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Hand hygiene was introduced in the 850-bed Hong Kong Baptist Hospital (HKBH), using the promotional techniques recommended by the WHO including a formal kick-off signing ceremony, hospital-wide posters, talks and use of role models. Significant improvement in compliance was observed in 2008 from 41% to 58% (p<0.01). Subsequently from 2009 to 2011, it remained below the 55% level in spite of various promotional activities. This might be related to campaign fatigue.

O041: Overcoming hand hygiene campaign fatigue by an effective innovation involving the infection control link nurses