Randomised Controlled Trial (RCT) of 6 Versus 3 Steps for Hand Hygiene (SHoRT)

March 23, 2015 updated by: Jacqui Reilly, Glasgow Caledonian University

Randomised Controlled Trial of the Effectiveness of Two Hand Hygiene Techniques Using Alcohol Based Hand Rub on Hand Surface Coverage and Reducing Bacterial Hand Contamination

The aim is to compare the effectiveness of the 6 step hand rub technique versus 3 step hand rub technique in hand coverage and in reducing bacterial contamination on the hands of healthcare workers in practice.

Research questions

  1. What is the effectiveness of the 6 step technique in hand coverage compared to the 3 step technique?

    1. What are the most frequently missed sites in hand surface coverage using 6 steps compared to 3 steps?
    2. What is the reduction in bacterial contamination of the hand with the 6 step compared to the 3 step technique?
  2. Does site missed or coverage relate to bacterial load?
  3. What is the time taken for 6 step technique versus 3 step technique?

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

The 6 step for decontamination of healthcare workers hand is recommended by the World Health Organization but the 3 step technique is easy to perform and has been shown by some studies to be effective. Compliance with the 6 step technique is not optimum. If the 3 step was more as or more effective than the 6 step compliance with it could be compared with that for the 6 step. No randomised controlled trial comparing the effectiveness of these two techniques using alcohol based hand rub has been conducted.

Study Type

Interventional

Enrollment (Actual)

120

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Child
  • Adult
  • Older Adult

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Medical and nursing staff performing a clinical procedure

Exclusion Criteria:

  • A procedure requiring use of gloves
  • A self declared active skin condition

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Health Services Research
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Single

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Active Comparator: 6 step hand hygiene technique
Hand decontamination with alcohol hand rub using the World Health Organisations 6 step technique
Other: 6 step technique
Hand decontamination with alcohol hand rub using the World Health Organizations 6 step technique
Other Names:
  • World Health Organisation 6 step technique for hand hygiene
Experimental: 3 step hand hygiene technique
Hand decontamination with alcohol hand rub using the 3 step technique
Other: 3 step technique
Hand decontamination with alcohol hand rub using the 3 step technique
Other Names:
  • 3 step technique for hand hygiene

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Microbial load on dominant hand
Time Frame: up to 5 min
A glove juice technique will be used to assess the microbial load on the dominant hand of healthcare workers following use of alcohol hand rub after a clinical procedure.
up to 5 min

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Hand coverage
Time Frame: up to 5 min
Ultra violet box will be used to assess hand coverage of the hands of healthcare workers following use of alcohol hand rub.
up to 5 min

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Glasgow Caledonian University

Collaborators

Tan Tock Seng Hospital
University of East Anglia
University of Strathclyde
NHS Greater Glasgow and Clyde

Investigators

  • Principal Investigator: Jacqui Reilly, PhD, Glasgow Caledonian University

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

November 1, 2013

Primary Completion (Actual)

March 1, 2014

Study Completion (Actual)

March 1, 2014

Study Registration Dates

First Submitted

August 15, 2014

First Submitted That Met QC Criteria

March 23, 2015

First Posted (Estimate)

March 24, 2015

Study Record Updates

Last Update Posted (Estimate)

March 24, 2015

Last Update Submitted That Met QC Criteria

March 23, 2015

Last Verified

March 1, 2015

More Information

Terms related to this study

Keywords

Other Study ID Numbers

  • 12-170
  • SIRN04 (Other Grant/Funding Number: Scottish Infection Research Network)

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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