Originales
Grado de cumplimiento y determinantes de las recomendaciones sobre la higiene de manos
Compliance with hand hygiene guidelines and determinants of compliance
José Sánchez-Payá
, M.ª Dolores Galicia-García, Rebeca M.ª Gracia-Rodríguez, Concepción García-González, Marina Fuster-Pérez, Nieves López-Fresneña, Félix Avendaño-Corcoles, Antonio González-Torga
Autor para correspondencia
sanchez_jos@gva.es
Correspondencia: Dr. J. Sánchez-Payá. Unidad de Epidemiología. Servicio de Medicina Preventiva. Hospital General Universitario de Alicante. Pintor Baeza, s/n. 03010 Alicante. España.
Correspondencia: Dr. J. Sánchez-Payá. Unidad de Epidemiología. Servicio de Medicina Preventiva. Hospital General Universitario de Alicante. Pintor Baeza, s/n. 03010 Alicante. España.
Servicio de Medicina Preventiva. Hospital General Universitario de Alicante. España
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Hospital General Universitario de Alicante. España" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "⁎" "correspondencia" => "Correspondencia: Dr. J. Sánchez-Payá. Unidad de Epidemiología. Servicio de Medicina Preventiva. Hospital General Universitario de Alicante. Pintor Baeza, s/n. 03010 Alicante. España." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Compliance with hand hygiene guidelines and determinants of compliance" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2006-06-26" "fechaAceptado" => "2006-10-26" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec639511" "palabras" => array:3 [ 0 => "Higiene de manos" 1 => "Grado de cumplimiento" 2 => "Factores determinantes" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec639510" "palabras" => array:3 [ 0 => "Hand hygiene" 1 => "Compliance" 2 => "Determinant factors" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span><span class="elsevierStyleSectionTitle">Introducción</span><p class="elsevierStyleSimplePara elsevierViewall">Un indicador básico para evaluar un programa de mejora de la higiene de manos (HM) es el grado de cumplimiento de las recomendaciones dadas para su realización, el objetivo del trabajo es conocer éste y sus factores determinantes en un hospital general.</p></span> <span><span class="elsevierStyleSectionTitle">Métodos</span><p class="elsevierStyleSimplePara elsevierViewall">Se han realizado 166 períodos de observación de una hora de duración distribuidos en los tres turnos de trabajo y en todas las unidades de hospitalización, registrándose 3.957 oportunidades de realización de la HM. Se han recogido variables asociadas al período de observación, al profesional y a la propia actividad. Para estudiar la asociación entre las variables explicativas y la no realización de la HM se ha utilizado la chi cuadrado y se ha calculado la <span class="elsevierStyleItalic">odds ratio</span> (OR) cruda y la OR ajustada con un modelo de regresión logística.</p></span> <span><span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">La frecuencia de realización de la HM es de un 30% y varía según el tipo de actividad de un 8,9 a un 60,5%. Los factores de riesgo de no realización de la HM que tienen un efecto independiente mayor son: la no disposición de solución alcohólica en formato de bolsillo (OR: 2,3 [1,7-3,3]); la realización de las actividades en unidades quirúrgicas (OR: 2,6 [2,0-3,3]); las actividades de antes de entrar en contacto con el paciente (OR: 3,2 [2,4-4,2]), y la utilización de guantes durante la actividad (OR: 2,2 [1,6-3,2]).</p></span> <span><span class="elsevierStyleSectionTitle">Conclusión</span><p class="elsevierStyleSimplePara elsevierViewall">La frecuencia de realización de la HM es baja pero existen factores que son potencialmente modificables si se interviene sobre ellos, como por ejemplo, el nivel de conocimientos del personal sanitario sobre la HM.</p></span>" ] "en" => array:1 [ "resumen" => "<span><span class="elsevierStyleSectionTitle">Introduction</span><p class="elsevierStyleSimplePara elsevierViewall">A basic indicator for assessing a program aimed at improving hand hygiene (HH) is the degree of compliance with the recommendations established for this purpose. The aim of this study is to investigate this indicator and related determinant factors in a general hospital.</p></span> <span><span class="elsevierStyleSectionTitle">Methods</span><p class="elsevierStyleSimplePara elsevierViewall">We performed 166 observation periods of one hour's duration, distributed over three work shifts and covering all the hospitalization units; 3957 HH opportunities were recorded. Variables associated with the observation period, the professionals involved and the medical activity taking place were also recorded. The Chi-square test, and calculation of the raw OR and the adjusted OR with a logistic regression model were used to study associations between the variables studied and failure to perform HH.</p></span> <span><span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">The overall frequency of HH activity was 30%, ranging from 8.9% to 60.5% depending on the professional tasks involved. The most important independent risk factors for failure to perform HH were the following: no availability of alcohol in a pocket size bottle (OR: 2.3 [1.7-3.3]); medical activities carried out in the surgical unit (OR: 2.6 [2.0-3.3]); activities taking place before entering into contact with patients (OR: 3.2 [2.4-4.2]); and use of gloves during the activity (OR: 2.2 [1.6-3.2]).</p></span> <span><span class="elsevierStyleSectionTitle">Conclusion</span><p class="elsevierStyleSimplePara elsevierViewall">The frequency of HH is low, but there are several potentially modifiable factors involved, which could improve with interventions. One example might be better education of hospital personnel on the importance of HH.</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:31 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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Información del artículo
ISSN: 0213005XIdioma original: Español
DOI:10.1157/13106961
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