Resumo

COBO SANCHEZ, José Luis et al. Hand hygiene perceptions and knowledge of healthcare workers in a Nephrology Unit: a comparative study. Enferm Nefrol [online]. 2014, vol.17, n.1, pp.28-34. ISSN 2255-3517.  https://dx.doi.org/10.4321/S2254-28842014000100005.

Adequate knowledge about hand hygiene (Hh) by healthcare workers (HCW), is the first step for adhering to any decreased infection related with healthcare (IRHC) program. Aim: To evaluate Hh perceptions and knowledge of HCW in a Nephrology Unit and compare it with another unit in our hospital (Trauma). Methodology: Comparative prospective study in 69 HCW. A 26-item questionnaire, based on questionnaires developed by WHO to assess knowledge and perceptions of Hh in HCW was used. Results: 73% regularly use alcohol-based preparations for Hh (Trauma 96.9%, p = 0.007). 94% think that the hands of the HCW when they are not clean are the main route of transmission of pathogens (Trauma: 87.1%, p = NS). 75.7% think that the environment / hospital surfaces is the main source of pathogens (Trauma: 68.8%) and 16% which are the microorganisms already present in the patient (Trauma: 25%) (p = NS). Perceptions: 89% consider the impact of high IRHC in the outcome of the disease (Trauma: 59.4%, p = 0.009). Regarding the most effective measures to improve the Hh include the formation of HCW, receive regular feedback on how to make the Hh and that a alcohol-based handrub is present at each point of care. Conclusions: All healthcare workers have adequate knowledge and perceptions about Hh.

Palavras-chave : hand hygiene; healthcare professionals; health knowledge; attitudes; practice; renal dialysis; traumatology.

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