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Abstract

RIASSUNTO

L'igiene delle mani rappresenta una procedura semplice e poco costosa, molto importante per la sicurezza del paziente e per la qualití  delle cure. In questa ottica, la conoscenza degli operatori sanitari sulla pratica e sulla corretta esecuzione, assieme alla attuazione della procedura nei giusti tempi e modi rappresenta un elemento fondamentale per la buona pratica con il risultato di evidente riduzione della percentuale di rischi di contrarre una infezione correlata all'assistenza. Nel presente articolo si riporta la revisione della letteratura internazionale sull'argomento. Nella ricca produzione scientifica esistente, attraverso l'utilizzo di diverse banche dati, sono stati selezionati 195 articoli che vengono discussi di seguito. Gli articoli presi in considerazione, riguardano l'aderenza e la conoscenza degli operatori sanitari alla procedura in questione e discutono i metodi di rilevamento messi in atto. Parole chiave: lavaggio delle mani, igiene delle mani, operatori sanitari, compliance, disinfezione.

ABSTRACT

The procedures necessary to ensure hand hygiene are simple and non-expensive but are extremely important for the patient and the quality of care he receives. It is therefore fundamental that health workers are aware of these procedures and how they should be performed to reduce the risks of care-related infections. The authors selected 195 articles from a review of the abundance of published reports in international journals, which deal with the awareness and respect of guidelines regarding hand hygiene on which to base their discussion.

Key words: hand washing, hand hygiene, health workers, compliance, disinfection.

Dettagli dell'articolo

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Sansoni, J., Sorrentino, M., Giammarco, E., & Mariani, P. (2011). Aderenza e conoscenza sull’igiene delle mani: una revisione bibliografica. PROFESSIONI INFERMIERISTICHE, 63(4). Recuperato da https://www.profinf.net/pro3/index.php/IN/article/view/63
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Riferimenti

  • Akyol A. et al. (2006). Handwashing: a simple, economical and effective method for preventing nosocomial infections in intensive care units. Journal of Hospital infections, 62 (4), 395-405
  • Allegranzi B. et al. (2007). La prima sfida globale per la sicurezza del paziente le cure pulite sono sure sicure: la strategia dell'Organizzazione Mondiale della Sanití per la riduzione delle infezioni correlate all'assistenza sanitaria. Giornale italiano per le infezioni ospedaliere. 14 (1), 4-7.
  • Arrowsmith V.A. et al. (2007). Removal of nail polish and finger rings to prevent surgical infection. The Cochrane library.
  • Beggs C. B. et al. (2006). The influence of nurse cohorting on hand hygiene effectiveness. American Journal Infection Control, 34 (10), 621-626.
  • Bischoff W.E. et al. (2000). Handwashing compliance by health care workers the impact of introducing an accessible, Alcohol-Based hand antiseptic. Archives of internal medicine, 160 (7), 1017-1021.
  • Bjerke N. B. (2004). The evolution: handwashing to hand hygiene guidance. Critcal Care Nursing Quaterly, 27 (3), 395-307.
  • Boyce J. M. et al. (2000). Skin irritation and dryness associated with two hand-hygiene regimens: soap-and-water hand washing versus hand antisepsis with an alcoholic hand gel. Infection control and hospital epidemiology, 21 (7), 442-448.
  • Boyce J. M. (2004). New insights for improving hand hygiene practices. Infection Control and Hospital Epidemiology, 25 (3), 187-188.
  • Brown S.M. et al. (2003). Use of an alcohol-based hand rub and quality improvement interventions to improve hand hygiene in a Russian neonatal intensive care unit. Infection control and Hospital epidemiology, 24 (3), 172-179.
  • Castella A. et al. (2006). L'igiene delle mani: valutazioni teorico-pratiche sul campo. Giornale Italiano delle Infezioni Ospedaliere, 13 (3), 76-81.
  • Centers for Disease Control and Prevention (CDC) (2002). Guideline for Hand Hygiene in Health-Care Settings Reccomendations of the Healthcre Infection Control Pratices Advisory Committe and the HIPAC/SHEA/APIC/IDSA Hand Hygiene Task Force. Morbidity and Mortaility Weekly Report, (51), No.RR-16.
  • Centers for Disease Control and Prevention (CDC), United Nations Children's Fund (UNICEF), United States Agency for International Development (USAID) – Hygiene Improvement Project (HIP) (2008). Global handwashing day 15 october 2008
  • Centro gestione rischio clinico regione Toscana (2005). Le mani pulite. I quaderni delle campagne per la sicurezza del paziente, 1-69.
  • Creedon A. S. (2005). Healthcare workers' hand decontamination practices: compliance with recommended guidelines. Journal of Advanced Nursing, 3 (51), 208-216.
  • Dharan S. et al. (2003). Comparison of waterless hand antisepsis agents at short application times: raising the flag of concern. Infection control and epidemiology, 24 (3), 160-165.
  • Duggan J. M. et al. (2008). Inverse correlation between level of professional education and rate of handwashing compliance in a teaching hospital. Infection Control and Hospital Epidemiology, 29 (6), 534-538.
  • Erasmus V. et al. (2009). A qualitative exploration of reasons for poor hand hygiene among hospital workers: lack of positive role models and of convincing evidence that hand hygiene revents cross-infection. Infection control and hospital epidemiology, 30 (5), 415-419.
  • Fox M. K. et al. (1974). How Good Are Hand Washing Practices? The American Journal of Nursing, 74 (9) 1676-1678.
  • Girard R. et al. (2001). Better compliance and better tolerance in relation to a well-conducted introduction to rub-in hand disinfection. Journal of hospital infection, 47 (2), 131-137.
  • Girou E. et al. (2001). Handwashing compliance in a French university Hospital: new perspective with the introduction of hand-rubbing with a waterless alcohol-based solution Journal of Hospital Infection, (supp. A), S55-S57.
  • Girou E. et al. (2002). Efficacy of handrubbing with alcohol based solution versus standard handwashing with antiseptic soap: Randomized clinical trial. British Medical Journal, 325 (7360), 362-366.
  • Haas J. P. et al. (2008). Compliance with hand hygiene. The American journal of nursing, 108 (8), 40-44.
  • Hilburn J. et al. (2003). Use of alcohol hand sanitizer as an infection control strategy in an acute care facility. American Journal of Infection Control, 31 (2), 109-16.
  • Hugonnet S. et al. (2002). Alcohol-Based Handrub Improves Compliance With Hand Hygiene in Intensive Care Units Archives of internal medicine, 162 (9), 1037-1043.
  • Jeanes A. et al. (2001). Nail art: a review of current infection control issues. Journal of Hospital Infection, 49, 139-142.
  • Jenner E.A. et al. (2005). Hand hygiene posters: selling the message. Journal of Hospital Infection, 59 (2), 77-82.
  • Jenner E.A. et al. (2005). Hand hygiene posters: motivators or mixed messages? Journal of Hospital infection, 60 (3), 218-225.
  • Jenner E.A. et al. (2006). Discrepancy between self-reported and observed hand hygiene behaviour in healthcare professionals. Journal of Hospital infection, 63 (4), 418-422.
  • Ji-Hyung J. et al. (2010). Focus group study of hand hygiene practice among healthcare workers in a teaching hospital in Toronto, Canada. Infection control and Hospital Epidemiology, 31 (2), 144-150.
  • Kac G. et al. (2005). Microbiological evaluation of two hand hygiene procedures achieved by healthcare workers during routine patient care: a randomized study. Journal of Hospital Infection, 60, 32-39.
  • Kampf G., et al. (2004). Efficacy of alcohol-based gels compared with simple hand wash and hygienic hand disinfection. Journal of Hospital Infection, 56 (suppl. 2), 13-15.
  • Karabey S et al. (2002). Handwashing frequencies in an intensive care unit. Journal of Hospital Infection, 50 (1), 36-41.
  • Kramer A. et al. (2002). Limited efficacy of alcohol-based hand gels. Lancet, 359, 1489-1490.
  • Kuzu N., et al. (2005). Compliance with hand hygiene and glove use in a university-affiliated hospital. Infection Control and Hospital Epidemiology, 26 (3), 312-315.
  • Lankford M. G. et al. (2003). Influence of role models and hospital design on hand hygiene of healthcare workers. Emerging Infectious Diseases, 9 (2), 217-223.
  • Larson E. et al. (1997). A multifaceted approach to changing handwashing behavior. American Journal of Infection Control, 25, 3-10.
  • Larson E. et al. (1998). Changes in bacterial flora associate with skin damage on hands of health care personnel. American Journal of Infection Control, 26, 513-521.
  • Larson E. et al. (2001). Assessment of two hand hygiene regimens for intensive care unit personnel. Critical Care Medicine, 29 (5), 544-951.
  • Larson E. (2001). Hygiene of the Skin: When Is Clean Too Clean? Emerging Infectious Diseases, 7 (2), 225-230.
  • Laustsen S. et al. (2008). Effect of correctly using alcohol-based hand rub in a clinical setting. Infection control and hospital epidemiolocy, 29 (10), 954-956.
  • Lucet J.C., et al. (2002). Hand contamination before and after different hand hygiene techniques: a randomized clinical trial. Journal of Hospital Infection, 50 (4), 276-280.
  • MacDonald A. et al. (2004). Performance feedback of hand hygiene, using alcohol gel as the skin decontaminant, reduces the number of inpatients newly affected by MRSA and antibiotic costs. Journal of hospital infection, 56 (1), 56-63.
  • Maskerine C. et al. (2006). Improving Adherence to Hand Hygiene Among health care workers. The Journal of Continuing Education in the Health Professions, 26 (3), 244-251.
  • Maury E., et al. (2000). Availability of an alcohol solution can improve hand disinfection compliance in an intensive care unit American Journal of Respiratory and Critical Care medicine, 162, 324-327.
  • McGuckin M et al. (1999). Patient education model for increasing handwashing compliance. American Journal of Infection Control, 27, 309-314.
  • McGuckin M. et al. (2001). Evaluation of a patient-empowering hand hygiene programme in the UK Journal of Hospital Infection, 48, 222-227.
  • McGuckin M et al. (2004). Evaluation of a patient education model for increasing hand hygiene compliance in an inpatient rehabilitation unit. American Journal of Infection Control, 32 (4), 235-238.
  • McNeil S. A. et al. (2001). Effect of hand cleansing with antimicrobial soap or alcohol-based gel on microbial colonization of artificial fingernails worn by health care workers. Clinical Infectious Diseases, 32, 367–72.
  • Moro M.L. et al. (2006). Infezioni correlate all'assistenza sanitaria, il progetto INf-OSS. Giornale Italiano delle Infezioni Ospedaliere, 13 (4), 88-93.
  • Moro M.L. et al. (2007). "La cure pulite sono cure più sicure": la campagna nazionale italiana. Giornale italiano delle Infezioni Ospedaliere, 14 (1), 8-12.
  • Muto C. et al. (2000). Hand hygiene rates unaffected by installation of dispensers of a rapidly acting hand antiseptic. American Journal of Infection Control, 28, 273-276.
  • Naikoba S. et al. (2001). The effectiveness of interventions aimed at increasing handwashing in healthcare workers- a systematic review. Journal of Hospital Infection, 47 (3), 173-80.
  • Nevin K. et al. (2005). Compliance with hand hygiene and glove use in a university-affiliated hospital. Infection Control and Hospital Epidemiology, 26 (3), 312-315.
  • Nobile C.G.A., et al. (2002). Healthcare personnel and hand decontamination in intensive care units: knowledge, attitudes, and behaviour in Italy. Journal of Hospital infection, 51 (3), 226-231.
  • Novoa A. M. et al. (2007). Evaluation of hand hygiene adherence in a tertiary hospital. American Journal of infection Control, 35 (10), 676-683.
  • O'Boyle C. et al. (2001). Understanding adherence to hand hygiene recommendations: The theory of planned behavior American journal of infection control, 29 (6), 352-360.
  • Peossoa-Silva C. L. et al. (2004). Dynamics of bacterial hand contamination during routine neonatal care. Infection Control and Hospital Epidemiology, 25 (3), 192-197.
  • Pittet D., et al. (1999). Compliance with handwashing in a teaching hospital. Annals of Internal Medicine, 130 (2), 126-130.
  • Pittet D. et al. (2000). Effectiveness of a hospital- wide programme to improve compliance with hand hygiene. Lancet, 356 (9238), 1307-1312.
  • Pittet D. (2001). Improving Adherence to Hand Hygiene Practice:A Multidisciplinary Approach Emerging Infectious Diseases, 7 (2), 234-240.
  • Pittet D. (2002), Promotion of hand hygiene: magic, hype, or scientific challenge? Infection Control and Hospital Epidemiology, 23 (3), 118-119.
  • Pittet D. et al. (2003). Hand-cleansing during postanesthesia care. Anesthesiology, 99 (3), 530-535.
  • Pittet D. et al. (2004). Hand Hygiene among Physicians: Performance, Beliefs, and Perceptions Annals of internal medicine, 141 (1), 1-8.
  • Pittet D. (2008). Hand hygiene: it's all about when and how Infection Control and Hospital Epidemiology, 29 (10), 957-959.
  • Pittet D. et al. (2008). Infection control as a major World Health Organization priority for developing countries Journal of Hospital Infection, 68, 285-292.
  • Randle J. et al. (2006). Hand hygiene compliance in healthcare workers. Journal of Hospital Infection, 64, 205-209.
  • Ritchie K. et al. (2005). The provision of alcohol-based products to improve compliance with hand hygiene. NHS Quality Improvement Scotland, 1-84.
  • Rosenthal V.D. et al. (2003). Effect of education and performance feedback on handwashing: the benefit of administrative support in Argentinean hospitals. American Journal of Infection Control, 31 (2), 85-92.
  • Rupp M. E. et al. (2008). Prospective, controlled, cross-over trial of alcohol-based hand gel in critical care units. Infection Control and Hospital Epidemiology, 29 (1), 8-15.
  • Salisbury D.M. et al. (1997). The effect of rings on microbial load of health care workers' hands. American Journal of Infection Control, 25 (1), 24-27.
  • Sax H. et al. (2007). Determinants of Good Adherence to Hand Hygiene Among Healthcare Workers Who Have Extensive Exposure to Hand Hygiene Campaigns Infection Control and Hospital Epidemiology, 28 (11), 1267-1274.
  • Tarsitani G. et al. (1999). Formazione degli operatori sanitari: conoscenze delle procedure igieniche View & Review, 4, 13-16.
  • Tarsitani G. et al. (2000). Progetto di formazione continua finalizzato alla prevenzione delle infezioni ospedaliere per operatori sanitari (o.s.) Annali di Igiene, 12 (4suppl.2), 293-298.
  • Traore O., et al. (2007). Liquid versus gel handrub formulation: a prospective intervention Study. Critical Care, 11 (3), R52.
  • Trick W. E. et al. (2007). Multicenter Intervention Program to Increase Adherence to Hand Hygiene Recommendations and Glove Use and to Reduce the Incidence of Antimicrobial Resistance Infection Control and Hospital Epidemiology, 28 (1), 42-49.
  • Van de Mortel T., et al. (2006). An examination of covert observation and solution audit as tools to measure the success of hand hygiene interventions. American Journal of Infection Control, 34 (3), 95-99.
  • Van de Mortel T. (2008). Faking it: social desirability response bias in selfreport Australian Journal of Advanced Nursing, 25 (4):40 -48.
  • Wendt C. et al. (2004). Differences in hand hygiene behavior related to the contamination risk of healthcare activities in different groups of healthcare workers. Infection Control and Hospital Epidemiology, 25 (3), 203-206.
  • Whitby M. et al. (2006). Why healthcare workers don't wash their hands: a behavioral explanation. Infection Control and Hospital Epidemiology, 27 (5), 484-492.
  • WHO (2005). Guidelines on Hand Hygiene in Health Care (Advanced Draft) Part of the WHO Consultation on Hand Hygiene in Health Care Global Patient Safety Challenge, 2005-2006: "Clean Care is Safer Care".
  • WHO (2009). Guidelines on Hand Hygiene in Health CareFirst Global Patient Safety Challenge Clean Care is Safer Care.
  • Widmer A. F. (2000). Replace Hand Washing with Use of a Waterless Alcohol Hand Rub? Clinical infectious diseases, 31, 136-143.
  • Widmer A. F., et al. (2007). Introducing Alcohol-Based Hand Rub for Hand Hygiene: The Critical Need for Training. Infection Control and Hospital Epidemiology, 28 (1), 50-54.
  • Winnefeld M. et al. (2000). Skin tolerance and effectiveness of two hand decontamination procedures in everyday hospital use British Journal of Dermatology, 143, 546-550.
  • Wongworawat M. D., et al. (2007). Influence of Rings on the Efficacy of Hand Sanitization and Residual Bacterial Contamination. Infection Control and Hospital Epidemiology, 28 (3), 351-353.