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137 Successful Implementation of the World Health Organization (WHO) Multimodal Hand Hygiene Improvement Strategy in Brazilian Hospitals

Saturday, April 2, 2011
Trinity Ballroom (Hilton Anatole)
Heiko Thereza Santana , Agência Nacional de Vigilância Sanitária (ANVISA), Brasília, Brazil
Fabiana Cristina Sousa , Agência Nacional de Vigilância Sanitária (ANVISA), Brasília, Brazil
Heder Murari Borba , Agência Nacional de Vigilância Sanitária (ANVISA), Brasília, Brazil
Magda Miranda , Agência Nacional de Vigilância Sanitária (ANVISA), Brasília, Brazil
Suzie Marie Gomes , Agência Nacional de Vigilância Sanitária (ANVISA), Brasília, Brazil
Janaina Sallas , Agência Nacional de Vigilância Sanitária (ANVISA), Brasília, Brazil
Rogério Lima , Pan American Organization/Brazil, Brasília, Brazil
Julia Yaeko Kawagoe , Albert Einstein Hospital, São Paulo, Brazil
Aldaiza Ribeiro , Albert Sabin Hospital, Fortaleza, Brazil
Jacqueline Carla de Moura Carvalho , Hospital Regional da Asa Norte, Brasília, Brazil
Liene Camara , Hospital Santa Casa de Misericórdia do Pará, Belém, Brazil
Loriane Konkewicz, MD , Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil
Luci Correa, PhD, MD , Federal University of San Paulo, Sao Paulo, Sao Paulo, Brazil
Background: In Brazil the general guidelines for the Infection Control in Health Care Services are currently outlined by National Health surveillance Agency (Anvisa). A pilot project has been developed in 5 hospitals located in each of 05 different regions of Brazil. The project was supported by Brazilian government which formally signed an agreement in November 2007 to participate in the World Alliance for Patient Safety. Since then actions related to the First Global Patient Safety Challenge, “Clean care is safer care” has been developed by National Coordination (Anvisa and Brazil-Pan American Organization/WHO).

Objective: A pilot project was carried out as an implementation strategy with the goal to encourage interventions for the prevention of infections as an implementation of the WHO Multimodal Hand Hygiene Improvement Strategy in Brazilian health care services.

Methods: It was used the direct observation for the hand hygiene compliance monitoring by the indicator: compliance (%) = actions/opportunities x 100. The program Epi Info 6 was used for analysis of data.

Results: The total hand hygiene adherence by the health-care workers was of 52.1%; The moment with the largest adherence to hand hygiene was after body fluid exposure risk (88.7%) and the lowest was after touching a patient  (64.8%); the highest adherence to hand hygiene was 81.3% for nurses and the lowest was 56.1% for other professionals.

Conclusions: This pilot project contributed to improve the hand hygiene awareness in the five hospitals through hand hygiene measurement. The next step of the National Coordination is to amplify the strategy in several Brazilian hospitals.