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Updated: Oct 18, 2025

A Method to Test the Efficacy of Handwashing for the Removal of Emerging Infectious Pathogens
Published on: June 7, 2017
Hand hygiene by the nursing team in home care: a cross-sectional study
Jéssica Fernanda Corrêa Cordeiro1, Mayra Gonçalves Menegueti1, Ana Maria Laus1
1Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Ribeirão Preto, SP, Brazil.
Objective:
to identify whether nursing professionals carry out hand hygiene, how they do it, and what resources are available for this practice during home visits.
Method:
cross-sectional study conducted in a public Home Care service. The World Health Organization instrument was used to observe the hand hygiene technique, the time of performance, and the product used.
Results:
a total of 940 hand hygiene opportunities taking place in 231 home visits were observed. Overall adherence was 14.4%, with the practice of hand hygiene being higher after contact with the patient (53.7%). Before aseptic procedures, after risk/exposure to body fluids, after contact with the patient's environment, and before contact with the patient, adherence was 0.4%. Regarding the quality of the technique, in none of the 135 practices the recommended steps were followed. As for the structure available in the households, 35 (15.2%) had accessible sinks and none had liquid soap and alcohol-based formulation.
Conclusion:
adherence to hand hygiene by nursing professionals in home care was low, the technique was not performed, and households did not have resources for the practice.
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