Effect of guideline implementation on costs of hand hygiene

Nurs Econ. Sep-Oct 2007;25(5):279-84.


Hands of health care personnel frequently serve as vectors for the transmission of organisms between patients and are also a major reservoir for pathogens with antimicrobial resistance. Hand hygiene is one effective strategy to reduce health care associated infections. The purposes of this study were to (a) compare the costs of hand hygiene in hospitals with high and low hand hygiene compliance as well as high and low frequency of alcohol hand rub use; and (b) examine associations between hospital characteristics and hand hygiene compliance as well as frequency of alcohol hand rub use. Nursing and health care policy leaders should look for ways to promote sustained adherence to hand hygiene recommendations.

Publication types

  • Comparative Study
  • Evaluation Study
  • Research Support, N.I.H., Extramural

MeSH terms

  • 2-Propanol / economics
  • Bedding and Linens / economics
  • Cost of Illness
  • Cross Infection / economics
  • Cross Infection / prevention & control
  • Diffusion of Innovation
  • Gels / economics
  • Guideline Adherence / economics*
  • Guidelines as Topic*
  • Hand Disinfection / methods
  • Hand Disinfection / standards*
  • Hospital Bed Capacity / statistics & numerical data
  • Hospital Costs / statistics & numerical data*
  • Humans
  • Leadership
  • Nurse Administrators / organization & administration
  • Nurse's Role
  • Nursing Administration Research
  • Nursing Evaluation Research
  • Paper
  • Soaps / economics
  • Statistics, Nonparametric
  • United States


  • Gels
  • Soaps
  • 2-Propanol