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<p>Nosocomial infections remain a major concern in intensive care units, where patients are highly exposed to multidrug-resistant bacteria. This cross-sectional study, conducted in 2024 across nine intensive care units in a Moroccan university hospital, assessed hand hygiene compliance, glove use, and environmental contamination. Overall hand hygiene compliance was low, at twenty-one point 8%, with twenty-three point 8% among nurses and seventeen point 1% among physicians, and was higher after patient contact (twenty-five point 5%) than before (eighteen point 1%). Regarding glove use, adherence to recommended indications was high (eighty-two point 2%), but inappropriate use persisted, with gloves worn in eighty point 6% of procedures where they were not indicated. Environmental sampling revealed a contamination rate of thirty-seven point 5%, particularly affecting ventilators (21%) and laryngoscopes (seventeen point 6%). The most frequent isolates were Acinetobacter baumannii resistant to imipenem (43%) and Enterobacteriaceae producing extended-spectrum beta-lactamases (41%), followed by Staphylococcus aureus resistant to methicillin (11%). These findings highlight very low adherence to standard precautions and significant environmental contamination, emphasizing the urgent need to strengthen infection prevention strategies in intensive care units.</p>

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Hand hygiene and glove use: compliance, impact on environmental contamination and optimisation strategy--case study of intensive care units at a university hospital, Casablanca, Morocco

  • 期刊论文

  • 发表日期：

    2026年2月11日

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  • Mounir Arai,
  • Mohamed Ouhadous,
  • Halima Lajane,
  • Rachid Gouifrane,
  • Mohammed El Feniche,
  • Omar Abidi,
  • Khalid Khaleq

摘要

Nosocomial infections remain a major concern in intensive care units, where patients are highly exposed to multidrug-resistant bacteria. This cross-sectional study, conducted in 2024 across nine intensive care units in a Moroccan university hospital, assessed hand hygiene compliance, glove use, and environmental contamination. Overall hand hygiene compliance was low, at twenty-one point 8%, with twenty-three point 8% among nurses and seventeen point 1% among physicians, and was higher after patient contact (twenty-five point 5%) than before (eighteen point 1%). Regarding glove use, adherence to recommended indications was high (eighty-two point 2%), but inappropriate use persisted, with gloves worn in eighty point 6% of procedures where they were not indicated. Environmental sampling revealed a contamination rate of thirty-seven point 5%, particularly affecting ventilators (21%) and laryngoscopes (seventeen point 6%). The most frequent isolates were Acinetobacter baumannii resistant to imipenem (43%) and Enterobacteriaceae producing extended-spectrum beta-lactamases (41%), followed by Staphylococcus aureus resistant to methicillin (11%). These findings highlight very low adherence to standard precautions and significant environmental contamination, emphasizing the urgent need to strengthen infection prevention strategies in intensive care units.