scholarly journals Stethoscope, “the friendly foe” – A study to evaluate bacterial contamination of stethoscopes and disinfection practices

2018 ◽  
Vol 12 (10) ◽  
pp. 887-893 ◽  
Author(s):  
Priya Datta ◽  
Mandeep Kaur ◽  
Sangeeta Rawat ◽  
Varsha Gupta ◽  
Jagdish Chander
Keyword(s):  
Disease Transmission ◽  
Healthcare Workers ◽  
Methicillin Resistance ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Contamination Rate ◽  
Care Hospital ◽  
Cross Sectional ◽  
Before And After ◽  
Healthcare Associated

Introduction: Stethoscope is used to assess the health of patients but can also act as a potential source of disease transmission. The study was aimed to find out the contamination rate of stethoscopes, evaluate awareness and attitude of healthcare workers (HCWs) about stethoscope cleaning, and determine the efficacy of 70% alcohol as cleaning agent. Methodology: This hospital based cross-sectional study was conducted in a tertiary care hospital in October 2015 among healthcare workers. They were asked to fill a questionnaire followed by culturing the diaphragm and bell surfaces of their stethoscopes before and after cleaning with 70% isopropyl alcohol. Results: Out of 100 stethoscopes cultured, 56 were found to be contaminated at least with one microorganism. Acinetobacter cbc was the commonest contaminant followed by Klebsiella pneumoniae. Three out of twelve S. aureus strains showed methicillin resistance. Stethoscopes used in emergency areas were more contaminated when compared to wards and out-patient departments. Despite 100% awareness among HCWs, the importance of stethoscope cleaning is realized by only 70% who practice it regularly. Conclusion: Stethoscope is a potential vector for transmission of healthcare associated infections. Hence it is vital to clean it after each use to reduce the load of iatrogenic infections.

scholarly journals Hand Hygiene Policy for a Tertiary Care Hospital

2015 ◽  
Vol 3 (2) ◽  
pp. 103-109
Author(s):  
Shakti Kumar Gupta ◽  
Sanjay Arya ◽  
Sheetal Singh ◽  
Vijay Aggarwal ◽  
T Thuilephy
Keyword(s):  
Hand Hygiene ◽  
Disease Transmission ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Public Hospitals ◽  
Care Hospital ◽  
Cross Sectional ◽  
Study Population ◽  
Personnel Paramédical

ABSTRACT Hand hygiene diminishes the carriage of potential pathogens on the hands. It results in reduction in patient morbidity and mortality from nosocomial infection. Eighty percent of nosocomial disease transmission is thought to be via hands. The purpose of this study is to provide policy with regard to hand hygiene which can be followed in tertiary care hospitals. It was a descriptive cross-sectional study carried out between April and August 2013. The study population included doctors, nursing personnel, paramedical staff and quality managers of tertiary care hospital from public and private hospitals. Checklist was made after an exhaustive review of literature which was then improvised. Validation of the checklist was done by experts in infection control in various private and public hospitals. Subsequently, interaction was done with study population against the back drop of the checklist and hand hygiene policy was formulated. How to cite this article Singh S, Gupta SK, Arya S, Aggarwal V, Thuilephy T. Hand Hygiene Policy for a Tertiary Care Hospital. Int J Res Foundation Hosp Healthc Adm 2015;3(2):103-109.

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 Comparison of Prescribing Errors in Different Wards of Tertiary Care Hospital before and after Implementation of CPOE System

2021 ◽  
pp. 213-218
Author(s):  
Imran Qureshi ◽  
Mirza Tasawer Baig ◽  
Uzma Shahid ◽  
Ambreen Huma ◽  
Aisha Jabeen ◽  
...  
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Prescribing Errors ◽  
Cross Sectional ◽  
Before And After ◽  
Tract Infections ◽  
Hospital Wards ◽  
Strategic Reserve

Background: Medication prescribing errors were always known as inevitable errors in health care system which mainly includes physician’s writing error which then leads to wrong dispensing error. Manual Prescribing has now shifted to CPOE System that seems to be more efficient. Through this system, it is believed that quality and patient security is improved by lessening medicine and different mistakes at various phases of the request the board procedure and by maintaining a strategic reserve from repetitive testing. This Study was conducted to compare the prescribing errors in different hospital wards of a tertiary care hospital for in-patients by using two approaches; Manual Prescribing and CPOE System Prescribing. Methods: This cross sectional study was conducted on manual prescriptions for three months and on CPOE prescriptions for three months. In this way a total of 4102 prescriptions were evaluated for different types of prescribing errors occurred in different wards. Whole study was conducted on In-patients from all the wards in the hospital except Emergency and OPD patients. Results and Discussion: The results showed that the maximum number of manual prescription errors were found in Medical ICU ward, while prescribing errors for CPOE setup were found comparatively at higher rate in Medicinal ward. It was also found that maximum frequency of prescribing errors were found in Lower Respiratory Tract Infections in both the settings; CPOE System and Manual Prescribing Conclusion: It was concluded that CPOE system is helpful for reducing prescribing errors but it must be supervised by pharmacists to overcome potential errors.

scholarly journals Contamination of Mobile Phones of Health Care Workers of PIMS Hospital Islamabad

2021 ◽  
Vol 15 (6) ◽  
pp. 2138-2141
Author(s):  
Nida Khaliq ◽  
Zille Huma Mustehsan ◽  
Hania Rashid ◽  
Shafaq Khadija ◽  
Nazeeha Waseem ◽  
...  
Keyword(s):  
Mobile Phone ◽  
Mobile Phones ◽  
Health Workers ◽  
Tertiary Care ◽  
Simple Random Sampling ◽  
Cross Sectional Study ◽  
Contamination Rate ◽  
Care Hospital ◽  
Cross Sectional ◽  
High Contamination Rate

Introduction: Mobile phones are one of the most vital telecommunication devices and are used to stay in touch with both the social and professional aspects of our lives. They have also become an important tool for the rapid delivery of information in healthcare institutions, such as hospitals. However, with many benefits of mobile phone usage, also comes the drawbacks of hospital-associated pathogens surviving on these mobile phone screens. Objectives: To determine the frequency of contamination of healthcare worker’s mobile phones by different types of microorganisms. Methodology: A cross-sectional study was conducted from June 2020 till December 2020 at PIMS Hospital, a tertiary care hospital located in Islamabad, Pakistan. A total of 121 individual mobile phones were randomly sampled. A simple random sampling method was used. Informed consent was taken before taking a sample and a questionnaire was also utilized. Results: Among 121 samples collected from different department health workers mobile phone surfaces, 112 showed significant differences (92.56%) which were positively contaminated with microorganisms. Conclusion: To conclude, a high contamination rate of mobile phones was found with microorganisms. This could lead to serious nosocomial infections. Therefore, a standard guideline on the use of electronic devices and mobile phones should be implemented in hospitals and healthcare centres. Enforce the hygiene practices such as washing hands and cleaning mobile phones a few times a day. Keywords: Healthcare Worker, Mobile Phone, Microorganism, Contamination, Disinfectant

scholarly journals Communication and awareness on a new vaccine: a cross-sectional study in a tertiary care hospital of West Bengal

2019 ◽  
Vol 7 (1) ◽  
pp. 345
Author(s):  
Arup Chakraborty ◽  
Mousumi Datta ◽  
Debjani Guchhait ◽  
Shibaji Gupta
Keyword(s):  
Japanese Encephalitis ◽  
Disease Transmission ◽  
Vaccination Campaign ◽  
Tertiary Care ◽  
Age Groups ◽  
Uttar Pradesh ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Cross Sectional ◽  
Care Givers

Background: Japanese encephalitis (JE) vaccination in India started in 2006 with SA-14-14-2 live attenuated JE vaccine (JEV) following large outbreaks of JE in some districts of Eastern Uttar Pradesh and Bihar in 2005. Age groups 1-15 yrs are first vaccinated with a single dose of JEV in a campaign mode followed by integration of this vaccine in routine immunization. It is beyond doubt that added to vaccination campaigns, proper awareness on JE can play significant role in controlling the disease.Methods: An observational study with cross sectional design was conducted in Kolkata Medical College and Hospital, Kolkata during JE Vaccination campaign during January, 2018 among 85 respondents, to assess the awareness on JE, among care-givers who brought their children for vaccination at the immunization clinic.Results: It was found that only 37.6% the respondents attending the campaign knew the name of the disease; 17.6% respondents were aware about disease transmission, and 5.9% could state two or more clinical features that might be associated with Japanese Encephalitis. 69.4% had no knowledge of up to what age JE vaccines can be administered; 23.5% said it can be administered till the beneficiaries attain fifteen years of age.Conclusions: IEC activities during JE vaccination campaign was not able raise awareness on JE to the desired level. However beneficiaries were informed about service availability and could be mobilised to come for vaccination.

scholarly journals Preparedness for Internship: A Survey of New Interns at a Tertiary Care Hospital, Telangana

2021 ◽  
Vol 9 (2) ◽  
pp. 24-27
Author(s):  
Padmavathy V ◽  
Kranti Tekulapally
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Orientation Program ◽  
Cross Sectional ◽  
Hospital Practice ◽  
Before And After ◽  
Minor Injuries

INTRODUCTION An internship orientation program is conducted in most of the medical colleges before the beginning of internship program to facilitate the transition between medical student and intern. The present study was initiated to assess the preparedness of interns for the internship program and identifying the areas that require additional training and education. MATERIALS AND METHODS A cross sectional study was carried out among 2014 batch interns of Malla Reddy Medical College for Women, Suraram, Hyderabad. Hard copies of the study questionnaire prepared and validated by expert panel was administered to the interns before and after the two-day internship orientation program. The outcomes were measured on 5-point quantitative scale. The raw scores obtained by each student were converted to percentages.The scores less than or equal to 49% were considered low, the scores between 50% to 70% were considered as average and scores above 71% were considered high with respect to level of preparedness for internship. Two open ended questions were asked – additional topics to be included in the program and other suggestions. RESULTS A total of 110 students completed the study. Only 2% of the interns were highly prepared for hospital practice before the orientation program while this number increased to 78% after the program. Interns expressed their desire to learn new topics like basic first aid to minor injuries, management of trauma cases and Road Traffic Accidents and handling of medical emergencies during the orientation program. They also suggested that there should more focus on practical demonstrations and hands on training in skill lab during this program. CONCLUSION here is significant improvement in the preparedness of interns after the orientation program indicated the program helped to boost the confidence of the interns for hospital practice.

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