Skip to Main content Skip to Navigation
Master Thesis

Évaluation des pratiques professionnelles : évaluation de l’hygiène des mains dans le service d’accueil des urgences adultes de l’hôpital Pellegrin (CHU de Bordeaux), deux ans après une intervention de sensibilisation

Abstract : Introduction: healthcare-associated infections affect hundreds of millions of patients worldwide every year, causing serious illness, prolonged hospital stays, significant costs, long-term disability, and worse still, death. Hand hygiene (HH) is the essential measure to reduce them, a simple gesture, but for which compliance by healthcare professionals remains problematic worldwide because it is insufficient. The main objective was to evaluate compliance with the performance of a HH procedure, the occurrence of hydroalcoholic friction (HAF), and the quality of these HAFs, in the Pellegrin Hospital emergency room, before and after contact with patients, two years after a HH awareness intervention carried out in 2017, in order to compare results. The secondary objective was to conduct an observation of jewellery wearing. Material and method: this was an observational, prospective, mono-centric study carried out on the staff of the emergency department of the Pellegrin Hospital, Bordeaux University Hospital. For the main objective, observations were collected by trained observers via a standardized questionnaire, from 08 to 12 April 2019. The observations were transcribed in percentages, and a difference-in-difference comparison was used to compare our results with the post-intervention period of 2017. For the secondary objective, the observations were collected by another observer over 3 monthly sessions from July to September 2019. The observations were transcribed in percentages. Results: For the primary objective, 127 pre-contact observations were made, showing a 36% compliance of HH, 91% of which were by HAF. 52% of HAFs were performed completely and without jewellery. 151 post-contact observations were performed, showing a 57% compliance of HH, 87% of which was HAF. 55% of HAFs were complete and without jewellery. Comparison with the post-procedural period of 2017 showed a significant decrease before and after contact, in the compliance of performing a HH procedure (p respectively < 0.01 and < 0.00001), in the performance of HAF (p respectively < 0.02 and < 0.01), and in the quality of the HAF (p respectively < 0.05 and < 0.03). For the secondary objective, 91 observations were made, showing that 56% of the staff were compliant, not wearing jewellery, nail polish or false nails. Conclusion: just over two years after the awareness intervention, results showed a decrease in compliance rates of the HdM, as well as in the rates of HAF achievement, and in the quality of the HAF. This reinforces the importance of continuous education and training of health professionals.
Document type :
Master Thesis
Complete list of metadatas

Cited literature [51 references]  Display  Hide  Download

https://dumas.ccsd.cnrs.fr/dumas-03002503
Contributor : Bu Carreire Université de Bordeaux <>
Submitted on : Thursday, November 12, 2020 - 7:09:56 PM
Last modification on : Saturday, November 14, 2020 - 3:10:59 AM

File

Med_Generale_2020_Kassarian.pd...
Files produced by the author(s)

Identifiers

  • HAL Id : dumas-03002503, version 1

Collections

Citation

Sophie Kassarian. Évaluation des pratiques professionnelles : évaluation de l’hygiène des mains dans le service d’accueil des urgences adultes de l’hôpital Pellegrin (CHU de Bordeaux), deux ans après une intervention de sensibilisation. Médecine humaine et pathologie. 2020. ⟨dumas-03002503⟩

Share

Metrics

Record views

33

Files downloads

9