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      Rate of Compliance with Hand Hygiene by Dental Healthcare Personnel (DHCP) within a Dentistry Healthcare First Aid Facility


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          To evaluate the compliance with the opportunities of hand hygiene by dentistry school healthcare professionals, as well as the higher choice products.


          Through direct observation, the oral healthcare team-professors, oral and maxillofacial surgery residents, graduation students-for daily care were monitored: before performing the first treatment of the shift, after snacks and meals, and after going to the bathroom (initial opportunities) as well as between patients’ care, and after ending the shift (following opportunities).


          The professors’ category profited 78.4% of all opportunities while residents and graduation students did not reach 50.0% of compliance. Statistically significant data (P≤.05) were seen between categories: professors and residents, professors and graduation students, and between genders within the residents’ category. When opportunities were profited, the preferred choice for hand hygiene was water and soap (82.2%), followed by 70% alcohol (10.2%), and both (7.6%).


          Although gloves were worn in all procedures, we concluded that the hygiene compliance by these professionals was under the expectation.

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          Most cited references20

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          Guidelines for infection control in dental health-care settings--2003.

          This report consolidates previous recommendations and adds new ones for infection control in dental settings. Recommendations are provided regarding 1) educating and protecting dental health-care personnel; 2) preventing transmission of bloodborne pathogens; 3) hand hygiene; 4) personal protective equipment; 5) contact dermatitis and latex hypersensitivity; 6) sterilization and disinfection of patient-care items; 7) environmental infection control; 8) dental unit waterlines, biofilm, and water quality; and 9) special considerations (e.g., dental handpieces and other devices, radiology, parenteral medications, oral surgical procedures, and dental laboratories). These recommendations were developed in collaboration with and after review by authorities on infection control from CDC and other public agencies, academia, and private and professional organizations.
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            Measurement of compliance with hand hygiene.

            Compliance with hand hygiene is widely recognized as the most important factor in preventing transmission of infection to patients in health care settings. However, there is no standardized method for measuring compliance. The three major methods used are direct observation, self-report and indirect measurement of hand hygiene product usage. This review discusses the methods of compliance monitoring and the advantages and drawbacks of each.
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              Behavioural considerations for hand hygiene practices: the basic building blocks.

              Hand hygiene is considered to be the most effective measure to prevent microbial pathogen cross-transmission and healthcare-associated infections. In October 2005, the World Health Organization (WHO) World Alliance for Patient Safety launched the first Global Patient Safety Challenge 2005-2006, 'Clean Care is Safer Care', to tackle healthcare-associated infection on a large scale. Within the Challenge framework, international infection control experts and consultative taskforces met to develop new WHO Guidelines on Hand Hygiene in Healthcare. The taskforce was asked to explore aspects underlying hand hygiene behaviour that may influence its promotion among healthcare workers. The dynamics of behavioural change are complex and multi-faceted, but are of vital importance when designing a strategy to improve hand hygiene compliance. A reflection on challenges to be met and areas for future research are also proposed.

                Author and article information

                Eur J Dent
                Eur J Dent
                European Journal of Dentistry
                Dental Investigations Society
                July 2010
                : 4
                : 3
                : 233-237
                [a ]MSc, Department of Microbiology, Federal University of Uberlandia, Uberlandia-MG, Brazil.
                [b ]Federal University of Uberlandia, Faculty of Dentistry, Uberlandia-MG, Brazil.
                [c ]PhD, Associate Professor, Department of Microbiology, Federal University of Uberlandia, Uberlandia-MG, Brazil.
                Author notes
                Corresponding author: Marcília Batista de Amorim-Finzi, Federal University of Uberlandia, ICBIM, Department of Microbiology, Para Avenue, 1720 block 4C Campus Umuarama 38400-902. Uberlandia-MG, Brazil. Phone: +55 34 3218-2236 Fax: + 55 34 3218-2333, E-mail: marthyamorim@ 123456hotmail.com
                Copyright 2010 European Journal of Dentistry. All rights reserved.
                Original Articles

                infection control,cross-transmission,hand hygiene,dentistry school
                infection control, cross-transmission, hand hygiene, dentistry school


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