Measurement of Patient Hand Hygiene in Multiorgan Transplant Units Using a Novel Technology: An Observational Study

2014 ◽  
Vol 35 (11) ◽  
pp. 1336-1341 ◽  
Author(s):  
Jocelyn A. Srigley ◽  
Colin D. Furness ◽  
Michael Gardam
Keyword(s):  
Hand Hygiene ◽  
Cross Sectional Study ◽  
Hospital Environment ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Indirect Contact ◽  
Hygiene Behavior ◽  
Few Data ◽  
Healthcare Associated ◽  
Patient Use

Objective.Healthcare worker hand hygiene is known to prevent healthcare-associated infections, but there are few data on patient hand hygiene despite the fact that nosocomial pathogens may be acquired by patients via their own unclean hands. The purpose of this study was to measure patient hand hygiene behavior in the hospital after visiting a bathroom, before eating, and on entering and leaving their roomsDesign.Cross-sectional study.Setting.Acute care teaching hospital in Canada.Patients.Convenience sample of 279 adult patients admitted to 3 multiorgan transplant units between July 2012 and March 2013.Methods.Patient use of alcohol-based hand rub and soap dispensers was measured using an ultrasound-based real-time location system during visits to bathrooms, mealtimes, kitchen visits, and on entering and leaving their rooms.Results.Overall, patients performed hand hygiene during 29.7% of bathroom visits, 39.1% of mealtimes, 3.3% of kitchen visits, 2.9% of room entries, and 6.7% of room exits.Conclusions.Patients appear to perform hand hygiene infrequently, which may contribute to transmission of pathogens from the hospital environment via indirect contact or fecal-oral routes.Infect Control Hosp Epidemiol 2014;35(11):1336–1341

scholarly journals Stethoscope as potential occupational hazards for intra hospital carries of pathogenic microorganisms

2019 ◽  
Vol 13 (1) ◽  
pp. 11-19
Author(s):  
Ali Abd Ali Sahb
Keyword(s):  
Demographic Data ◽  
Cross Sectional Study ◽  
Hospital Environment ◽  
Cross Sectional ◽  
Hygiene Behavior ◽  
Medical City ◽  
Microbiological Techniques ◽  
Health Care Associated Infections ◽  
Multiple Patients ◽  
Sterile Cotton Swab

Background: The stethoscope is a tool that doctors use daily in the examination of patients and  it  can take part in the transmission of health care-associated infections. In a single day it may come in direct contact with multiple patients and the intra hospital environment  may be contaminated by various type of bacteria and possibly transmit to others. Objective:- The study was to know the attitude and knowledge about   the stethoscope hygiene behavior among physicians  and to determine the types of  bacterial agents that can contaminate stethoscopes. Type of the study: The study was a cross-sectional study Methods:-  It was conducted from 1st of July to end of October 2014 at AL-Emmamain Alkadhomain Medical City in which a convenient sample of 150 physicians  were included. A semi constructed questionnaire was used to collect demographic data and hygiene practice among participants. Specimen was collected using moisten sterile cotton swab and then cultured following standard microbiological techniques.  The results:- showed a total of 121 (80.6%) of the stethoscopes had bacterial contamination only 29(19.40%) had negative cultures. There is statistically significant association between stethoscope contamination and frequency of cleaning it. Of the studied group only 26 subjects (17.3%) received education regarding stethoscope cleaning. Conclusion:-There was evidence that bacteria can transfer from the skin of the patient to the stethoscope and from the stethoscope to the skin and there was poor education and assessing cleaning practices of stethoscopes.

scholarly journals Food Safety in Sub-urban Market: Knowledge, Attitude and Practice of Hand Hygiene in Wadata Market, Makurdi, Benue State, Nigeria

2019 ◽  
Vol 2 (3) ◽  
pp. 172-179
Author(s):  
OG Ogbeyi ◽  
TO Afolaranmi ◽  
PO Amede ◽  
O Audu ◽  
BT Koko
Keyword(s):  
Hand Hygiene ◽  
Positive Attitude ◽  
Educational Status ◽  
Cross Sectional Study ◽  
Food Hygiene ◽  
Cross Sectional ◽  
Hygiene Practices ◽  
Urban Market ◽  
Males And Females ◽  
Healthcare Associated

A large number of males and females are engaged in the provision of food in Wadata market. Hand hygiene is the cornerstone of infection prevention (IP). When optimally performed, hand hygiene reduces healthcare-associated infections (HAI), spread and antimicrobial resistance (AMR). Poor compliance with hand hygiene practices remains a challenge for IP practitioners all over the world. More than 250 foodborne diseases are caused by bacteria or parasites. This study was conducted using a descriptive cross-sectional study of 138 respondents in Wadata market. Peer-reviewed and pilot tested questionnaires were employed. The questionnaires were classified into four sections namely-socio - demographic characteristics, knowledge on hand hygiene, attitude towards food hygiene and hygiene practices. Data analysis was done using Epi info a software package for statistical analysis version 23. Majority (40.6%) of the respondents were between the ages of 21-30 years. There were more females (80.6%) food vendors than males. Over 65% of the respondents had education above secondary school; and most of them obtained information on hand hygiene from mass media. Over 62% could define hand hygiene correctly while more than 90% had positive attitude towards hand hygiene. The practice level of the respondents of hand hygiene in this study was poor 42.7%. There was significant association between educational status and knowledge of hand hygiene (p<0.05). Overall knowledge of hand hygiene of the respondents was good and they had positive attitude towards hand hygiene but this did not strictly translate to good practices of hand hygiene.

Perspective of health professionals on hand hygiene in a tertiary care center in Pakistan

2020 ◽  
pp. 1-11
Author(s):  
Attia Bari ◽  
Izza Imran ◽  
Nasir Ali Nawaz ◽  
Rizwana Kamran ◽  
Iqbal Bano ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Care Center ◽  
Tertiary Care ◽  
Subscale Score ◽  
Cross Sectional Study ◽  
Attitude Score ◽  
Care Hospital ◽  
Cross Sectional ◽  
Healthcare Associated ◽  
Knowledge Attitude And Practice

Abstract Objective: To determine the awareness of postgraduate residents and nurses working in a tertiary care hospital about hand hygiene. Method: The cross-sectional study was conducted in October 2018 at The Children’s Hospital and the Institute of Child Health, Lahore, Pakistan, and comprised postgraduate residents and nurses. Data was collected using a 31-item self-administered inventory. Data analysis was done using SPSS 21. Results: Of the 360 subject, 152(%) were postgraduate residents and 208(%) were nurses. Overall score of knowledge 202(56%) was low compared to attitude 260(72%) and practice 283(78.6%). The combined score of all three domains was 245(68%), indicating moderate awareness. Postgraduate residents had significantly better knowledge 98(64%) compared to nurses 104 (50%) (p=0.01), while nurses had better attitude score 159(76.4%) compared to the residents 103(68%) (p<0.05). The practice subscale score was not significantly different between the groups (p>0.05). Conclusion: Both postgraduate residents and nurses showed moderately satisfactory knowledge, attitude and practice towards hand hygiene. Key Words: Hand hygiene, Healthcare-associated infections, Postgraduate residents, Nurses, Knowledge, Practices. Continuous...

scholarly journals Food Safety in Sub-urban Market: Knowledge, Attitude and Practice of Hand Hygiene in Wadata Market, Makurdi, Benue State, Nigeria

2019 ◽  
Vol 2 (3) ◽  
pp. 172-179
Author(s):  
OG Ogbeyi ◽  
TO Afolaranmi ◽  
PO Amede ◽  
O Audu ◽  
BT Koko
Keyword(s):  
Hand Hygiene ◽  
Positive Attitude ◽  
Educational Status ◽  
Cross Sectional Study ◽  
Food Hygiene ◽  
Cross Sectional ◽  
Hygiene Practices ◽  
Urban Market ◽  
Males And Females ◽  
Healthcare Associated

A large number of males and females are engaged in the provision of food in Wadata market. Hand hygiene is the cornerstone of infection prevention (IP). When optimally performed, hand hygiene reduces healthcare-associated infections (HAI), spread and antimicrobial resistance (AMR). Poor compliance with hand hygiene practices remains a challenge for IP practitioners all over the world. More than 250 foodborne diseases are caused by bacteria or parasites. This study was conducted using a descriptive cross-sectional study of 138 respondents in Wadata market. Peer-reviewed and pilot tested questionnaires were employed. The questionnaires were classified into four sections namely-socio - demographic characteristics, knowledge on hand hygiene, attitude towards food hygiene and hygiene practices. Data analysis was done using Epi info a software package for statistical analysis version 23. Majority (40.6%) of the respondents were between the ages of 21-30 years. There were more females (80.6%) food vendors than males. Over 65% of the respondents had education above secondary school; and most of them obtained information on hand hygiene from mass media. Over 62% could define hand hygiene correctly while more than 90% had positive attitude towards hand hygiene. The practice level of the respondents of hand hygiene in this study was poor 42.7%. There was significant association between educational status and knowledge of hand hygiene (p<0.05). Overall knowledge of hand hygiene of the respondents was good and they had positive attitude towards hand hygiene but this did not strictly translate to good practices of hand hygiene.

Introduction of New Theory for Hand Hygiene Surveillance: Healthcare Environment Theory

2018 ◽  
Vol 32 (2) ◽  
pp. 144-167
Author(s):  
Sharon Lea Kurtz
Keyword(s):  
Hand Hygiene ◽  
Family Environment ◽  
Hand Hygiene Compliance ◽  
Theoretical Foundation ◽  
Demographic Variables ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Healthcare Environment ◽  
Hygiene Behavior ◽  
Hygiene Compliance

Background and Purpose:The purpose of this article is to introduce a theoretical foundation, the healthcare environment theory (HET), tested in a quantitative, cross-sectional, overt observational study measuring the association of demographic variables with consistent hand hygiene compliance of the ICU nurse.Methods:Six environments found in a hospital ICU setting (family, church, work, administration, community, and culture) work bi-directionally to influence and be influenced by the nurse, simultaneously influencing each of the other environments in a multidirectional manner. The HET was used as the theoretical foundation for a study, which included a convenience sample of registered nurses (RNs) from five ICUs (64 participating RNs) in four hospitals in Texas who were observed for a total of 18 days (144 hours). The desired sample size of 613 hand hygiene opportunities for each ICU was obtained in 3 days of observation at 3 ICUs, 4 days in one ICU, and 5 days in one ICU. The six environments were used to support the results observed.Results:Through the variables of age and having children, hand hygiene rates were influenced by the family environment. Community environment was associated with a change in hand hygiene behavior in hospital hand hygiene rates in regards to age of the nurse. Younger nurses had higher hand hygiene compliance rates than older nurses.Implications for Practice:The different hospital environments surrounding the nurse can be used to explain hand hygiene compliance rates in association with demographic variables.

scholarly journals Food Safety in Sub-urban Market: Knowledge, Attitude and Practice of Hand Hygiene in Wadata Market, Makurdi, Benue State, Nigeria

2019 ◽  
Vol 2 (3) ◽  
pp. 172-179
Author(s):  
OG Ogbeyi ◽  
TO Afolaranmi ◽  
PO Amede ◽  
O Audu ◽  
BT Koko
Keyword(s):  
Hand Hygiene ◽  
Positive Attitude ◽  
Educational Status ◽  
Cross Sectional Study ◽  
Food Hygiene ◽  
Cross Sectional ◽  
Hygiene Practices ◽  
Urban Market ◽  
Males And Females ◽  
Healthcare Associated

A large number of males and females are engaged in the provision of food in Wadata market. Hand hygiene is the cornerstone of infection prevention (IP). When optimally performed, hand hygiene reduces healthcare-associated infections (HAI), spread and antimicrobial resistance (AMR). Poor compliance with hand hygiene practices remains a challenge for IP practitioners all over the world. More than 250 foodborne diseases are caused by bacteria or parasites. This study was conducted using a descriptive cross-sectional study of 138 respondents in Wadata market. Peer-reviewed and pilot tested questionnaires were employed. The questionnaires were classified into four sections namely-socio - demographic characteristics, knowledge on hand hygiene, attitude towards food hygiene and hygiene practices. Data analysis was done using Epi info a software package for statistical analysis version 23. Majority (40.6%) of the respondents were between the ages of 21-30 years. There were more females (80.6%) food vendors than males. Over 65% of the respondents had education above secondary school; and most of them obtained information on hand hygiene from mass media. Over 62% could define hand hygiene correctly while more than 90% had positive attitude towards hand hygiene. The practice level of the respondents of hand hygiene in this study was poor 42.7%. There was significant association between educational status and knowledge of hand hygiene (p<0.05). Overall knowledge of hand hygiene of the respondents was good and they had positive attitude towards hand hygiene but this did not strictly translate to good practices of hand hygiene.

scholarly journals Is weight just a number? The accuracy of UK ambulance paediatric weight guidance ‐ findings from a cross-sectional study

2020 ◽  
Vol 5 (3) ◽  
pp. 1-7
Author(s):  
Karl Charlton ◽  
Matt Capsey ◽  
Chris Moat
Keyword(s):  
Energy Levels ◽  
Age Groups ◽  
Cross Sectional Study ◽  
Hospital Environment ◽  
Reference Standard ◽  
Sectional Study ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Actual Weight ◽  
The Mean

<sec id="s1">Background: The weight of children provides the cornerstone of their clinical management, as many drug dosages, equipment sizes, fluid boluses, as well as DC shock energy, are administered on a per kilogram basis. Children who attend hospital are weighed using scales prior to receiving these interventions. This is not possible in the pre-hospital environment. A paucity of evidence exists to support the page for age weight guidance indicated by JRCALC, and it remains unknown if this approach meets the reference standard of 70% of estimations within 10% of actual weight and 95% within 20% of actual weight. </sec> <sec id="s2">Methods: We used a cross-sectional study design and collected data from a convenience sample of children who attended the outpatients department of a major hospital in England between July and September 2019. All children aged between 1 and 11 years who were weighed were eligible for inclusion. Outcomes were to determine if the page for age approach meets the reference standard and to determine any implications for care. </sec> <sec id="s3">Results: 341 children were included in this study. Each age group consisted of varying numbers of children. 50.5% (172/341) of the sample were female. Observed weights ranged from 8.28 to 82.70 kg (median 20.60 kg). The mean weight of girls versus boys was 24.69 kg and 23.39 kg respectively (95% CI -4.12‐1.32, p = 0.3123). Observed weights were greater than the page for age guidance weight in all age groups, and the accuracy of page for age weight guidance diminished with age. Adrenaline 1:10,000 doses and defibrillation energy levels guided by page for age differ from those guided by weight, but are not deleterious to care. </sec> <sec id="s4">Conclusion: Page for age weight guidance does not meet the reference standard. Most paediatric pre-hospital care is administered by age and not weight. In the absence of an accurate weight, ambulance clinicians should continue to use the page for age system, although the gold standard remains to use an accurate weight measurement. While there are no facilities to weigh children in ambulances, if an accurate weight is available then consideration should be given to using this rather than age. </sec>

scholarly journals Predictors of hand hygiene behavior among nurses: A theoretical cross-sectional study

2019 ◽  
Vol 39 (6) ◽  
pp. 278
Author(s):  
Aziz Kamran ◽  
Giti Rahimi ◽  
Elham Sharifian ◽  
Hamed Zandian
Keyword(s):  
Hand Hygiene ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Hygiene Behavior

scholarly journals Behaviour and perception of hand hygiene practice among dental students- A cross-sectional study

2020 ◽  
Vol 11 (SPL3) ◽  
pp. 1822-1829
Author(s):  
Danisca U ◽  
Yuvaraj Babu K ◽  
Gayathri R
Keyword(s):  
Hand Hygiene ◽  
Health Care Professionals ◽  
Online Survey ◽  
Cross Sectional Study ◽  
Dental Students ◽  
Hygiene Practice ◽  
Sectional Study ◽  
Cross Sectional ◽  
Primary Practice ◽  
Healthcare Associated

Hand hygiene is the act of cleaning one’s hands to remove oil, grease, microorganisms (or) other unwanted substances. Hand hygiene is considered as a primary practice which is used to reduce the risk and spread of infections to some extent. Washing hands with soap and water are considered the best way to remove germs. It helps in preventing diarrhea and uncomfortable intestinal diseases and reduces bacterial content on our hands. Health care professionals use alcohol-based hand disinfectant to prevent healthcare-associated infections and transmission of pathogens. Another widely used standard precautionary measure is wearing protective gloves. The main aim of this study is to assess the knowledge of hand hygiene practice of dental students. The present study is a cross-sectional study conducted among 100 dental students. The questionnaire consisted of 15 questions which were circulated among dental students through an online survey link. The questions were read carefully, and the answers were marked accordingly. The data was then collected and statistically analyzed. 93% of the participants think that hand hygiene is really necessary for day to day life. 88% of the participants think that maintaining proper hand hygiene helps us to be free from infections. The present-day dental students have very good knowledge about hand hygiene practice.

scholarly journals Predictors of Self-Reported Hand Hygiene Performance among Nurses at Tertiary Care Hospitals in East Coast Malaysia

2021 ◽  
Vol 18 (2) ◽  
pp. 409
Author(s):  
Mohamad Hazni Abd Rahim ◽  
Mohd Ismail Ibrahim ◽  
Siti Suraiya Md Noor ◽  
Norhana Mohamed Fadzil
Keyword(s):  
Hand Hygiene ◽  
Linear Regression Analysis ◽  
Tertiary Care ◽  
Multiple Linear Regression Analysis ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Beta Coefficient ◽  
Program Intervention ◽  
Healthcare Associated ◽  
Tertiary Care Hospitals

Background: Hand hygiene (HH) is the simplest and most effective way to reduce the incidence of healthcare-associated infections (HCAIs). Methods: This cross-sectional study aimed to determine factors associated with self-reported HH performance among nurses at Kelantan tertiary care hospitals. A sample of 438 registered nurses was selected through a stratified random sampling method. Self-reported HH performance was assessed using a validated WHO self-administered HH knowledge and perception questionnaire for healthcare workers. Results: A multiple linear regression analysis was performed to identify the predictors. The factors that significantly predicted self-reported HH performance among nurses included perception score (beta coefficient (β) = 0.260; 95% CI: 0.200, 0.417; p < 0.001), pediatric department (β = −0.104; 95% CI: −9.335, −2.467; p < 0.001), and orthopedic department (β = −5.957; 95% CI: −9.539, −0.720; p < 0.023), adjusted R2 = 0.102; p < 0.001. Nurses with a strong perception and belief in HH were more likely to have better HH performance. Compared to pediatric and orthopedic, surgical departments were associated with better self-reported HH performance. Conclusions: This study showed the importance of factors that could improve the intervention’s performance in HH strategy. Lack of perception and HH program intervention in departments engaged in patient care could lead to poor HH practices, thus increasing HCAIs and antimicrobial resistance (AMR).

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