Impact of national policy on hand hygiene promotion activities in hospitals in Korea
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(2020) 9:157
RESEARCH
Open Access
Impact of national policy on hand hygiene promotion activities in hospitals in Korea Pyoeng Gyun Choe1,2, Jihee Lim2, Eun Jin Kim2, Jeong Hee Kim3, Myoung Jin Shin3, Sung Ran Kim4, Jun Yong Choi5, Young Hwa Choi6, Kyung Won Lee7, Hyunsook Koo8, Hyungmin Lee8, Kyoung-Ho Song1,3, Eu Suk Kim1,3, Nam Joong Kim1,2, Myoung-don Oh1,2 and Hong Bin Kim1,3*
Abstract Background: After the Middle East respiratory syndrome coronavirus outbreak in Korea in 2015, the Government established a strategy for infection prevention to encourage infection control activities in hospitals. The new policy was announced in December 2015 and implemented in September 2016. The aim of this study is to evaluate how infection control activities improved within Korean hospitals after the change in government policy. Methods: Three cross-sectional surveys using the WHO Hand Hygiene Self-Assessment Framework (HHSAF) were conducted in 2013, 2015, and 2017. Using a multivariable linear regression model, we analyzed the change in total HHSAF score according to survey year. Results: A total of 32 hospitals participated in the survey in 2013, 52 in 2015, and 101 in 2017. The number of inpatient beds per infection control professionals decreased from 324 in 2013 to 303 in 2015 and 179 in 2017. Most hospitals were at intermediate or advanced levels of progress (90.6% in 2013, 86.6% in 2015, and 94.1% in 2017). In the multivariable linear regression model, total HHSAF score was significantly associated with hospital teaching status (β coefficient of major teaching hospital, 52.6; 95% confidence interval [CI], 8.9 to 96.4; P = 0.018), beds size (β coefficient of 100 beds increase, 5.1; 95% CI, 0.3 to 9.8; P = 0.038), and survey time (β coefficient of 2017 survey, 45.1; 95% CI, 19.3 to 70.9; P = 0.001). Conclusions: After the new national policy was implemented, the number of infection control professionals increased, and hand hygiene promotion activities were strengthened across Korean hospitals. Keywords: Hand hygiene, Policy, Reimbursement, WHO, Infection control practitioners
Background Hand hygiene is critical to the prevention of healthcareassociated infection [1, 2]. In 2013, the National Hand Hygiene Promotion Campaign was launched in Korea with the support of the Korean Centers for Disease Control and Prevention (KCDC) and the Korean Society for * Correspondence: [email protected] 1 Department of Internal Medicine, Seoul National University College of Medicine, 103 Daehak-ro, Jongro-gu, Seoul, 03080, Republic of Korea 3 Infection Control Office, Seoul National University Bundang Hospital, Seongnam, Republic of Korea Full list of author information is available at the end of the article
Healthcare-associated Infection Control and Prevention. The campaign aims to implement a standardized program for changing hand hygiene based upon the World Health organization (WHO) multimodal hand hygiene improvement strategy. The WHO multimodal strategy is accompanied by an Implementation Toolkit to help the translation to the
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