MediHandTrace®: a tool for measuring and understanding hand hygiene adherence

  • S. Boudjema
    Affiliations
    Aix Marseille University, URMITE, UM63, CNRS 7278, IRD 198, Inserm 1095, Marseille, France

    Infectious Disease Unit CHU Nord, Institut Hospitalo-Universitaire Méditerranée Infection, Marseille, France
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  • J.C. Dufour
    Affiliations
    Aix Marseille University, UMR912 SESSTIM (AMU-Inserm-IRD-AMSE), 13005, Marseille, France

    Assistance Publique des Hôpitaux de Marseille, BIOSTIC, Pôle de Santé Publique, 13005, Marseille, France
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  • A.S. Aladro
    Affiliations
    Infectious Disease Unit CHU Nord, Institut Hospitalo-Universitaire Méditerranée Infection, Marseille, France
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  • I. Desquerres
    Affiliations
    Infectious Disease Unit CHU Nord, Institut Hospitalo-Universitaire Méditerranée Infection, Marseille, France
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  • P. Brouqui
    Correspondence
    Corresponding author: P. Brouqui, URMITE, Faculté de médecine, 27 bvd Jean MOULIN, 13005 Marseille, France
    Affiliations
    Aix Marseille University, URMITE, UM63, CNRS 7278, IRD 198, Inserm 1095, Marseille, France

    Infectious Disease Unit CHU Nord, Institut Hospitalo-Universitaire Méditerranée Infection, Marseille, France
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      Abstract

      The proper implementation of hand hygiene at key moments during patient care is the most important means of preventing healthcare-associated infection. Although there are many programmes aimed at enhancing hand hygiene, the compliance of healthcare workers (HCWs) remains incredibly low. One limiting factor is the lack of standardized measures and reports of hand hygiene opportunities. Direct observational audits have reported the weaknesses in this field. We report here a radiofrequency identification-based real-time automated continuous recording system (MediHandTrace ®) that permits the tracking of hand hygiene opportunities and the disinfection compliance of HCWs that we evaluated against video recordings as being accurate (99.02%), sensitive (95.65%) and specific (100%). The system can also provide information that is useful to understand HCW non-compliance and will allow the evaluation of future intervention studies.

      Keywords

      References

        • Erasmus V
        • Daha TJ
        • Brug H
        • et al.
        Systematic review of studies on compliance with hand hygiene guidelines in hospital care.
        Infect Control Hosp Epidemiol. 2010; 31: 283-294
        • Sax H
        • Allegranzi B
        • Uckay I
        • Larson E
        • Boyce J
        • Pittet D
        ‘My five moments for hand hygiene’: a user-centred design approach to understand, train, monitor and report hand hygiene.
        J Hosp Infect. 2007; 67: 9-21
        • Marra AR
        • Moura Jr, DF
        • Paes AT
        • dos Santos OF
        • Edmond MB
        Measuring rates of hand hygiene adherence in the intensive care setting: a comparative study of direct observation, product usage, and electronic counting devices.
        Infect Control Hosp Epidemiol. 2010; 31: 796-801
        • Boyce JM
        Measuring healthcare worker hand hygiene activity: current practices and emerging technologies.
        Infect Control Hosp Epidemiol. 2011; 32: 1016-1028
        • Edmond MB
        • Goodell A
        • Zuelzer W
        • Sanogo K
        • Elam K
        • Bearman G
        Successful use of alcohol sensor technology to monitor and report hand hygiene compliance.
        J Hosp Infect. 2010; 76: 364-365
        • Cheng VC
        • Tai JW
        • Ho SK
        • et al.
        Introduction of an electronic monitoring system for monitoring compliance with Moments 1 and 4 of the WHO “My 5 Moments for Hand Hygiene” methodology.
        BMC Infect Dis. 2011; 11: 151
        • Armellino D
        • Hussain E
        • Schilling ME
        • et al.
        Using high-technology to enforce low-technology safety measures: the use of third-party remote video auditing and real-time feedback in healthcare.
        Clin Infect Dis. 2012; 54: 1-7
        • Swoboda SM
        • Earsing K
        • Strauss K
        • Lane S
        • Lipsett PA
        Electronic monitoring and voice prompts improve hand hygiene and decrease nosocomial infections in an intermediate care unit.
        Crit Care Med. 2004; 32: 358-363
        • Venkatesh AK
        • Lankford MG
        • Rooney DM
        • Blachford T
        • Watts CM
        • Noskin GA
        Use of electronic alerts to enhance hand hygiene compliance and decrease transmission of vancomycin-resistant Enterococcus in a hematology unit.
        Am J Infect Control. 2008; 36: 199-205
        • Barrau K
        • Rovery C
        • Drancourt M
        • Brouqui P
        Hand antisepsis: evaluation of a sprayer system for alcohol distribution.
        Infect Control Hosp Epidemiol. 2003; 24: 180-183
        • Banoo S
        • Bell D
        • Bossuyt P
        • et al.
        Evaluation of diagnostic tests for infectious diseases: general principles.
        Nat Rev Microbiol. 2006; 4: S20-S32