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Table 2 Factors associated with performance of hand washing after exposure to Clostridium difficile, Jewish General Hospital, Canada, April 2012- March 2013

From: Impact of sink location on hand hygiene compliance after care of patients with Clostridium difficile infection: a cross-sectional study

Characteristics Hand washing performed (%) Hand washing not perfomed (%) P-value
Type of healthcare worker    
 Nurse 18/94 (19.1 %) 76/94 (80.9 %) ref
 MD 2/12 (16.7 %) 10/12 (83.3 %) 0.90
 Medical resident/student 6/32 (18.8 %) 26/32 (81.3 %) 0.91
 Orderly 3/36 (8.3 %) 33/36 (91.7 %) 0.95
 Meal service 0/40 (0 %) 40/40 (100 %) 0.24
 Othera 6/33 (18.2 %) 27/33 (81.8 %) 0.99
Hand hygiene    
 Hand rubbing alone 0/82 (0 %) 82/82 (100 %) n/a
 Hand washing alone 24/24 (100 %) 0/24 (0 %) n/a
 Hand rubbing followed by hand washing 11/11 (100 %) 0/11 (0 %) n/a
 None performed 0/130 (0 %) 130/130 (100 %) n/a
Glove use    
 Glove use while caring for patient 35/211 (16.6 %) 176/211 (83.4 %) ref
 No glove use while caring for patients 0/36 (0 %) 36/36 (100 %) 0.02
 Glove removalb    
 Proper timing of glove removal after leaving patient zoneb 35/160 (21.9 %) 125/160 (78.1 %) Ref
 Improper timing of glove removal after leaving patient zoneb 0/51 (0 %) 51/51 (100 %) <0.001
Location of nearest available sink    
 Hallway 19/70 (27.1 %) 51/70 (72.9 %) Ref
 Nursing station 9/129 (7.0 %) 120/129 (93.0 %) 0.23
 Medication room 4/28 (14.3 %) 24/28 (85.7 %) 0.27
 Other 3/20 (15.0 %) 17/20 (85.0 %) 0.95
Median distance to sink (IQR) 7.6 (4.3–12.5) 14.9 (10.4–23.4) <0.001
Number of turns required to reach sink    
 None 21/82 (25.6 %) 61/82 (74.4 %) Ref
 One 90° turn 8/49 (16.3 %) 41/49 (83.7 %) 0.22
 Two 90° turns 6/71 (8.5 %) 65/71 (91.5 %) 0.008
 ≥ Three 90o turns 0/45 (0 %) 45/45 (100 %) 0.006
Visualization of sink from patient zone    
 Sink within direct sight from patient room 21/82 (25.6 %) 61/82 (74.4 %) Ref
 Sink not in direct sight from patient room 14/165 (8.5 %) 151/165 (91.5 %) <0.001
  1. Abbreviations: IQR interquartile range, n/a not applicable, Ref reference
  2. aIncludes occupational therapist, physiotherapist, radiology technician, pharmacist
  3. bOnly among 211 healthcare workers who wore gloves while in the room