{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T07:13:46Z","timestamp":1761894826012},"reference-count":34,"publisher":"Cambridge University Press (CUP)","issue":"2","license":[{"start":{"date-parts":[[2015,1,2]],"date-time":"2015-01-02T00:00:00Z","timestamp":1420156800000},"content-version":"unspecified","delay-in-days":2161,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Infect. Control Hosp. Epidemiol."],"published-print":{"date-parts":[[2009,2]]},"abstract":"<jats:sec id=\"S0195941700027727_abs1\"><jats:title>Objective.<\/jats:title><jats:p>To investigate the rate of adherence by hospital staff members to the correct use of alcohol-based hand rub before and after performance of clinical procedures.<\/jats:p><\/jats:sec><jats:sec id=\"S0195941700027727_abs2\"><jats:title>Design.<\/jats:title><jats:p>A cohort study conducted during the period from 2006 through 2007 and 2 cross-sectional studies conducted in 2006 and 2007.<\/jats:p><\/jats:sec><jats:sec id=\"S0195941700027727_abs3\"><jats:title>Setting.<\/jats:title><jats:p>\u00c5rhus University Hospital, Skejby, in \u00c5rhus, Denmark.<\/jats:p><\/jats:sec><jats:sec id=\"S0195941700027727_abs4\"><jats:title>Participants.<\/jats:title><jats:p>Various hospital staff members.<\/jats:p><\/jats:sec><jats:sec id=\"S0195941700027727_abs5\"><jats:title>Methods.<\/jats:title><jats:p>Following an ongoing campaign promoting the correct use of alcohol-based hand rub, we observed rates of adherence by hospital staff to the correct use of alcohol-based hand rub. Observations were made before and after each contact with patients or patient surroundings during 5 weekdays during the period from 2006 through 2007 in 10 different hospital units. A logistic regression model was used to estimate the rate of adherence to the correct use of alcohol-based hand rub before and after performance of a clinical procedure.<\/jats:p><\/jats:sec><jats:sec id=\"S0195941700027727_abs6\"><jats:title>Results.<\/jats:title><jats:p>A total of 496 participants were observed during 22,906 opportunities for hand hygiene (ie, 11,177 before and 11,729 after clinical procedures) that required the use of alcohol-based hand rub. The overall rates of adherence to the correct use of alcohol-based hand rub were 62.3% (6,968 ofthe 11,177 opportunities) before performance and 68.6% (8,041 ofthe 11,729 opportunities) after performance of clinical procedures. Compared with male participants, female participants were significantly better at adhering to the correct use of alcohol-based hand rub before performance (odds ratio [OR] 1.51 [95% confidence interval {CI}, 1.09\u20132.10]) and after performance (OR, 1.73 [95% CI, 1.27\u20132.36]) of clinical procedures. In general, the rate of adherence was significantly higher after the performance of clinical procedures, compared with before (OR, 1.43 [95% CI, 1.35\u20131.52]). For our cohort of 214 participants who were observed during 14,319 opportunities, the rates of adherence to the correct use of alcohol-based hand rub were 63.2% (4,469 of the 7,071 opportunities) before performance and 69.3% (5,021 of the 7,248 opportunities) after performance of clinical procedures, and these rates increased significantly from 2006 to 2007, except for physicians.<\/jats:p><\/jats:sec><jats:sec id=\"S0195941700027727_abs7\"><jats:title>Conclusion.<\/jats:title><jats:p>We found a high and increasing rate of adherence to the correct use of alcohol-based hand rub before and after performance of clinical procedures following a campaign that promoted the correct use of alcohol-based hand rub. More hospital staff performed hand hygiene with alcohol-based hand rub after performance of clinical procedures, compared with before performance. Future campaigns to improve the rate of adherence to the correct use of alcohol-based hand rub ought be aware that certain groups of hospital staff (eg, male staff members) are known to exhibit a low level of adherence to the correct use of alcohol-based hand rub.<\/jats:p><\/jats:sec>","DOI":"10.1086\/593206","type":"journal-article","created":{"date-parts":[[2009,1,13]],"date-time":"2009-01-13T13:53:33Z","timestamp":1231854813000},"page":"172-178","source":"Crossref","is-referenced-by-count":12,"title":["Cohort Study of Adherence to Correct Hand Antisepsis Before and After Performance of Clinical Procedures"],"prefix":"10.1017","volume":"30","author":[{"given":"Sussie","family":"Laustsen","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elisabeth","family":"Lund","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bo 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