Evaluation of an educational campaign to increase hand hygiene at a small animal veterinary teaching hospital.

Annie Shea, Scott Shaw

Cummings School of Veterinary Medicine, Tufts University, North Grafton, MA 02155, USA.

Journal of the American Veterinary Medical Association 2012 Jan 1

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To establish baseline data on rates of hand hygiene behavior, evaluate the effectiveness of an educational intervention aimed at improving hand hygiene, and determine whether methods similar to those applied in human hospitals to improve hand hygiene can be successfully applied in a small animal veterinary hospital. Prospective observational study. 568 and 187 observations of interactions between small animal patients and veterinary health-care providers before and after, respectively, educational intervention. Proper hand hygiene practices were defined as use of antibacterial foam or hand washing before or after physical interactions between health-care providers (veterinary medical faculty members, residents, interns, students, and technicians) and patients or proper use of gloves. Data were collected by anonymous direct observation. After an initial observation period, a multimodal educational campaign promoted proper hand hygiene with specific attention to increasing use of antibacterial foam. Two months later, data on proper hand hygiene practices after intervention were collected. At baseline, 117 of 568 (20.6%) interactions met criteria for proper hand hygiene practices; after intervention, a significantly greater proportion (78/187 [41.7%]) of interactions met criteria for proper hand hygiene practices. Use of antibacterial foam significantly increased from 34 of 568 (6.0%) to 67 of 187 (35.8%) interactions. Health-care providers were 4.1 times as likely to wash their hands with soap and water or to use antibacterial foam on their hands after the intervention than before the intervention. Initial low rates of proper hand hygiene practices at baseline were improved substantially 2 months after implementing a low-cost multimodal educational campaign.

Citation

Annie Shea, Scott Shaw. Evaluation of an educational campaign to increase hand hygiene at a small animal veterinary teaching hospital. Journal of the American Veterinary Medical Association. 2012 Jan 1;240(1):61-4