Highlights ■ The COVID-19 pandemic has increased adherence to hand hygiene in intensive care units. ■ Private hospitals recorded higher consumption of alcoholbased hand sanitizer. ■ Interventions are needed to help keep rates up. ABSTRACT Objective: Compare alcohol-based hand sanitizer use in intensive care units in a municipality in São Paulo state, before and during the coronavirus pandemic. Methods: Analytical retrospective study using indirect documentation, with data obtained from a notification spreadsheet for epidemiological indicators of healthcare-associated infection in the […]