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Translational Research in Hand Hygiene Compliance

  • New Technologies and Advances in Infection Prevention (A Marra, Section Editor)
  • Published:
Current Treatment Options in Infectious Diseases Aims and scope Submit manuscript

Opinion statement

Hand hygiene is considered to be the most important measure to prevent healthcare-associated infections, which represent a big concern in the world and are considered as priority by the World Health Organization, which proposed a multimodal strategy that has been implemented in several settings. However, many studies demonstrate that the overall compliance for hand hygiene practice remains low, and the most effective strategy or group of strategies are still unclear. We reviewed original articles reporting implemented strategies in order to improve hand hygiene adherence rates in healthcare services published in the last 2 years. Educational measures (like training, e-learning modules, feedback, and reminders), behavioral methods, electronic, radiofrequency and ultrasound methods, and patient empowerment strategies are discussed. We also discuss actions implemented in low-income countries where resources are limited. Most of the approaches presented in this article demonstrate they are effective in increasing hand hygiene adherence rates; on the other hand, sustainability of the results is difficult to achieve and vary according to local culture and resources. Although most of the reviewed articles are before-and-after studies and there is a paucity of high-quality studies, it seems that multimodal, continued interventions, and culture changes are essential to sustain high hand hygiene compliance rates.

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References and Recommended Reading

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Conflict of Interest

Maria Luísa Moura declares that she has no conflict of interest.

Juliana C. Fenley declares that she has no conflict of interest.

Márcia M. Baraldi declares that she has no conflict of interest.

Ícaro Boszczowski declares that he has no conflict of interest.

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Authors and Affiliations

  1. Infection Control Department, Hospital das Clínicas, University of Sao Paulo, 255 Dr Enéas de Carvalho Aguiar St. Cerqueira Cesar, São Paulo, SP, 05403-000, Brazil

    Maria Luísa Moura MD & Ícaro Boszczowski MD

  2. Infectious Diseases Department, Hospital Policlin, São Jose dos Campos, Brazil

    Juliana C. Fenley MD

  3. Infection Control Department, Hospital Alemão Oswaldo Cruz, São Paulo, Brazil

    Márcia M. Baraldi IPCN & Ícaro Boszczowski MD

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  1. Maria Luísa Moura MD
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  2. Juliana C. Fenley MD
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  3. Márcia M. Baraldi IPCN
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  4. Ícaro Boszczowski MD
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Correspondence to Maria Luísa Moura MD.

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This article is part of the Topical Collection on New Technologies and Advances in Infection Prevention

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Moura, M.L., Fenley, J.C., Baraldi, M.M. et al. Translational Research in Hand Hygiene Compliance. Curr Treat Options Infect Dis 7, 14–27 (2015). https://doi.org/10.1007/s40506-015-0041-9

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