A slightly increasing trend was identified for years 2017–2019 among all hospitals.
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Hand Hygiene Practices during the COVID-19 Pandemic in Northern Italy: Assessment of Compliance Rates Measured by Direct Observation and Alcohol-Based Handrub Usage.
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The sentences
However, it must be noted that an increasing trend was identified for years 2017–2019, whereas there was a slight decrease in 2021 in two out of the three included hospitals.