Surgical hand hygiene compliance and its associated factors among medical staff at Hospital 199, Da Nang city, 2022

Objectives: Assess the current status and identify factors relating surgical hand hygiene compliance among medical staff at Hospital 199, Da Nang City, in 2022. Methods: A cross-sectional study was conducted on 52 medical staff participating in surgery with 156 observations. Use surveillance cameras and checklists (including 27 operating points and 3- time points) based on the Surgical Hand Hygiene Guidelines is-sued with Decision 3916/QD-BYT issued by the Ministry of Health. Results: The overall compliance rate for surgical hand hygiene was 25% (39/156) based on 156 observations. Compliance rates for each step were: step 1, 89.7%; step 2, 46.2%; and step 3, 28.8%. Total surgical hand hygiene time exceeding 3 minutes was 63.5%, with fingernail brushing in step 1 exceeding 30 seconds at 89.7%. Notably, 12.8% of ob-servations did not include step 3. Compliance rates among individual subjects varied: the nursing group showed a significantly higher compliance rate (47.1%) compared to the doctors' group (10.7%), with an odds ratio of 6.89 (CI 95% [3.05-15.56]). No other signi-ficant differences were identified. Conclusion: Overall compliance with surgical hand hygiene was low. Step 1 surgical hand hygiene has the best compliance rate and time. But step 3 should be more noticed. Nurses have better compliance than doctors. Keywords: Surgical hand hygiene, compliance procedures, medical staff, nurses, doctor.