Hand hygiene practices among undergraduate students in tertiary care unit, Gujrat Pakistan

Author(s)

Dr Iqra Naeem , Dr. Bilal Amed , Dr. Shuja Asad Malik , Dr. Adeel Naeem ,

Download Full PDF Pages: 23-49 | Views: 1033 | Downloads: 272 | DOI: 10.5281/zenodo.3445729

Volume 6 - May 2017 (05)

Abstract

Background & Method: Hand hygiene is a cost-eective method in preventing infection transmission. Hand hygiene practices have been found to be faulty in medical health care professionals. We conducted a study to evaluate the awareness, and practice of hand hygiene among undergraduate medical students during their clinical rotations in Tertiary Care Unit, Gujrat  Pakistan (NSMC,UOG). A questionnaire based (cross-sectional) on World Health Organization’s concept of “Five Moments for Hand Hygiene” was used to access the awareness of the indications for hand hygiene and compliance was observed during clinical Rotations. Sixty students including thirty-six males (60%) and twenty-four females (40%) participated voluntarily in the study.
Results: The average awareness about the positive indications of hand hygiene was 56%. Rests of the 44% of students were either not sure or unaware of the indications of hygiene. Only 29% of students were able to identify all the five indications for hand hygiene in the questionnaire. Compliance as assessed during OSCE sessions was only 17% with no significant dierence between the genders. Conclusion:  It was concluded that many eorts are required to improve the hand hygiene practices among undergraduate medical students.

Keywords

Hand Hygiene, Tertiary care unit

References

  1. P. Mathur, “Hand hygiene: back to the basics of infectioncontrol,” Indian Journal of Medical Research, vol. 134, no. 11,pp. 611–620, 2011.
  2. S. Kelc´ıkova, Z. Skodova, and S. Straka, “Effectiveness of handhygiene education in a basic nursing school curricula,” Public Health Nursing, vol. 29, no. 2, pp. 152–159, 2012.
  3. Y. Longtin, H. Sax, B. Allegranzi, F. Schneider, and D. Pittet, “Videos in clinical medicine. Hand hygiene,” The New England Journal of Medicine, vol. 364, no. 13, p. e24, 2011.
  4. J. Tibballs, “Teaching hospital staff to hand wash,” Medical Journal of Australia, vol. 164, pp. 495–498, 1996.
  5. D. Pittet, S. Hugonnet, S. Harbarth et al., “Effectiveness of a hospital-wide programme to improve compliance with hand hygiene,” The Lancet, vol. 356, no. 9238, pp. 1307–1312, 2000.
  6. H. Sax, B. Allegranzi, I. Uc¸kay, E. Larson, J. Boyce, and D. Pittet, “‘My five moments for hand hygiene’: a user-centred  design approach to understand, train, monitor and report hand hygiene,” Journal of Hospital Infection, vol. 67, no. 1, pp. 9–21, 2007.
  7. D. T. S. Chou, P. Achan, and M. Ramachandran, “The World Health Organization “5 moments of hand hygiene”: the scientific foundation,” Journal of Bone and Joint Surgery B, vol 94 B, no. 4, pp. 441–445, 2012.
  8. M. Snow, G. L.White, S. C.Alder, and J. B. Stanford, “Mentor’s hand hygiene practices influence student’s hand hygiene rates,” American Journal of Infection Control, vol. 34, no. 1, pp. 18–24, 2006.
  9. T. F. Van De Mortel, S. Kermode, T. Progano, and J. Sansoni, “A comparison of the hand hygiene knowledge, beliefs and practices of Italian nursing and medical students,” Journal of Advanced Nursing, vol. 68, no. 3, pp. 569–579, 2012.
  10. I. A. Qushmaq, D. Heels-Ansdell, D. J. Cook, M. B. Loeb, and M. O. Meade, “Hand hygiene in the intensive care unit: prospective observations of clinical practice,” Polskie  Archiwum Medycyny Wewnetrznej, vol. 118, no. 10, pp. 543– 547, 2008
  11. S. Z. Bukhari, W. M. Hussain, A. Banjar, W. H. Almaimani, T. M. Karima, and M. I. Fatani, “Hand hygiene compliance rate among healthcare professionals,” Saudi Medical Journal, vol. 32, no. 5, pp. 515–519, 2011.
  12. M. Basurrah and T. Madani, “Handwashing and gloving practice among health care workers in medical and surgical wards in a tertiary care centre in Riyadh, Saudi Arabia,”Scandinavian Journal of Infectious Diseases, vol. 38, no. 8, pp. 620–624, 2006.
  13. E. Duroy and X. Le Coutour, “Hospital hygiene and medical students,” Medecine et Maladies Infectieuses, vol. 40, no. 9, pp. 530–536, 2010.
  14. A. Feather, S. P. Stone, A.Wessier, K. A. Boursicot, and C. Pratt, “‘Now please wash your hands’: the handwashing behaviour of final MBBS candidates,” Journal of Hospital Infection, vol. 45, no. 1, pp. 62–64, 2000.
  15. T. van de Mortel, “Development of a questionnaire to assess health care students’ hand hygiene knowledge, beliefs and practices,” Australian Journal of Advanced Nursing, vol. 26, no. 3, pp. 9–16, 2009.
  16. C. M. Mann and A. Wood, “How much do medical students know about infection control?” Journal of Hospital Infection, vol. 64, no. 4, pp. 366–370, 2006.
  17. K. Graf, I. F. Chaberny, and R.-P. Vonberg, “Beliefs about hand hygiene: a survey in medical students in their first clinical year,” American Journal of Infection Control, vol. 39, no. 10, pp. 885–888, 2011.
  18. M. A. Anwar, S. Rabbi, M. Masroor, F. Majeed, M. Andrades, and S. Baqi, “Self-reported practices of hand hygiene among the trainees of a teaching hospital in a resource limited
  19. country,” Journal of the Pakistan Medical Association, vol. 59, no. 9, pp. 631–634, 2009.
  20. K. Han, F. M. Dou, L. J. Zhang, and B. P. Zhu, “Compliance on hand-hygiene among healthcare providers working at secondary and tertiary general hospitals in Chengdu,” Zhonghua  Liu Xing Bing Xue Za Zhi, vol. 32, no. 11, pp.
  21. M. G. Lankford, T. R. Zembower, W. E. Trick, D. M. Hacek, G. A. Noskin, and L. R. Peterson, “Influence of role models and hospital design on hand hygiene of health care workers,” Emerging Infectious Diseases, vol. 9, no. 2, pp. 217–223, 2003.
  22. Hand Washing Liaison Group, “Hand washing a modern measure with big effects,” British Medical Journal, vol. 318, p. 686, 1999.
  23. T. F. van de Mortel, E. Apostolopoulou, and G. Petrikkos, “A comparison of the hand hygiene knowledge, beliefs, and practices of Greek nursing and medical students,” America Journal of Infection Control, vol. 38, no. 1, pp. 75–77, 2010.
  24. S. P. Stone, “Hand hygiene—the case for evidence-based education,” Journal of the Royal Society of Medicine, vol. 94, no. 6, pp. 278–281, 2001.
  25. E. Girou, S. H. T. Chai, F. Oppein et al., “Misuse of gloves: the foundation for poor compliance with hand hygiene and potential for microbial transmission,” Journal of Hospital Infection, vol. 57, no. 2, pp. 162–169, 2004.
  26. R. J. Olsen, P. Lynch, M. B. Coyle, J. Cummings, T. Bokete, and W. E. Stamm, “Examination gloves as barriers to hand contamination in clinical practice,” Journal of the American Medical Association, vol. 270, no. 3, pp. 350–353, 1993.
  27. C. Fuller, J. Savage, S. Besser et al., “‘The dirty hand in the latex glove’: a study of hand hygiene compliance when gloves are worn,” Infection Control and Hospital Epidemiology, vol. 32, no. 12, pp. 1194–1199, 2011.

Cite this Article: