Randomised Controlled Trial of the Effectiveness of Two Hand Hygiene Techniques Using Alcohol Based Hand Rub on Hand Surface Coverage and Reducing Bacterial Hand Contamination
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 120
- Locations
- 1
- Primary Endpoint
- Microbial load on dominant hand
Study Overview
Brief Summary
The aim is to compare the effectiveness of the 6 step hand rub technique versus 3 step hand rub technique in hand coverage and in reducing bacterial contamination on the hands of healthcare workers in practice.
Research questions
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What is the effectiveness of the 6 step technique in hand coverage compared to the 3 step technique?
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What are the most frequently missed sites in hand surface coverage using 6 steps compared to 3 steps?
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What is the reduction in bacterial contamination of the hand with the 6 step compared to the 3 step technique?
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Does site missed or coverage relate to bacterial load?
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What is the time taken for 6 step technique versus 3 step technique?
Detailed Description
The 6 step for decontamination of healthcare workers hand is recommended by the World Health Organization but the 3 step technique is easy to perform and has been shown by some studies to be effective. Compliance with the 6 step technique is not optimum. If the 3 step was more as or more effective than the 6 step compliance with it could be compared with that for the 6 step. No randomised controlled trial comparing the effectiveness of these two techniques using alcohol based hand rub has been conducted.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Health Services Research
- Masking
- Single (Outcomes Assessor)
Eligibility Criteria
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Medical and nursing staff performing a clinical procedure
Exclusion Criteria
- •A procedure requiring use of gloves
- •A self declared active skin condition
Arms & Interventions
6 step hand hygiene technique
Hand decontamination with alcohol hand rub using the World Health Organisations 6 step technique
Intervention: 6 step technique (Other)
3 step hand hygiene technique
Hand decontamination with alcohol hand rub using the 3 step technique
Intervention: 3 step technique (Other)
Outcomes
Primary Outcomes
Microbial load on dominant hand
Time Frame: up to 5 min
A glove juice technique will be used to assess the microbial load on the dominant hand of healthcare workers following use of alcohol hand rub after a clinical procedure.
Secondary Outcomes
- Hand coverage(up to 5 min)
Investigators
Jacqui Reilly
Professor Jacqui Reilly
Glasgow Caledonian University