: step 1, 89.7%; step 2, 46.2%; and step 3, 28.8%. Total surgical hand hygiene time exceeding 3 minutes was 63.5%, with fingernail brushing in step 1 exceeding 30 seconds at 89.7%. Notably, 12.8% of observations did not include step 3. Compliance rates among individual subjects varied: the nursing group showed a significantly higher compliance rate (47.1%) compared to the doctors' group (10.7%), with an odds ratio of 6.89 (CI 95% [3.05-15.56]). No other significant differences were identified.

Conclusion: Overall compliance with surgical hand hygiene was low. Step 1 surgical hand hygiene has the best compliance rate and time. But step 3 should be more noticed. Nurses have better compliance than doctors.

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