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Train-the-Trainers in hand hygiene: a standardized approach to guide education in infection prevention and control

Tartari E 1 , Fankhauser C 1 , Masson-Roy S 1 , Márquez-Villarreal H 2 , Fernández Moreno I 3 , Rodriguez Navas ML 4 Show all authors , Sarabia O 5 , Bellissimo-Rodrigues F 6 , Hernández-de Mezerville M 7 , Lee YF 8 , Aelami MH 9 , Mehtar S 10 , Agostinho A 1 , Camilleri L 11 , Allegranzi B 12 , Pires D 1 , Pittet D 1

Affiliations 

  • 1 1Infection Control Programme and WHO Collaborating Centre on Patient Safety, University of Geneva Hospitals and Faculty of Medicine, 4 Rue Gabrielle-Perret-Gentil, 1211 Geneva, Switzerland
  • 2 5Department of Public Health, University of Guadalajara, Guadalajara, Jalisco Mexico
  • 3 6Corporación Sanitaria Parc Taulí de Sabadell, Barcelona, Spain
  • 4 7Hospital Universitario Principe de Asturias, Madrid, Spain
  • 5 8Universidad Anáhuac, Naucalpan de Juárez, Mexico
  • 6 9Department of Social Medicine, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil
  • 7 10Hospital Nacional de Niños, de Costa Rica Dr. Carlos Sáenz Herrera, San José, Costa Rica
  • 8 2Institute of Global Health, Faculty of Medicine, University of Geneva, Geneva, Switzerland
  • 9 12Department of Pediatrics and Hand Hygiene and Infection Control Research Center, Imam Reza Hospital ,Mashhad University of Medical Sciences, Mashhad, Iran
  • 10 13Infection Control Africa Network, Unit of IPC, Tygerberg Hospital, Cape Town, South Africa
  • 11 14Department of Statistics and Operations Research, Faculty of Science, University of Malta, Msida, Malta
  • 12 15Infection Prevention and Control Global Unit, Department of Service Delivery and Safety, World Health Organization, Geneva, Switzerland
Antimicrob Resist Infect Control, 2019;8:206.
PMID: 31893040 DOI: 10.1186/s13756-019-0666-4

Abstract

Background: Harmonization in hand hygiene training for infection prevention and control (IPC) professionals is lacking. We describe a standardized approach to training, using a "Train-the-Trainers" (TTT) concept for IPC professionals and assess its impact on hand hygiene knowledge in six countries.

Methods: We developed a three-day simulation-based TTT course based on the World Health Organization (WHO) Multimodal Hand Hygiene Improvement Strategy. To evaluate its impact, we have performed a pre-and post-course knowledge questionnaire. The Wilcoxon signed-rank test was used to compare the results before and after training.

Results: Between June 2016 and January 2018 we conducted seven TTT courses in six countries: Iran, Malaysia, Mexico, South Africa, Spain and Thailand. A total of 305 IPC professionals completed the programme. Participants included nurses (n = 196; 64.2%), physicians (n = 53; 17.3%) and other health professionals (n = 56; 18.3%). In total, participants from more than 20 countries were trained. A significant (p 

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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