Skip to main content Accessibility help

Hand Hygiene and Glove Use Behavior in an Italian Hospital

  • Angelo Pan (a1) (a2), Placido Mondello (a2), Klara Posfay-Barbe (a3), Patrizia Catenazzi (a4), Annise Grandi (a4) (a5), Silvia Lorenzotti (a1), Andrea Patroni (a1), Nadia Poli (a4), Laura Soavi (a1) and Giuseppe Carnevale (a2)...

In an Italian hospital, we observed that hand hygiene was performed in 638 (19.6%) of 3,253 opportunities, whereas gloves were worn in 538 (44.2%) 1,218 of opportunities. We observed an inverse correlation between the intensity of care and the rate of hand hygiene compliance (R2=0.057; P<.001), but no such association was observed for the rate of glove use compliance (R2 = 0.014; P = .078). Rates of compliance with hand hygiene and glove use recommendations follow different behavioral patterns.

Corresponding author
Clinica di Malattie Infettive e Tropicali, Spedali Civili- Università degli Studi di Brescia, Piazzale Spedali Civili 1, 20123 Brescia, Italy (
Hide All
1. Boyce, JM, Pittet, D. Guideline for hand hygiene in health-care settings: recommendations of the Healthcare Infection Control Practices Advisory Committee and the HICPAC/SHEA/APIC/IDSA Hand Hygiene Task Force. Society for Healthcare Epidemiology of America/Association for Professionals in Infection Control/Infectious Diseases Society of America. MMWR Recomm Rep 2002;51:145.
2. Harbarth, S, Pittet, D, Grady, L, et al. Interventional study to evaluate the impact of an alcohol-based hand gel in improving hand hygiene compliance. Pediatr Infect Dis J 2002;21:489495.
3. Arenas, MD, Sanchez-Paya, J, Barril, G, et al. A multicentric survey of the practice of hand hygiene in haemodialysis units: factors affecting compliance. Nephrol Dial Transplant 2005;20:11641171.
4. Paggi, G, Poli, A, Cairo, C, et al. Clean hand campaign: the Tuscany Region project for the prevention of heath care related infections [in Italian]. Giornale Italiano delle Infezioni Ospedaliere 2006;13:50.
5. Pittet, D, Mourouga, P, Perneger, TV. Compliance with handwashing in a teaching hospital infection control program. Ann Intern Med 1999;130:126130.
6. Jusot, JF, Vanhems, P, Benzait, F, et al. The procedures of hygiene to control hospital-acquired diarrhoea in paediatric wards: a multicentre audit. J Hosp Infect 2004;57:4451.
7. Brown, SM, Lubimova, AV, Khrustalyeva, NM, et al. Use of an alcohol-based hand rub and quality improvement interventions to improve hand hygiene in a Russian neonatal intensive care unit. Infect Control Hosp Epidemiol 2003;24:172179.
8. Girou, E, Chai, SHT, Oppein, F, et al. Misuse of gloves: the foundation for poor compliance with hand hygiene and potential for microbial transmission? J Hosp Infect 2004;57:162169.
9. Larson, EL. APIC guideline for handwashing and hand antisepsis in health care settings. Am J Infect Control 1995;23:251269.
10. Pittet, D, Donaldson, L. Clean care is safer care: a worldwide priority. Lancet 2005;366:12461247.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Infection Control & Hospital Epidemiology
  • ISSN: 0899-823X
  • EISSN: 1559-6834
  • URL: /core/journals/infection-control-and-hospital-epidemiology
Please enter your name
Please enter a valid email address
Who would you like to send this to? *


Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed