Current situation of hand hygiene facilities in Chinese multicenter hospitals

Abstract:

ObjectiveTo understand the current situation of hand hygiene(HH) facilities in China.MethodsA multicenter study was conducted to select different levels of hospitals (province, district, and county levels) and army hospitals in 14 provinces (municipalities and autonomous regions). HH facilities in hospital wards were conducted field survey, installation of HH facilities in different sections of different wards in 2010 and 2016 were compared.ResultsThe total installation rate of hand wash sink in hospital increased from 69.30% in 2010 to 77.20% in 2016（χ2=37.68，P<0.01）； in 2016, the faucet switch in hospital wards was mainly inductive (39.39%), follows by handtype and foottype switch, accounting for 29.65% and 17.67% respectively；the main way of hand drying was use of paper towel, accounting for 77.30%. The rate of hand drying by using paper towel increased from 38.45% in 2010 to 77.30% in 2016, rate of hand drying naturally fell from 18.65% to 8.04%. The total equipping rate of alcoholbased hand rub in hospitals increased from 50.47% in 2010 to 75.64% in 2016, difference was statistically significant（χ2=402.46，P<0.01）. In 2016, equipping rate of alcoholbased hand rub in different sections of different wards were all significantly different (department of respiratory disease medicine: χ2=69.49，P<0.01；department of general surgery: χ2=66.97，P<0.01；intensive care unit ［ICU］: χ2=88.52，P<0.01）. The equipping rate of alcoholbased hand rub in treatment room was the highest (treatment rooms in departments of respiratory medicine, general surgery, and ICU were 89.50%, 88.50%, and 88.54% respectively), equipping rate of alcoholbased hand rub in patients’ rooms and corridor of common wards was lowest (about 60%). Except for the corridor equipping rate was 56.25%, equipping rate of alcoholbased hand rub in other sections of ICU were all over 80%.ConclusionCompared with 2010, the equipping of hand washing basin, alcoholbased hand rub, faucet switch, and hand drying method have improved significantly in 2016, but allocation of HH facilities is uneven in different wards, it is necessary to improve HH facilities to meet the requirement of healthcareassociated infection prevention and control.