Keywords: hand hygiene, multimodal strategy, compliance, alcohol-based hand rub consumption, healthcare-associated infections, antimicrobial resistance.


Hand hygiene is considered to be the most simple, effective and economic measure to prevent the spread of healthcare-associated infections and antimicrobial resistance. Based on the study, application of the World Health Organization’s Multimodal Hand Hygiene Improvement Strategy can improve hand hygiene compliance in hospital settings and reduce these infections. Trnava University Hospital was included to World Health Organization (WHO) launched a worldwide campaign focused on hand hygiene in 2013, when infection control specialist has started working on daily basis. Our objective was to evaluate the impact of implementing the Multimodal Hand Hygiene Strategy according to WHO. We assessed alcohol-based hand rub consumption during the period 2013 and 2018 and hand hygiene compliance in 2018 as a baseline. During observed period alcohol-based hand rub consumptions significantly increased from 15.7 L/1000 patient days to 24.3 L/1000 patient days (p<0.05). Overall compliance as per WHO guidelines were 38.9%.


Boyce, J. M., Pittet, D. (2002). Guideline for Hand Hygiene in Health-Care Settings. CDC. Morbidity and Mortality Weekl Report. 51 (RR16), 1-44. [in English].

Gould, D. J. et al. (2017). Intervention to improve hand hygiene compliance in patient care. Cochrane Database Syst Rev. 2017 (9). DOI:10.1002/14651858.CD005186.pub4. [in English].

Kritsotakis, E. et al. (2017). Prevalence, incidence burden, and clinical impact of healthcare-associated infections and antimicrobial resistance: a national prevalent cohort study in acute care hospitals in Greece. Infection and Drug Resistance, 10, 317-328. DOI:10.2147/IDR.S147459. [in English].

Ryan, K. et al. (2012). Development of a standardized approach to observing hand hygiene compliance in Australia. Healthcare Infection. 17, 115-121. DOI: 10.1071/HI12022. [in English].

Štefkovičová, M. et al. (2019). Nozokomiálne nákazy v slovenských nemocniciach. Bratislava: A-medi management. [in Slovak].

Stickbert-Bennet, E. E, et al. (2016). Reducing health care-associated infections by implementing a novel all hands on deck approach for hand hygiene compliance. American Journal of Infection Control, 44 (5). DOI: 10.1016/j.ajic.2015.11.016. [in English].

Suetens, C., et al. (2018). Prevalence of healthcare-associated infections, estimated incidence and composite antimicrobial resistance index in acute care hospitals and long-term care facilities: results from two European point prevalence surveys, 2016 to 2017. Euro Surveill, 23 (46). DOI: 10.2807/1560-7917.ES.2018.23.46.1800516. [in English].

Valim, M. D. et al. (2019). Efficacy of the multimodal strategy for Hand Hygiene compliance: an integrative review. Revista Brasileira de Emfermagen, vol.72, no. 2. DOI: 10.1590/0034-7167-2018-0584. [in English].

World Health Organization. (2009). WHO guidelines on hand hygiene in health care. First Global Patient Safety Challenge. Clean Care is Safer Care. Geneva: WHO Press. [in English].

World Health Organization. (2011). Report on the Burden of Endemic Health Care-Associated Infection Worldwide. Geneva: WHO Press. [in English].

World Health Organization. (2013). The burden of health care-associated infection worldwide. A summary. [Electronic resource]. Retrieved from gpsc/country_ work/summary_20100430_en.pdf. [in English].

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How to Cite
Prnová, J., Brňová, J., & Rusnáková, V. (2020). IMPLEMENTATION OF WHO HAND HYGIENE IMPROVEMENT STRATEGY IN TRNAVA UNIVERSITY HOSPITAL, SLOVAKIA . Scientific Journal of Polonia University, 37(6), 99-106.