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

Sponsor
Glasgow Caledonian University (Other)
Overall Status
Completed
CT.gov ID
NCT02396836
Collaborator
University of Strathclyde (Other), University of East Anglia (Other), NHS Greater Glasgow and Clyde (Other), Tan Tock Seng Hospital (Other)
120
Enrollment
1
Location
2
Arms
3.9
Duration (Months)
30.4
Patients Per Site Per Month

Study Details

Study Description

Brief 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?

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

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

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

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

Condition or Disease Intervention/Treatment Phase
  • Other: 6 step technique
  • Other: 3 step technique
 N/A

Detailed 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.

Study Design

Study Type:
Interventional
Actual Enrollment :
120 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Single (Outcomes Assessor)
Primary Purpose:
Health Services Research
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
Study Start Date :
Nov 1, 2013
Actual Primary Completion Date :
Mar 1, 2014
Actual Study Completion Date :
Mar 1, 2014

Arms and Interventions

Arm Intervention/Treatment
Active Comparator: 6 step hand hygiene technique

Hand decontamination with alcohol hand rub using the World Health Organisations 6 step technique

Other: 6 step technique
Hand decontamination with alcohol hand rub using the World Health Organizations 6 step technique
Other Names:
  • World Health Organisation 6 step technique for hand hygiene

    		•
    Experimental: 3 step hand hygiene technique

    Hand decontamination with alcohol hand rub using the 3 step technique

    Other: 3 step technique
    Hand decontamination with alcohol hand rub using the 3 step technique
    Other Names:
  • 3 step technique for hand hygiene

    		•

    Outcome Measures

    Primary Outcome Measures

    1. Microbial load on dominant hand [up to 5 min]

      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.

    Secondary Outcome Measures

    1. Hand coverage [up to 5 min]

      Ultra violet box will be used to assess hand coverage of the hands of healthcare workers following use of alcohol hand rub.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    N/A and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • Medical and nursing staff performing a clinical procedure
    Exclusion Criteria:

    • A procedure requiring use of gloves

    • A self declared active skin condition

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Western Infirmary Glasgow United Kingdom G11 6NT

    Sponsors and Collaborators

    • Glasgow Caledonian University
    • University of Strathclyde
    • University of East Anglia
    • NHS Greater Glasgow and Clyde
    • Tan Tock Seng Hospital

    Investigators

    • Principal Investigator: Jacqui Reilly, PhD, Glasgow Caledonian University

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Jacqui Reilly, Professor Jacqui Reilly, Glasgow Caledonian University
    ClinicalTrials.gov Identifier:
    NCT02396836
    Other Study ID Numbers:
    • 12-170
    • SIRN04
    First Posted:
    Mar 24, 2015
    Last Update Posted:
    Mar 24, 2015
    Last Verified:
    Mar 1, 2015
    Keywords provided by Jacqui Reilly, Professor Jacqui Reilly, Glasgow Caledonian University
    Hand hygiene
    Hand decontamination
    Microbial load
    Hand coverage
    Glove juice technique
    Ayliffe technique
    6 step technique

    Study Results

    No Results Posted as of Mar 24, 2015