Self-protection as a driver for hand hygiene among healthcare workers

Infect Control Hosp Epidemiol. 2009 Jun;30(6):578-80. doi: 10.1086/597511.


A total of 2,725 healthcare workers in 8 Mediterranean countries replied to a self-assessment questionnaire that assessed their perceptions on hand hygiene. Responses revealed that rates of hand hygiene compliance before patient contact were significantly less than rates after patient contact (P < .001) and that use of soap and water was preferred over use of alcohol-based hand rub. These findings suggest that self-protection could be a major subliminal driver for performance of hand hygiene.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Alcohols / administration & dosage
  • Attitude of Health Personnel*
  • Cross Infection / prevention & control*
  • Guideline Adherence*
  • Hand Disinfection / methods*
  • Health Personnel / psychology*
  • Humans
  • Hygiene
  • Infection Control / methods
  • Mediterranean Region
  • Nursing Staff, Hospital / psychology
  • Physicians / psychology
  • Soaps / administration & dosage
  • Surveys and Questionnaires


  • Alcohols
  • Soaps