Are Soap, Paper Towel and Alcohol-based Disinfectants Easily Accessible in Intensive Care Units in Turkey?: Results of the Phokai Study

Introduction: Hand hygiene is one of the most effective infection control measures to prevent the spread of healthcare-associated infections (HCAI). Water, soap, paper towel and hand disinfectant must be available and adequate in terms of effective hand hygiene. The adequacy of hand hygiene products or keeping water-soap and paper towel is still a problem for many developing countries like Turkey. In this multicenter study, we analyzed the adequacy in number and availability of hand hygiene products. Materials and Methods: This study was performed in all intensive care units (ICUs) of 41 hospitals (27 tertiary-care educational, 10 state and four private hospitals) from 22 cities located in seven geographical regions of Turkey. We analyzed water, soap, paper towel and alcohol-based hand disinfectant adequacy on four different days, two of which were in summer during the vacation time (August, 27th and 31st 2016) and two in autumn (October, 12th and 15th 2016). Results: The total number of ICUs and intensive care beds in 41 participating centers were 214 and 2357, respectively. Overall, there was no soap in 3-11% of sinks and no paper towel in 10-18% of sinks while there was no alcohol-based hand disinfectant in 1-4.7% of hand disinfectant units on the observation days. When we compared the number of sinks with soap and/or paper towel on weekdays vs. weekends, there was no significant difference in summer. However, on autumn weekdays, the number of sinks with soap and paper towel was significantly lower on weekend days (p<0.0001, p<0.0001) while the number of hand disinfectant units with alcohol-based disinfectant was significantly higher (p<0.0001). Conclusion: There should be adequate and accessible hand hygiene materials for effective hand hygiene. In this study, we found that soap and paper towels were inadequate on the observation days in 3-11% and 10-18% of units, respectively. Attention should be paid on soap and paper towel supply at weekends as well.

Yazar Uyan, Ayse
Durmus, Gul
Sezak, Nurbanu
Ozdemir, Burcu
Kaygusuz, Turkkan
Oztoprak, Nefise
Ozdemir, Keyser
Yayın Türü Article
Tek Biçim Adres https://hdl.handle.net/20.500.12628/2106
Tek Biçim Adres 10.4274/mjima.2018.20
Konu Başlıkları Soap
paper towel
alcohol based disinfectants
intensive care units
nosocomial infections
Koleksiyonlar Araştırma Çıktıları | WoS | Scopus | TR-Dizin | PubMed | SOBİAD
WoS İndeksli Yayınlar Koleksiyonu
Dergi Adı MEDITERRANEAN JOURNAL OF INFECTION MICROBES AND ANTIMICROBIALS
Dergi Cilt Bilgisi 7
Sayfalar -
Yayın Yılı 2018
Eser Adı
[dc.title]
Are Soap, Paper Towel and Alcohol-based Disinfectants Easily Accessible in Intensive Care Units in Turkey?: Results of the Phokai Study
Yazar
[dc.contributor.author]
Uyan, Ayse
Yazar
[dc.contributor.author]
Durmus, Gul
Yazar
[dc.contributor.author]
Sezak, Nurbanu
Yazar
[dc.contributor.author]
Ozdemir, Burcu
Yazar
[dc.contributor.author]
Kaygusuz, Turkkan
Yazar
[dc.contributor.author]
Oztoprak, Nefise
Yazar
[dc.contributor.author]
Ozdemir, Keyser
Yayın Yılı
[dc.date.issued]
2018
Yayıncı
[dc.publisher]
GALENOS YAYINCILIK
Yayın Türü
[dc.type]
article
Özet
[dc.description.abstract]
Introduction: Hand hygiene is one of the most effective infection control measures to prevent the spread of healthcare-associated infections (HCAI). Water, soap, paper towel and hand disinfectant must be available and adequate in terms of effective hand hygiene. The adequacy of hand hygiene products or keeping water-soap and paper towel is still a problem for many developing countries like Turkey. In this multicenter study, we analyzed the adequacy in number and availability of hand hygiene products. Materials and Methods: This study was performed in all intensive care units (ICUs) of 41 hospitals (27 tertiary-care educational, 10 state and four private hospitals) from 22 cities located in seven geographical regions of Turkey. We analyzed water, soap, paper towel and alcohol-based hand disinfectant adequacy on four different days, two of which were in summer during the vacation time (August, 27th and 31st 2016) and two in autumn (October, 12th and 15th 2016). Results: The total number of ICUs and intensive care beds in 41 participating centers were 214 and 2357, respectively. Overall, there was no soap in 3-11% of sinks and no paper towel in 10-18% of sinks while there was no alcohol-based hand disinfectant in 1-4.7% of hand disinfectant units on the observation days. When we compared the number of sinks with soap and/or paper towel on weekdays vs. weekends, there was no significant difference in summer. However, on autumn weekdays, the number of sinks with soap and paper towel was significantly lower on weekend days (p<0.0001, p<0.0001) while the number of hand disinfectant units with alcohol-based disinfectant was significantly higher (p<0.0001). Conclusion: There should be adequate and accessible hand hygiene materials for effective hand hygiene. In this study, we found that soap and paper towels were inadequate on the observation days in 3-11% and 10-18% of units, respectively. Attention should be paid on soap and paper towel supply at weekends as well.
Açıklama
[dc.description]
WOS: 000463053800011
Kayıt Giriş Tarihi
[dc.date.accessioned]
2019-12-23
Açık Erişim Tarihi
[dc.date.available]
2019-12-23
Yayın Dili
[dc.language.iso]
eng
Konu Başlıkları
[dc.subject]
Soap
Konu Başlıkları
[dc.subject]
paper towel
Konu Başlıkları
[dc.subject]
alcohol based disinfectants
Konu Başlıkları
[dc.subject]
intensive care units
Konu Başlıkları
[dc.subject]
nosocomial infections
Haklar
[dc.rights]
info:eu-repo/semantics/openAccess
ISSN
[dc.identifier.issn]
2147-673X
Dergi Adı
[dc.relation.journal]
MEDITERRANEAN JOURNAL OF INFECTION MICROBES AND ANTIMICROBIALS
Dergi Cilt Bilgisi
[dc.identifier.volume]
7
Tek Biçim Adres
[dc.identifier.uri]
https://dx.doi.org/10.4274/mjima.2018.20
Tek Biçim Adres
[dc.identifier.uri]
https://hdl.handle.net/20.500.12628/2106
Görüntülenme Sayısı ( Şehir )
Görüntülenme Sayısı ( Ülke )
Görüntülenme Sayısı ( Zaman Dağılımı )
Görüntülenme
26
09.12.2022 tarihinden bu yana
İndirme
1
09.12.2022 tarihinden bu yana
Son Erişim Tarihi
14 Mayıs 2024 20:39
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Tıklayınız
hygiene disinfectant number adequacy alcohol-based effective analyzed weekdays weekends intensive autumn observation Turkey 10-18% respectively summer products adequate should significantly centers participating Attention significant supply inadequate Results (October materials Overall However weekend and/or compared higher
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