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CC BY-NC-ND 4.0 · Eur J Dent 2014; 08(04): 481-486
DOI: 10.4103/1305-7456.143629
Original Article
Dental Investigation Society

Hand hygiene practices in a dental teaching center: Measures and improve

Béatrice Thivichon-Prince
1   Faculty of Odontology, Services de consultations et de traitements dentaires de Lyon, University Lyon1, Hospices civils de Lyon, Lyon, France
,
Odile Barsotti
1   Faculty of Odontology, Services de consultations et de traitements dentaires de Lyon, University Lyon1, Hospices civils de Lyon, Lyon, France
,
Raphaele Girard
2   Hygiene and Epidemiology Unit, CH Lyon Sud, Hospices Civils de Lyon, Pierre Bénite, France
,
Jean-Jacques Morrier
1   Faculty of Odontology, Services de consultations et de traitements dentaires de Lyon, University Lyon1, Hospices civils de Lyon, Lyon, France
› Author Affiliations
Further Information

Publication History

Publication Date:
25 September 2019 (online)

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ABSTRACT

Objective: To measure the compliance and the quality of HH practices and the knowledge of the healthcare workers’ of the university dental care center. Materials and Methods: All educators and students present were eligible for inclusion in the study. Each healthcare professional was observed in care situation over a period of 30 min. The knowledge, attitudes and opinions were collected through a questionnaire. Results: Number of healthcare professionals included was 190 (64.4%). Study group consisted of 151 students (74.4%) and 39 educators (42.4%). Out of a total number of expected disinfection of hands (993), 396 were made (39.9%). Educators had a higher compliance rates than students (63.7-35.8%, P = 10−9). Large differences were found between care situations (compliance higher before the first care to a patient and lower during installation of patient in dental X-ray area or at exit of dental X-ray area). Concerning hand rubbing (HR), 36.6% were performed correctly, and the main error was all steps of HR not observed (54.4%), and shorter duration (46.7%). The observance and the quality of HR were associated with better knowledge. Conclusion: This data suggests areas of improvement: (1) A comprehensive intervention including care organization/clinic ergonomics/planning/anticipation of materials needed for care; (2) the development of HH education program should include the educators, since the behavior of students is strongly influenced and formed by their mentor's attitude and behaviors.

Key words:

Compliance - dental care - hand hygiene
 

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