Cochrane · systematic review · CD005186
Interventions to improve hand hygiene compliance in patient care
Gould, DJ, Moralejo, D, Drey, N, et al. · Cochrane Database of Systematic Reviews · 2017 · Cochrane Library
Effective Practice and Organisation of CareAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
28
current version
GRADE rated
19
No studies
9
Included studies
NR
No studies 9 · 32.1%Ungraded 0 · 0%Very low 4 · 14.3%Low 11 · 39.3%Moderate 4 · 14.3%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Comparison
Population: Healthcare workers
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Hand Hygiene Compliance3 | no estimate extracted | NR | No studies |
⊕⊕⊝⊝low (5 studies) | no estimate extracted | NR | Low |
⊕⊝⊝⊝very low (5 studies) | no estimate extracted | NR | Very low |
⊕⊕⊝⊝low (6 studies) | no estimate extracted | NR | Low |
⊕⊕⊝⊝low (2 studies) | no estimate extracted | NR | Low |
⊕⊕⊝⊝low (3 studies) | no estimate extracted | NR | Low |
⊕⊕⊕⊝moderate (1 study) | no estimate extracted | NR | Moderate |
Comparison
Population: Healthcare workers
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Hand hygiene compliance | no estimate extracted | NR | Low Downgraded: risk of bias, inconsistency |
Infection rates | no estimate extracted | NR | Low Downgraded: risk of bias, inconsistency |
Colonisation rates | no estimate extracted | NR | No studies |
Comparison
Population: Healthcare workers
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Hand hygiene compliance | no estimate extracted | NR | Very low Downgraded: risk of bias, inconsistency |
Infection rates | no estimate extracted | NR | Very low Downgraded: risk of bias, inconsistency |
Colonisation rates | no estimate extracted | NR | Low Downgraded: risk of bias, imprecision, inconsistency |
Comparison
Population: Healthcare workers
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Hand hygiene compliance | no estimate extracted | NR | Low Downgraded: risk of bias, inconsistency |
Infection rates | no estimate extracted | NR | Very low Downgraded: risk of bias, inconsistency |
Colonisation rates | no estimate extracted | NR | No studies |
Comparison
Population: Healthcare workers
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Observed hand hygiene compliance | no estimate extracted | NR | Low Downgraded: risk of bias, inconsistency |
Infection rates | no estimate extracted | NR | Moderate Downgraded: risk of bias, inconsistency |
Colonisation rates | no estimate extracted | NR | Moderate Downgraded: risk of bias, inconsistency |
Comparison
Population: Healthcare workers
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Observed hand hygiene compliance | no estimate extracted | NR | Low Downgraded: risk of bias |
Infection rates | no estimate extracted | NR | No studies |
Colonisation rates | no estimate extracted | NR | No studies |
Comparison
Population: Healthcare workers
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Observed hand hygiene compliance | no estimate extracted | 1 study · 2 participants | Low Downgraded: risk of bias, inconsistency |
Infection rates | no estimate extracted | NR | No studies |
Colonisation rates | no estimate extracted | NR | No studies |
Comparison
Population: Anaesthesiologists and CRNAs
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Observed hand hygiene compliance | no estimate extracted | 1 study · 1 participants | Moderate Downgraded: risk of bias |
Infection rates | no estimate extracted | NR | No studies |
Colonisation rates | no estimate extracted | NR | No studies |