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Pan, Angelo, MD; Domenighini, Francesca, RN; Signorini, Liana, MD; Assini, Renata, RN; Catenazzi, Patrizia, RN; Lorenzotti, Silvia, MD; Patroni, Andrea, MD; Carosi, Giampiero, MD; Guerrini, Gianbattista, MD
American journal of infection control, 09/2008, Volume: 36, Issue: 7Journal Article
In an Italian long-term-care facility (LTCF), we observed a 17.5% adherence to hand hygiene (HH), as well as 47.5% rate of glove use. Performing a procedure at high risk for cross-transmission of germs was the factor most strongly associated with noncompliance (odds ratio = 13.3; 95% confidence interval = 6.2 to 28.8; P < .0001). No significant differences in compliance related to health care worker category were found. Adherence to HH in the LTCF was similar to that found in a rehabilitation medicine unit of an acute care hospital (15.8%) but significantly lower than that reported in an infectious disease unit (53.7%; P < .0001). Our findings indicate that compliance with HH is a similar problem in LTCFs as in acute care facilities.
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