scholarly journals A Comparative Study of Hand Hygiene Practices in Operation Theaters in Tertiary Level Hospitals in Delhi, India

2014 ◽  
Vol 2 (2) ◽  
pp. 87-93
Author(s):  
Shakti Kumar Gupta ◽  
IB Singh ◽  
Parmeshwar Kumar ◽  
Aarti Vij
Keyword(s):  
Hand Hygiene ◽  
Private Sector ◽  
Cross Sectional Study ◽  
Hand Washing ◽  
Tertiary Level ◽  
Sectional Study ◽  
Cross Sectional ◽  
Public And Private ◽  
Hygiene Practices ◽  
Public And Private Sector

ABSTRACT Background Healthcare associated infections (HCAIs) are directly related to the hand hygiene practices. Differences in implementation of practices may exist among hospitals despite standard guidelines. Objective To compare the hand hygiene practices in the operation theaters of tertiary care hospitals in Delhi. Design and setting: A 6-months descriptive and cross-sectional study conducted in operation theaters of tertiary level, referral public and private sector hospitals in Delhi. Design and setting A 6-months descriptive and cross-sectional study conducted in operation theaters of tertiary level, referral public and private sector hospitals in Delhi. Materials and methods Six leading multispecialty hospitals, three each from the private and public sectors were selected through purposive sampling. The sample comprised of cases from one major operation theater (OT) from each hospital conducting general surgery cases (10% of all cases). A performa with 24 parameters was designed using the Center for Disease Control Guidelines for hand hygiene. Hospitals were analysed in categories and also independently. Results One thousand nine hundred and twenty observations were analyzed from six hospitals. The level of compliance was higher among the private sector and the autonomous hospital. Statistically significant differences were observed with groups of hand hygiene parameters namely hand washing, selection of hand hygiene agent, skin care, and educational programs and surgical scrub, but not regarding hand hygiene policy or technique. Comparison of five hand hygiene practices strongly recommended by CDC practices revealed significant differences. Adherence to hand washing practices was 76%, surgical scrub practice was 85% and overall compliance of hand hygiene practice was 80.5%. Conclusion The study revealed gaps in implementation of hand hygiene practices despite standard guidelines. In future, post interventional studies may reflect the extent of improvement of these practices through reduction in HCAIs. How to cite this article Kumar P, Gupta SK, Kapil A, Vij A, Singh IB. A Comparative Study of Hand Hygiene Practices in Operation Theaters in Tertiary Level Hospitals in Delhi, India. Int J Res Foundation Hosp Healthc Adm 2014;2(2):87-93.

scholarly journals Personal and domiciliary hygiene practices and its association with incidence of infectious diseases among children aged 6-59 months

2021 ◽  
Vol 8 (9) ◽  
pp. 4204
Author(s):  
Md Hasanuzzaman ◽  
Md Hafizur Rahman ◽  
Md Shafiqul Islam Khan ◽  
Musammet Rasheda Begum ◽  
Farjana Alam ◽  
...  
Keyword(s):  
Infectious Diseases ◽  
Low Income ◽  
Cross Sectional Study ◽  
Hand Washing ◽  
Low Income Countries ◽  
Sectional Study ◽  
Child Feeding ◽  
Cross Sectional ◽  
Hygiene Practices ◽  
Prepared Food

Background: Over 200 million under-five-children born in low-income countries are at risk of not reaching their development potential and infectious diseases are the leading cause of development deficits in these regions.Methods: A cross-sectional study was conducted to investigate personal and household hygiene practices among 154 mothers and their association with the incidence of infectious diseases among 167 children aged 6 months to 59 months in Patuakhali district, Bangladesh.Results: Only 13.6% of the mothers had proper hand washing knowledge. Besides, 14% and 53.9% of the mothers washed their hands with soap and only with water respectively before feeding their child. About 68.2% of mothers prepared food on the ground and half (49.5%) of the toilet did not have a hand washing location beside it. The risk of childhood infectious disease was significantly associated with hand washing of mothers before feeding a child (OR: 2.3, 95% CI: 1.5-4.1, p<0.05) and hand washing of child before eating (OR: 3.4, 95% CI: 1.8-5.7, p<0.05).Conclusions: Hand washing agents were inadequate and compliance to hand washing was poor. Therefore, the continuous focus is needed on the mother's awareness construction to increase the compliance to hand washing practice among mothers as well as their child with soap, especially during child feeding.

scholarly journals Tuberculosis practices among private medical practitioners in Kaski district, Nepal

2013 ◽  
Vol 1 (2) ◽  
pp. 68-75
Author(s):  
AK Nepal ◽  
A Shrestha ◽  
SC Baral ◽  
R Bhattarai ◽  
Y Aryal
Keyword(s):  
Quality Of Care ◽  
Private Sector ◽  
Structured Interview ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Public And Private ◽  
Medical Practitioners ◽  
Sputum Microscopy ◽  
Public And Private Sector

INTRODUCTION: Although the evidences suggest that more than one third tuberculosis (TB) cases are being managed in private sector, the quality of care in private sector is major concern. However, the information regarding the private practices were lacking. Therefore the study was conducted to gain insights on current practices of TB management at private sectors. MATERIALS AND METHODS: A descriptive cross sectional study, applying quantitative method, was conducted at two cities of Kaski among all private practitioners, private pharmacies and private laboratories through self administered questionnaire and structured interview schedule. RESULTS: Nearly one fourth of the TB suspects in the district were found to have consulted private providers with about 20.0% of the total smear positive cases diagnosed in private laboratories. Beside sputum microscopy, Private Medical Practitioners (PMPs) were also found to prefer other tests like X-ray, culture for TB diagnosis. Similarly, PMPs’ varying prescription of anti TB drugs beyond National TB Programme (NTP) recommendation along with their weak recording and case holding were noteworthy, and the cost of TB treatment seemed higher in private sector. Only one third of private institution had their staff trained in TB. Except some informal linkage, no collaboration between public and private sector was noted. CONCLUSIONS: Private sector was managing many TB cases in the district. However, their practice of TB management was not much satisfactory. Therefore NTP should take effective measures for Public Private Mix and to make them aware of the standards through training and orientation in order to improve the quality of care. DOI: http://dx.doi.org/10.3126/ijim.v1i2.7085 Int J Infect Microbiol 2012;1(1):68-75

scholarly journals An observational study to assess the knowledge and attitude of medical students regarding hand washing

2019 ◽  
Vol 6 (7) ◽  
pp. 3076
Author(s):  
Shashi Saxena ◽  
Saurabh Mishra ◽  
Huma Khan
Keyword(s):  
Medical Students ◽  
Hand Hygiene ◽  
Cross Sectional Study ◽  
Hand Washing ◽  
Multiple Choice Questions ◽  
Cross Sectional ◽  
Hygiene Practices ◽  
Proper Training ◽  
Medical Undergraduates ◽  
Knowledge And Attitude

Background: Hand hygiene is a milestone in the field of infectious disease control. Promotion of improved hand hygiene has been recognized as an important public health measure. Therefore hand washing is being promoted in various ways. This study has been conducted to assess the level of knowledge and attitude regarding hand hygiene practices amongst the medical students to identify areas of gaps in their knowledge, attitude and practices.Methods: This is a cross sectional study conducted among medical undergraduates of a private medical college in western Utter Pradesh. A pre tested questionnaire with multiple choice questions was used for collection of data.Results: A total of 246 MBBS students participated in the study out of which 50.4 % students were male and rest were female. 78.5% participants were belonging to the age group 19-21 years. Students have good knowledge of hand washing irrespective of their educational front.Conclusions: The results of our study are fairly good still a proper training program is required to generate awareness among the community. Maintenance of hand hygiene should be a part of our education system at primary level.

scholarly journals Home-based hand hygiene practices of mothers in relation to infections in their infants

2020 ◽  
Vol 47 (2) ◽  
pp. 103-109
Author(s):  
O.B. Ogunfowora ◽  
T.A. Ogunlesi ◽  
O.O. Oba-Daini
Keyword(s):  
Hand Hygiene ◽  
Respiratory Infections ◽  
Cross Sectional Study ◽  
Hand Washing ◽  
Cross Sectional ◽  
Hygiene Practices ◽  
Young Infants ◽  
Home Based ◽  
Access To Water

Background: Infections are the leading causes of death in children. Most of these infections are transmitted through the hands of mothers, carers and health workers.Objective: To determine the pattern of home-based hand hygiene practices among mothers of young infants attending a tertiary facility clinic in relation to infections in their infants.Methods: A cross-sectional study of mothers of infants attending an immunization clinic was conducted using a self-designed, pretested questionnaire.Results: The mean age of the 203 mothers was 30.3 ±3.8 years. The majority of the mothers received counselling about hand washing as part of antenatal care (79.8%), had access to water at home (94.0%) and always washed hands with water and soap (48.3%). Although 149 (73.4%) knew  hand sanitizers, only 28 (13.8%) used it. Close to half of their infants (46.3%) had various infections (diarrhoea, acute respiratory infections, and boils) within a month of the interview. Only counselling was associated with good quality hand washing practices (p<0.0001) while the age of child less than 6 months and good quality of hand washing were associated with the absence of infections in the infants (p = 0.029 and p<0.0001 respectively).Conclusion: Half of the cohort of mothers practiced good quality hand washing but with poor use of hand sanitizers. With various infections recorded in close to half of their infants, it is important to emphasise better hand washing techniques and improve access to alcohol-based hand sanitizers. Key words: Alcohol-based Hand sanitizers, Hand hygiene, Hand washing, Infants, Infections, Sagamu.

scholarly journals Prevalence and severity of temporomandibular joint disorders among house officers & post-graduate residents of private & public sector medical hospitals in Peshawar, Pakistan

2019 ◽  
Vol 6 (1) ◽  
pp. 2-8
Author(s):  
Mohammad Ilyas ◽  
Fariha Kifayat ◽  
Faryal Gul ◽  
Salman Khan ◽  
Sumaira Saeed ◽  
...  
Keyword(s):  
Private Sector ◽  
Temporomandibular Joint ◽  
Maxillofacial Surgery ◽  
Cross Sectional Study ◽  
Temporomandibular Joint Disorders ◽  
Oral And Maxillofacial Surgery ◽  
Sectional Study ◽  
Cross Sectional ◽  
Public And Private ◽  
Postgraduate Students

OBJECTIVES:To evaluate the prevalence and severity of TMDs in house officers and postgraduate students belonging to public and private sector medical and dental colleges.METHODOLOGY:This was a cross sectional study carried out from July 2018 to September 2018 in Department of Oral and Maxillofacial Surgery, Sardar Begum Dental College and Hospital, Peshawar. After approval from ethical committee Gandhara University, an informed consent was obtained and Fonseca questionnaire was used to evaluate TMDs from 320 subjects who voluntarily want to participate in the study; selected with equal genders from public and private sectors medical and dental hospitals, Peshawar. Those who have musculoskeletal, neurological, systemic problems and orthodontics treatment subjects were excluded from the study.RESULTS:The age range selected was 22-32 years and the mean age presentation was 26.5 ± 3.4 years. Results showed that female postgraduate residents of private sector consider themselves tenser (18.8%) than others. 70.17% female house officers of private sector have noticed TMJ clicking and 83.17% of male house officers clenched or grind their teeth than others.CONCLUSION:The study concluded that mild and moderate TMDs are more common in-house officers and postgraduate residents.KEYWORDS: Temporomandibular Disorders, Prevalence, Temporomandibular Joint, Fonseca’s Anamnestic Index, Cross-Sectional Study

Bacterial contamination and stethoscope disinfection practices: a cross-sectional survey of healthcare workers in Karachi, Pakistan

2017 ◽  
Vol 47 (3) ◽  
pp. 226-230 ◽  
Author(s):  
Danish Ahmed Rao ◽  
Aiysha Aman ◽  
Syed Muhammad Mubeen ◽  
Ahmed Shah
Keyword(s):  
Healthcare Workers ◽  
Bacterial Contamination ◽  
Cross Sectional Study ◽  
Private Institutions ◽  
Sectional Study ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Public And Private ◽  
Public And Private Sector ◽  
Micro Organisms

Stethoscopes routinely used for clinical examination of patients may potentially transfer micro-organisms and cause iatrogenic infections. This study was undertaken to detect the presence of microorganisms on stethoscopes used clinically in hospitals of Karachi, Pakistan and to ascertain the infection control practices of healthcare workers (HCWs). In a cross-sectional study, 118 samples were collected from public and private institutions. Samples were tested for the presence and sensitivity of pathogenic microorganisms. Microorganisms were found on diaphragms of 33/64 (51.6%) and 19/57 (33.3%) stethoscopes in public and private sector hospitals, respectively. Methycillin resistance was identified in all staphylococcally contaminated samples. Only 33 (18%) respondents reported cleaning their stethoscopes regularly. We highlight the need for more and better on-the-job routines for decontaminating stethoscopes among HCWs in Karachi.

scholarly journals Factors Facilitating Hand Hygiene Practices in Eateries of Coimbatore: A Cross-sectional Study

2021 ◽  
Author(s):  
Gaayathri Krishnan ◽  
Dharaniya Rathinasabapathy ◽  
Ganesh Kumar Natarajan ◽  
Dipika Balasubramanian ◽  
Dinesh Shankar ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Tamil Nadu ◽  
Cross Sectional Study ◽  
Food Delivery ◽  
High Price ◽  
P Value ◽  
Sectional Study ◽  
Cross Sectional ◽  
Hygiene Practices ◽  
Significant Difference

Introduction: Improper hand hygiene practices and eating at unsanitary eateries are a major cause for many of the life-threatening diseases. Although studies done in the past have focused on the hand hygiene of the restaurant staff, the customers’ hand hygiene, which is equally, if not more important, has not been studied in detail. Aim: To assess the factors facilitating hand hygiene for the customers as well as the general hygiene in the eateries of Coimbatore, Tamil Nadu, India. Materials and Methods: A cross-sectional study was done in the eateries of Coimbatore in June 2017, after obtaining clearance from Institutional human ethics committee. A list of eateries was collected from a food delivery application and 30 of them were chosen by systematic random sample. The restaurants were further categorised into low, medium and high-price ranged eateries based on the price of a standard food item (coffee). As a mystery client, the restaurants were inspected and observations were noted in a hidden checklist, which was constructed for the purpose of this study. The checklist consisted of three major categories, the washing area (9 marks), the customer (7 marks) and the general hygiene of the restaurant (7 marks). There were 23 items in the checklist and each item, if present, was awarded a score of 1. No negative scoring was done. Hence, the maximum score an eatery could get was 23 and minimum was zero. ANOVA test was applied to compare the scores of different types of eateries. Results: The mean and standard deviation hygiene scores of the low, medium and high-cost eateries were 7.7±4.05, 11±6.02 and 14±5.43, respectively. There was a significant difference in the (hygiene and sanitation) scores between low, medium and high- cost eateries (p-value=0.04). It was found that in lower priced restaurants, most of the restaurants failed to provide adequate facilities for hand hygiene. Medium and high price range eateries were similar in the fact that they scored better with regard to general hygiene and wash area facilities. Although none of the restaurants scored a full mark higher price ranged eateries had better wash area facilities. Customer hand hygiene practices were found to be subpar in all the three categories, even though facilities were present in some medium and high-end eateries. Conclusion: It was noticed that in some of the lower end restaurants, facilities for hand hygiene were not adequate. It was also found that if adequate facilities for hand hygiene were present in a restaurant, there was a higher chance of a customer to utilise that. This was found to be true especially in higher priced restaurants. Hence, the importance of hand hygiene and awareness among customers should be emphasised.

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