Approximately 1 in 5 U.S. healthcare facilities don't make alcohol-based hand sanitizer available at every point of care, missing a critical opportunity to prevent healthcare-associated infections, according to new research from Columbia University School of Nursing and the World Health Organization (WHO) published in the American Journal of Infection Control.

The study, which examined compliance with WHO hand hygiene guidelines in the U.S., also found that only about half of the hospitals, ambulatory care, and long-term care facilities had set aside funds in their budgets for hand hygiene training.

"When hospitals don't focus heavily on hand hygiene, that puts patients at unnecessary risk for preventable healthcare-associated infections," says Conway. "The tone for compliance with infection control guidelines is set at the highest levels of management, and our study also found that executives aren't always doing all that they can to send a clear message that preventing infections is a priority.

Overall, 77.5 percent of facilities reported that alcohol-based sanitizer was continuously available at every point of care, the study found.

Hand hygiene is critical to preventing healthcare-associated infections, which kill about 100,000 people a year in the U.S. and cost about $33 billion to treat. The Centers for Disease Control and Prevention issued guidelines for hand hygiene in 2002, and the WHO followed suit in 2009.

"The survey also shows that facilities participating in the WHO global hand hygiene campaign achieved a higher level of progress," says co-author Didier Pittet, MD, MS, director of the infection control program and WHO Collaborating Center on Patient Safety, University of Geneva Hospitals and Faculty of Medicine in Geneva, Switzerland. "While hand hygiene compliance is the responsibility of every healthcare worker, U.S. healthcare facilities would certainly benefit from coordinated national and sub-national efforts aimed at hand hygiene improvement. They would also gather innovative ideas and trans-cultural approaches by participating in global efforts such as the WHO campaign."

Read more about the study, here.