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Table 2 Factors associated with performance of hand washing after exposure to Clostridium difficile, Jewish General Hospital, Canada, April 2012- March 2013

From: Impact of sink location on hand hygiene compliance after care of patients with Clostridium difficile infection: a cross-sectional study

Characteristics

Hand washing performed (%)

Hand washing not perfomed (%)

P-value

Type of healthcare worker

   

 Nurse

18/94 (19.1 %)

76/94 (80.9 %)

ref

 MD

2/12 (16.7 %)

10/12 (83.3 %)

0.90

 Medical resident/student

6/32 (18.8 %)

26/32 (81.3 %)

0.91

 Orderly

3/36 (8.3 %)

33/36 (91.7 %)

0.95

 Meal service

0/40 (0 %)

40/40 (100 %)

0.24

 Othera

6/33 (18.2 %)

27/33 (81.8 %)

0.99

Hand hygiene

   

 Hand rubbing alone

0/82 (0 %)

82/82 (100 %)

n/a

 Hand washing alone

24/24 (100 %)

0/24 (0 %)

n/a

 Hand rubbing followed by hand washing

11/11 (100 %)

0/11 (0 %)

n/a

 None performed

0/130 (0 %)

130/130 (100 %)

n/a

Glove use

   

 Glove use while caring for patient

35/211 (16.6 %)

176/211 (83.4 %)

ref

 No glove use while caring for patients

0/36 (0 %)

36/36 (100 %)

0.02

 Glove removalb

   

 Proper timing of glove removal after leaving patient zoneb

35/160 (21.9 %)

125/160 (78.1 %)

Ref

 Improper timing of glove removal after leaving patient zoneb

0/51 (0 %)

51/51 (100 %)

<0.001

Location of nearest available sink

   

 Hallway

19/70 (27.1 %)

51/70 (72.9 %)

Ref

 Nursing station

9/129 (7.0 %)

120/129 (93.0 %)

0.23

 Medication room

4/28 (14.3 %)

24/28 (85.7 %)

0.27

 Other

3/20 (15.0 %)

17/20 (85.0 %)

0.95

Median distance to sink (IQR)

7.6 (4.3–12.5)

14.9 (10.4–23.4)

<0.001

Number of turns required to reach sink

   

 None

21/82 (25.6 %)

61/82 (74.4 %)

Ref

 One 90° turn

8/49 (16.3 %)

41/49 (83.7 %)

0.22

 Two 90° turns

6/71 (8.5 %)

65/71 (91.5 %)

0.008

 ≥ Three 90o turns

0/45 (0 %)

45/45 (100 %)

0.006

Visualization of sink from patient zone

   

 Sink within direct sight from patient room

21/82 (25.6 %)

61/82 (74.4 %)

Ref

 Sink not in direct sight from patient room

14/165 (8.5 %)

151/165 (91.5 %)

<0.001

  1. Abbreviations: IQR interquartile range, n/a not applicable, Ref reference
  2. aIncludes occupational therapist, physiotherapist, radiology technician, pharmacist
  3. bOnly among 211 healthcare workers who wore gloves while in the room