A study assessing knowledge of hand hygiene in nosocomial infection prevention at a tertiary health care hospital

2015 ◽  
Vol 3 (2) ◽  
pp. 84-85
Author(s):  
R. Benson ◽  
V. Narinder ◽  
D. Deodhar ◽  
R. Jairus ◽  
A. Panu
Author(s):  
Emad Farouq Khodary ◽  
Abdalrhman Saleh Altamimi ◽  
Haifaa Hassan Alghamdi ◽  
Maryam Mohammad Alshehri ◽  
Saud Jabr Almehmadi ◽  
...  

Background: Most of the persons thought that nosocomial infection is spread from the hands of health care workers. The main aim of hand washing is to be aware for all to know that this is a myth that nosocomial infection is spread from hand.  Methods: This cross-sectional study was conducted in Eradah Complex in Jeddah. The Saudi Commission for Health Specialties (SCFHS) has accredited Eradah Complex for Mental Health- Jeddah, as a training center for addiction medicine fellowship program. An observation is done by providing a Google form to the health care workers of the Eradah complex in Jeddah.  This is to observe the views of the health care workers on the issue of practices of hand hygiene. Results: There were a total of 178 study participants (111 male and 67 participants). Age groups demonstrate that 34.27% of participants belong to the age group of 36 to 45 years. 32.02% of the participants belong to the age group of 26 to 35 years of age group. Moreover, the graph has shown that 14.04% of participants belong to the age group of 18 to 25 years. It has been seen that the number of female workers bearing the position of Nurse is less than those of males. It is important to have more respondents being nurses as the nurses usually communicate directly with the patients. There is a doctor too, but they are less interaction directly with the patient. Therefore, overall graph shows that only 6.18% participants prefer other professions whereas among other percentages, 7.30% participants are pharmacists, 25.28% people are nurses, and 18.54% participants are doctors. Conclusion: The present study has discussed that maintenance of hand hygiene in the hospitals and clinics are of sheer importance. The research methodology that is incorporated in the present study has been helpful for the researchers in understanding the perception of the healthcare workers what they think about the aspect of washing hands primarily after the pandemic. Therefore, it has been seen that most of the participative healthcare workers primarily males do not find the aspect hand hygiene much important and so they rarely use soap for hand wash. On the contrary, the female workers understand the importance of hand wash more and thus, they support the thought of hand hygiene at the workplace.


2019 ◽  
Vol 1 (1) ◽  
pp. 71
Author(s):  
Sammy Erica Malau ◽  
Samuel M. Simanjuntak

Latar belakang: Infeksi nosokomial diperoleh dan ditransmisikan ke pasien yang dirawat di rumah sakit melalui kontak langsung dengan tangan. WHO menjelaskan bahwa intervensi yang paling efektif dan ekonomis untuk mencegah infeksi nosokomial adalah dengan mewajibkan prosedur mencuci tangan. Tujuan: Penelitian ini bertujuan untuk mendeskripsikan jumlah dan jenis koloni bakteri sebelum dan sesudah prosedur mencuci tangan, selanjutnya untuk mengetahui perbedaan jumlah dan jenis koloni bakteri pada sebelum dan sesudah prosedur mencuci tangan. Metode: design penelitian ini adalah quasi-eksperimen dengan satu kelompok pretest-posttest. Partisipan penelitian ini adalah pengunjung Unit Perawatan Intensif Kritis (ICCU) Rumah Sakit Advent Bandung. Partisipan direkrut menggunakan metode convenience sampling. Penelitian ini menggunakan 10 sampel dan data dianalisis menggunakan perangkat lunak SPSS. Hasil: Rata-rata jumlah bakteri sebelum mencuci tangan adalah 73,40 sel / cm2, dan rata-rata jumlah bakteri pada setelah mencuci tangan adalah 12,50 sel / cm2. Staphylococcus Sapropytuicus, Bacillus sp. dan Staphylococcus epidermis juga ditemukan di tangan pengunjung. Hasil uji paired t-test menunjukkan bahwa terdapat perbedaan yang signifikan antara jumlah koloni bakteri sebelum dan sesudah prosedur mencuci tangan dengan nilai p=0,002. Kesimpulan: Hasil penelitian ini adalah bukti yang valid bagi pengambil keputusan di rumah sakit untuk mempromosikan keberlanjutan kebijakan mencuci tangan sebagai bagian dari peningkatan kualitas asuhan keperawatan dan pada saat yang sama mempromosikan program pencegahan infeksi nosokomial dan keselamatan pasien.


Author(s):  
Fizra Balkhi ◽  
Aamna Nasir ◽  
Ayesha Asghar ◽  
Farhan Patel ◽  
Marium Zafar ◽  
...  

Background: Health care worker’s hands are mostly responsible for transmission of healthcare associated infections (HCAI). In such instances, alcohol based hand rubs have been endorsed by WHO as the gold standard for hand hygiene for visibly clean hands; whereas, for visibly dirty hands soap and water is recommended. In developing countries (like Pakistan), affected people frequently exceed 25%. However, limited infrastructure in these countries hinders the performance of hand hygiene, but the use of alcohol-based hand rubs in such adverse situations is a practical solution to these constraints.Methods: In January 2021, we initiated a 12 week cross-sectional study in a public sector tertiary care hospital of Karachi, Pakistan. All participants were given a self-designed questionnaire with a consent form thereby giving us permission to use the data. Data was analyzed using statistical package for the social sciences (SPSS version 23).Results: 84.3% of the participants had received prior instructions on hand hygiene; however 71.7% respondents did not have access to alcohol based hand rubs. When questioned if they followed WHO’s five moments of hand hygiene, only 50.5% use alcohol based hand rubs before patient contact; 88.6% used it after patient contact; 83.2% after body fluid exposure risk; 77% before an aseptic task and 78.6% after contact with patient’s surroundings.Conclusions: There is a dire need for concerned authorities to enforce proper hand hygiene in public hospitals of developing countries in order to curb health care associated infections and prolonged hospital stays.


2021 ◽  
Vol 8 (Supplement_1) ◽  
pp. S471-S471
Author(s):  
Ahmed A Khan ◽  
Sana Waqar

Abstract Background Clostridioides difficile is the leading cause of hospital associated infections. In 2017 it lead to an estimated 223,900 cases, 12,800 deaths and &1 billion in attributable healthcare costs.[1] Judicious use of antibiotics and good hand hygiene practices form the cornerstone of prevention. During the COVID-19 pandemic there has been a focus on infection control practices such as hand hygiene, which would also lead to decreased incidence of other contagious infections such as C. difficile diarrhea. Methods We looked at the incidence of C. difficile infection in a tertiary care hospital, 1 year before and 1 year after the start of the COVID-19 pandemic. We looked at the absolute number of hospital associated C. difficile infections and the rate per 1000 patient days. The testing methodology changed during the time of the study. Initially it included NAAT for C. difficile, however in March of 2020 the testing strategy included testing for GDH antigen and toxin A/B to differentiate between infection and asymptomatic colonization. Results From January 1st and December 31st 2019 there were a total of 182 C. difficile infections with a rate of 1.29% per 1000 patient days. Between January 1st and December 31st 2020 there were a total of 51 C. difficile infections with a rate of 0.39% per 1000 patient days. There was an absolute risk reduction of 0.9% and relative risk reduction of 69.7%. Hand hygiene audits did not show a difference in adherence between the two periods, with a compliance rate of 98% for both. Conclusion Our data suggests that there was a substantial reduction in C. difficile infection rate after widespread knowledge of COVID-19 and implementation of enhanced infection prevention strategies. These included frequent reminders of hand washing, gowning and social distancing to name some. This information was conveyed in the form of widely disseminated signs in highly visible areas, frequent reminders electronically and in person between staff and providers. There are limitations in our study, which include difficulty in longitudinally assessing the extent to which patient care providers adhered to infection prevention strategies and a change in testing strategy for C. difficile diagnosis during this time. Disclosures All Authors: No reported disclosures


Author(s):  
Karavadi Sri Sai Vidusha ◽  
Margaret Menzil

Background: Healthcare providers (HCPs) have been identified as the most common vehicle for transmission of hospital acquired infections (HAIs) from patient to patient and within the healthcare environment. Hand hygiene has been identified as the single most important, simplest and least expensive means of preventing HAIs. This study was conducted to assess the knowledge of hand hygiene among healthcare providers in a tertiary care hospital in Bengaluru.Methods: A cross sectional descriptive study was conducted among all the health care providers who have been working in the hospital for more than one year. Total 122 health care providers were included in the study. A semi-structured, self-administered questionnaire was developed and used to obtain information on respondent’s socio-demographic characteristics, and knowledge of hand hygiene. For collecting data in this study, the World Health Organization (WHO) "Hand Hygiene Knowledge Questionnaire "revised 2009 edition was used. Descriptive statistics was used as necessary.Results: A total of 122 health care providers participated in the study. Among them 78 (63.9%) have received formal training in hand washing. The mean age of the study participants was 29.11±8.6 years. Majority opined that hand rubbing is required before palpation of the abdomen (86.9%) knowledge about hand hygiene was found to be moderate in majority of the study subjects (144 out of 200, 74%).Conclusions: In the present study the knowledge on hand hygiene among health care providers is moderate it highlights the importance of improving the current training programs targeting hand hygiene practices among health care providers.


Author(s):  
Jasashree Choudhury ◽  
Anuspandana Mahapatra

BackgroundThe objective of this study was to assess the knowledge of hand hygiene   of healthcare workers  in the neonatal and paediatric intensive care unit in a tertiary care hospital.Methods : Study was conducted  to assess  the knowledge of hand hygiene for the five moments of hand hygiene of WHO. Healthcare workers   were given a questionnaire during routine patient care on random basis and the data was collected. Data analysis was   performed using SPSS software version 13.Results : A total of 50 health care workers  were questioned during the observation period. Answers differed by role: nurses (25) and doctors (10).15 nurses have no knowledge of moments of hand hygiene and were excluded from study. Nurses  were more likely to use soap and water compared to waterless-alcohol-based hand hygiene practices. Doctors were most likely to use alcoholic hand rub.Conclusion : Though knowledge of  hand hygiene practice  is high ,use of alcohol-based disinfectant was found to be very low compared to soap and water. Keywords: Hand hygiene, Health care, Soap and water, Alcohol hand rub.


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