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
