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Peer-reviewedCC BY 4.0Infection Prevention in Practice

Correlation analysis between hand hygiene product consumption trends and healthcare-associated infections in a tertiary comprehensive hospital in Yunnan Province, China (2015–2024)

  1. 1Department of Hospital Infection Management, The People’s Hospital of Yuxi City, The Sixth Affiliated Hospital of Kunming Medical University, Yuxi, Yunnan, China
  2. 2Dermatology & STD Department, The People’s Hospital of Yuxi City, The Sixth Affiliated Hospital of Kunming Medical University, Yuxi, Yunnan, China
  3. 3Nursing Department, The People’s Hospital of Yuxi City, The Sixth Affiliated Hospital of Kunming Medical University, Yuxi, Yunnan, China

Abstract

Background: Hand hygiene (HH) is an effective, safe, and cost-effective measure for preventing healthcare-associated infections (HAIs); improving HH compliance can reduce HAI rates. HH product consumption is one of the indicators used to assess HH performance, and analysing this consumption can support the enhancement of HH management.

Aim: To analyse HH product consumption trends and their correlation with HAIs in a Chinese tertiary hospital from 2015 to 2024.

Methods: Data on HH product consumption, patient-days, and HAI cases were retrospectively collected. Consumption per patient-day (mL/PD) was calculated.

Findings: From 2015 to 2024, overall median HH consumption was 13.07 mL/PD, varying significantly across departments (P < 0.001). Intensive care unit/neonatal intensive care unit (ICU/NICU) used more alcohol-based hand rub (ABHR) than soap after 2020, whereas other wards used more soap. HH product consumption peaked in 2021 (15.99 mL/PD). Consumption changes were notably significant in the ICU and NICU. Annual HH product consumption varied significantly (P < 0.001) and increased significantly post-coronavirus disease 2019 (COVID-19) (P < 0.001), mainly driven by hand rub. Hospital-wide HAI incidence showed a negative correlation with HH product consumption (r = −0.640, P = 0.046). An increase of 1 mL/PD in HH product consumption was associated with a decrease of 0.138% in the HAI case incidence rate.

Conclusion: HH product consumption varied by department and initially increased and then declined. Greater HH product use was associated with lower HAI rates. Targeted interventions are needed to sustain HH practice improvements.

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BibTeX
@article{pan2026correlation,
  title = {{Correlation analysis between hand hygiene product consumption trends and healthcare-associated infections in a tertiary comprehensive hospital in Yunnan Province, China (2015–2024)}},
  author = {Hongping Pan and Chao Liang and Hongjuan Zhu and Hailan Fan and Yu Huang},
  journal = {Infection Prevention in Practice},
  year = {2026},
  month = sep,
  doi = {10.1016/j.infpip.2026.100594},
  url = {https://doi.org/10.1016/j.infpip.2026.100594},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Correlation analysis between hand hygiene product consumption trends and healthcare-associated infections in a tertiary comprehensive hospital in Yunnan Province, China (2015–2024)
AU  - Hongping Pan
AU  - Chao Liang
AU  - Hongjuan Zhu
AU  - Hailan Fan
AU  - Yu Huang
PY  - 2026
DA  - 2026/09/25
JO  - Infection Prevention in Practice
DO  - 10.1016/j.infpip.2026.100594
UR  - https://doi.org/10.1016/j.infpip.2026.100594
AB  - Background: Hand hygiene (HH) is an effective, safe, and cost-effective measure for preventing healthcare-associated infections (HAIs); improving HH compliance can reduce HAI rates. HH product consumption is one of the indicators used to assess HH performance, and analysing this consumption can support the enhancement of HH management.  Aim: To analyse HH product consumption trends and their correlation with HAIs in a Chinese tertiary hospital from 2015 to 2024.  Methods: Data on HH product consumption, patient-days, and HAI cases were retrospectively collected. Consumption per patient-day (mL/PD) was calculated.  Findings: From 2015 to 2024, overall median HH consumption was 13.07 mL/PD, varying significantly across departments (P < 0.001). Intensive care unit/neonatal intensive care unit (ICU/NICU) used more alcohol-based hand rub (ABHR) than soap after 2020, whereas other wards used more soap. HH product consumption peaked in 2021 (15.99 mL/PD). Consumption changes were notably significant in the ICU and NICU. Annual HH product consumption varied significantly (P < 0.001) and increased significantly post-coronavirus disease 2019 (COVID-19) (P < 0.001), mainly driven by hand rub. Hospital-wide HAI incidence showed a negative correlation with HH product consumption (r = −0.640, P = 0.046). An increase of 1 mL/PD in HH product consumption was associated with a decrease of 0.138% in the HAI case incidence rate.  Conclusion: HH product consumption varied by department and initially increased and then declined. Greater HH product use was associated with lower HAI rates. Targeted interventions are needed to sustain HH practice improvements.
SN  - 2590-0889
ER  -