Are Soap, Paper Towel and Alcohol-based Disinfectants Easily Accessible in Intensive Care Units in Turkey?: Results of the Phokai Study

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dc.contributor.authorUyan, Ayse
dc.contributor.authorDurmus, Gul
dc.contributor.authorSezak, Nurbanu
dc.contributor.authorOzdemir, Burcu
dc.contributor.authorKaygusuz, Turkkan
dc.contributor.authorOztoprak, Nefise
dc.contributor.authorOzdemir, Keyser
dc.contributor.authorAksoy, Firdevs
dc.contributor.authorOzgultekin, Asu
dc.contributor.authorKoc, Meliha Meric
dc.contributor.authorOncul, Ahsen
dc.contributor.authorCagan Aktas, Sabahat
dc.contributor.authorIsik, Burcu
dc.contributor.authorCelebi, Giiven
dc.contributor.authorEvik, Guliiz
dc.contributor.authorOzger, Selcuk
dc.contributor.authorHarman, Rezan
dc.contributor.authorDindar Demiray, Emine Kubra
dc.contributor.authorOzkoren Calik, Sebnem
dc.contributor.authorAlkan Ceviker, Sevil
dc.contributor.authorYildiz, Ilknur Esen
dc.contributor.authorIsik, Mehmet Emirhan
dc.contributor.authorSenol, Gunes
dc.contributor.authorSari, Sema
dc.contributor.authorDogan, Mustafa
dc.contributor.authorUgurlu, Kenan
dc.contributor.authorArslan, Mustafa
dc.contributor.authorAkgul, Fethiye
dc.contributor.authorKoc, Filiz
dc.contributor.authorKurekci, Yeim
dc.contributor.authorCaglayan, Derya
dc.contributor.authorUcar, Mehmet
dc.contributor.authorGozukucuk, Ramazan
dc.contributor.authorElmaslar Mert, Habibe Tulin
dc.contributor.authorAlay, Handan
dc.contributor.authorErdogan, Haluk
dc.contributor.authorDemirel, Aslihan
dc.contributor.authorDogan, Nilgun
dc.contributor.authorKocak, Funda
dc.contributor.authorGuven, Emre
dc.contributor.authorUnsal, Guieser
dc.contributor.authorSipahi, Hilal
dc.contributor.authorYamazhan, Tansu
dc.contributor.authorArda, Bilgin
dc.contributor.authorUlusoy, Sercan
dc.contributor.authorSipahi, Oguz Resat
dc.date.accessioned2019-10-27T10:43:48Z
dc.date.available2019-10-27T10:43:48Z
dc.date.issued2018
dc.departmentEge Üniversitesien_US
dc.description.abstractIntroduction: Hand hygiene is one of the most effective infection control measures to prevent the spread of healthcare-associated infections (HCAI). Water, soap, paper towel and hand disinfectant must be available and adequate in terms of effective hand hygiene. The adequacy of hand hygiene products or keeping water-soap and paper towel is still a problem for many developing countries like Turkey. In this multicenter study, we analyzed the adequacy in number and availability of hand hygiene products. Materials and Methods: This study was performed in all intensive care units (ICUs) of 41 hospitals (27 tertiary-care educational, 10 state and four private hospitals) from 22 cities located in seven geographical regions of Turkey. We analyzed water, soap, paper towel and alcohol-based hand disinfectant adequacy on four different days, two of which were in summer during the vacation time (August, 27th and 31st 2016) and two in autumn (October, 12th and 15th 2016). Results: The total number of ICUs and intensive care beds in 41 participating centers were 214 and 2357, respectively. Overall, there was no soap in 3-11% of sinks and no paper towel in 10-18% of sinks while there was no alcohol-based hand disinfectant in 1-4.7% of hand disinfectant units on the observation days. When we compared the number of sinks with soap and/or paper towel on weekdays vs. weekends, there was no significant difference in summer. However, on autumn weekdays, the number of sinks with soap and paper towel was significantly lower on weekend days (p<0.0001, p<0.0001) while the number of hand disinfectant units with alcohol-based disinfectant was significantly higher (p<0.0001). Conclusion: There should be adequate and accessible hand hygiene materials for effective hand hygiene. In this study, we found that soap and paper towels were inadequate on the observation days in 3-11% and 10-18% of units, respectively. Attention should be paid on soap and paper towel supply at weekends as well.en_US
dc.identifier.doi10.4274/mjima.2018.20
dc.identifier.issn2147-673X
dc.identifier.issn2147-673Xen_US
dc.identifier.urihttps://doi.org/10.4274/mjima.2018.20
dc.identifier.urihttps://hdl.handle.net/11454/30845
dc.identifier.volume7en_US
dc.identifier.wosWOS:000463053800011en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.language.isoenen_US
dc.publisherGalenos Yayinciliken_US
dc.relation.ispartofMediterranean Journal of Infection Microbes and Antimicrobialsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectSoapen_US
dc.subjectpaper towelen_US
dc.subjectalcohol based disinfectantsen_US
dc.subjectintensive care unitsen_US
dc.subjectnosocomial infectionsen_US
dc.titleAre Soap, Paper Towel and Alcohol-based Disinfectants Easily Accessible in Intensive Care Units in Turkey?: Results of the Phokai Studyen_US
dc.typeArticleen_US

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