Randomised Controlled Trial (RCT) of 6 Versus 3 Steps for Hand Hygiene

Hand Hygiene Clinical Trial

— SHoRT  

Official title:

Randomised Controlled Trial of the Effectiveness of Two Hand Hygiene Techniques Using Alcohol Based Hand Rub on Hand Surface Coverage and Reducing Bacterial Hand Contamination

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02396836
• Other study ID #: 12-170
• Secondary ID: SIRN04
• Status: Completed
• Phase: N/A
• First received: August 15, 2014
• Last updated: March 23, 2015
• Start date: November 2013
• Est. completion date: March 2014

Study information

• Verified date: March 2015
• Source: Glasgow Caledonian University
• Contact: n/a
• Is FDA regulated: No
• Health authority: United Kingdom: Research Ethics Committee
• Study type: Interventional

Clinical Trial Summary

The aim is to compare the effectiveness of the 6 step hand rub technique versus 3 step hand rub technique in hand coverage and in reducing bacterial contamination on the hands of healthcare workers in practice.

Research questions

1. What is the effectiveness of the 6 step technique in hand coverage compared to the 3 step technique?

1. What are the most frequently missed sites in hand surface coverage using 6 steps compared to 3 steps?

2. What is the reduction in bacterial contamination of the hand with the 6 step compared to the 3 step technique?

2. Does site missed or coverage relate to bacterial load?

3. What is the time taken for 6 step technique versus 3 step technique?

Description:

The 6 step for decontamination of healthcare workers hand is recommended by the World Health Organization but the 3 step technique is easy to perform and has been shown by some studies to be effective. Compliance with the 6 step technique is not optimum. If the 3 step was more as or more effective than the 6 step compliance with it could be compared with that for the 6 step. No randomised controlled trial comparing the effectiveness of these two techniques using alcohol based hand rub has been conducted.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 120
• Est. completion date: March 2014
• Est. primary completion date: March 2014
• Accepts healthy volunteers: No
• Gender: Both
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• Medical and nursing staff performing a clinical procedure

Exclusion Criteria:

• A procedure requiring use of gloves

• A self declared active skin condition

Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Health Services Research

Related Conditions & MeSH terms

• Hand Hygiene

Intervention

Other:
• 6 step technique
Hand decontamination with alcohol hand rub using the World Health Organizations 6 step technique
• 3 step technique
Hand decontamination with alcohol hand rub using the 3 step technique

Locations

Country	Name	City	State
United Kingdom	Western Infirmary	Glasgow

Sponsors (5)

Lead Sponsor	Collaborator
Glasgow Caledonian University	NHS Greater Glasgow and Clyde, Tan Tock Seng Hospital, University of East Anglia, University of Strathclyde

Country where clinical trial is conducted

United Kingdom, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Microbial load on dominant hand	A glove juice technique will be used to assess the microbial load on the dominant hand of healthcare workers following use of alcohol hand rub after a clinical procedure.	up to 5 min	No
Secondary	Hand coverage	Ultra violet box will be used to assess hand coverage of the hands of healthcare workers following use of alcohol hand rub.	up to 5 min	No