الفهرس 
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Abstract
Hand hygiene is a fundamental measure for the control of nosocomial infection. However, sustained compliance with hand hygiene in health care workers is poor.
An implication of our findings is that full compliance with hand hygiene guidelines may be unrealistic and difficult. But interventions that aimed at improving hand hygiene practices and HCWs attitudes and habits may be effective in increasing adherence and compliance. We attempted to enhance compliance with hand hygiene by implementing education, training, and performance feedback. We measured device associated infections in parallel.
We monitored the overall compliance with hand hygiene in Post-operative Cardiac Intensive Care Unit at Children Hospital of Cairo University from July to December (2014). The WHO “5 moments for hand hygiene” are used to define what is an opportunity (WHO Guidelines on Hand Hygiene in Health Care, World Health Organization, 2010).
We divided the program into 3 phases: phase 1 (Pre intervention phase),from July to August 2014 (2 months); and phase 2 (or intervention period), September 2014 and phase 3 (post intervention phase), from October to December.
During the study 5110 opportunities were observed pre, during and post intervention, Over all compliance for hand hygiene improved from 59% to 66% (p<0.001).
Increased hand rub supply with emollient in ICU was associated with increased compliance to alcohol hand rub from35% in pre intervention to 50% in post intervention replacing traditional hand washing with water and soap.
Compliance of HCWs for the five indications varied (indication 2, 3) showed the highest compliance but( indication 5) showed the lowest compliance.
In our study there was highly significant difference(p value < 0.001) between hand hygiene compliance in doctors and nurses. As well as females showed a higher compliance to HH than males; significant difference(p 0.002).