ROLE OF HAND WASHING IN PREVENTION OF COMMUNICABLE DISEASES AND PRACTICES ADOPTED IN PRIVATE CLINICS (original) (raw)
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Objectives: To assess knowledge, attitude and practices of hand washing in major Public sector Hospitals of Pakistan and see the differences in practices in different levels of health care workers. Settings: Cross sectional hospital based survey conducted in all provinces of Pakistan in major tertiary care hospitals. Subjects and Methods: A Cross sectional hospital based survey was conducted on knowledge, attitude and practices of hand washing in doctors, nurses and paramedical staff. From each hospital 10 OPD's and 10 wards i.e. 2 medical, 2 Surgical, Gynae, Peads, Dermatology, Eye, ENT, and Causality/ICU were selected and from each unit. Four doctors, four nurses and two paramedical staff were interviewed. Results A total of 3243 respondents were interviewed. Of these 87.3% had knowledge of hand washing. Hand washing facilities were available at 75% places and 69% respondents practiced hand hygiene, but only 58.8% washed their hands for more than 20 seconds. Majority used antibacterial soap bought by them. Rush of the patients, shortage of time, non availability of soap and water and lack of encouragement by seniors were the major causes for low hand hygiene practice. Conclusions: Almost 25% sites in major public sector tertiary hospitals did not have hand washing facilities but where available most health care providers were using them. Policy message: Majority despite having knowledge, need motivation and continuous education of hand hygiene. Facilities of hand hygiene should be made available.
Introduction: Hand hygiene of healthcare personnel is recognized as a crucial factor in limiting healthcare-associated infections. Objectives: The main objective of the study is to analyse the knowledge, attitude and practices pattern of hand washing in hospitals of Pakistan. Material and methods: This cross-sectional study was conducted in Shalamar Medical and Dental College during June 2019 to January 2020. Hand hygiene product usage data were collected from locations where workers would have a high frequency of patient contact. All employed health care workers of all ages and gender, who were willing to participate in our study, were included. Results: The data was collected from 100 workers. The highest number of observations was seen in the Surgery n = 40 and ICU n = 34. With regards to overall compliance in the observance of hand hygiene 10 of the hospital staff were found to be compliant before touching the patient. In addition, 35 washed their hands after removing gloves as opposed to 25 that did not and 40 personnel observed hand hygiene after contact with body fluids and 40 did not. Conclusion: It is concluded that observance of hand hygiene is still low in our local environment. Hand washing practices in our study show that healthcare workers pay attention to hand hygiene, when it appears, there is a direct observable threat to their wellbeing.
Introduction: Hand hygiene of healthcare personnel is recognized as a crucial factor in limiting healthcareassociated infections. Objectives: The main objective of the study is to analyse the knowledge, attitude and practices pattern of hand washing in hospitals of Pakistan. Material and methods: This cross sectional study was conducted in Aziz Bhatti Shaheed Teaching Hospital, Gujrat during June 2019 to 2020. Hand hygiene product usage data were collected from locations where workers would have a high frequency of patient contact. All employed health care workers of all ages and gender, who were willing to participate in our study, were included. Results: The data was collected from 100 workers. The highest number of observation w as seen in the Surgery n = 40 and ICU n = 34. With regards to overall compliance in the observance of hand hygiene 10 of the hospital staff were found to be compliant before touching the patient. In addition 35 washed their hands after removing gloves as opposed to 25 that did not and 40 personnel observed hand hygiene after contact with body fluids and 40 did not. Conclusion: It is concluded that observance of hand hygiene is still low in our local environment. Hand washing practices in our study show that healthcare workers pay attention to hand hygiene, when it appears, there is a direct observable threat to their wellbeing.
National Journal of Community Medicine, 2013
Introduction: There is very little published information on hand washing practices of Health Care Workers (HCWs), their knowledge, perceived barriers & facilities for practicing hand washing in hospitals from India. So this study was undertaken. Such studies give important inputs for further research, policy & planning. Materials & Methods: This cross-sectional study conducted in hospitals of mangalore city had two components: 1) Direct observation of hand washing pre & post patient contact followed by 2) administration of anonymous questionnaire testing knowledge. A total of 142 hand washing opportunities were studied. The study was conducted in consenting hosptials affiliated to medical schools, nursing homes, corporate hospitals. Two study tools based on used were: 1) Proforma to record practices; and 2) Questionnaire to test knowledge of HCWs. Results: Only 129 observations could be made. Though the HCWs had general awareness about Hand Washing Practices (HWPs), they lacked information about specific aspects & the practices were poor. Low hand washing rates (%) were observed among nurses (28) & doctors (23).There was gap between knowledge and practice. Knowledge of doctors on various aspects of hand washing was inadequate though it was better than nurses. “High Work Load” & “Lack of Time” were perceived to be important barriers for HWPs. Shortage of sinks was noticed in hospitals. Conclusion: There is a need to evolve guidelines for hand washing practices & the facilities for it in hospitals of India.
2019
Objective: To assess the practice of hand washing in the teaching hospitals of Rawalpindi Medical University. Methodology: A descriptive cross sectional study was conducted by on-site observations of HCP regarding hand-hygiene compliance in allied hospitals of Rawalpindi Medical University. Health care professionals having any sort of allergy or sensitivity problem of hands were excluded. A predesigned checklist was used to collect the data. In all the hospitals included in our study, a proper technique, provided by the World Health Organization (WHO), is displayed in almost all the wards. Results: A total of 218 respondents (74 doctors, 71 medical students and 73 nurses) were observed. Out of these, medical students had best hand-washing practices when compared to that of doctors and nurses. Basic hand-washing facilities were available in all the hospitals but only 36.6% of health-care professionals (10.58% Doctors, 19.58% Medical students, 6.45% nurses) with p value=0.05 practiced...
Hand washing practice among health care workers in a teaching hospital
Journal of Nepal Health Research Council, 2013
Health care associated infection has been identified as one of the major challenges of modern medicine and remains as a major health concern around the globe. Hands of the health-care workers are potential vehicle for transmission of pathogenic organisms within the healthcare environment. Hand washing is widely accepted as one of the most effective measures in prevention of health care associated infections. A descriptive cross-sectional study was conducted to assess the hand washing practice among the doctors, intern doctors, nurses, medical students and nursing students in a multi specialty, non government tertiary care teaching hospital in Kathmandu. Summary statistics and chi-square tests were performed and the type I error was set at 0.05 for analysis. Out of the total 336 participants of the study, there was significant difference in hand washing practice among the participants (P<0.001). Hand washing practice both before and after the patient examination was found to be hi...
International Journal Of Medical Science And Clinical Invention, 2018
Introduction:- Infection prevention and control is an integral component of health care delivery in any setting to reduce risks for morbidity and mortality in patients and care givers at all levels. The practice of hand hygiene by health care workers, through the use of either soap and water or an alcohol-based hand sanitizer, is widely considered to be the most important and effective means of preventing health care – associated infections. Objective: To assess knowledge, attitude and practices of health care providers regarding hand washing. Materials and methods:- An institutional based cross sectional study was carried out in outdoor patient, indoor ward among 193 health care providers (doctors, nursing staffs, OT assistants, laboratory technicians, ward boys and ward girls) in a Tertiary Care Hospital of Tripura from September – October 2017. A pre-tested questionnaire was used as study tool to collect information on knowledge, attitude and practices about hand washing. Result...
Hand Washing Study in Health Care Workers of a Tertiary Teaching Hospital in Iran
European Journal of Preventive Medicine, 2014
Hospital acquired infections are a worldwide problem and cross contamination transmission causes 40% of them while many of these infections are transmitted by healthcare workers. This study was designed to survey the prevalence of hand washing in health care workers (HCWs) of Rasoul Akram hospital, a tertiary level teaching hospital of Iran University of Medical Sciences (IUMS). This descriptive cross-sectional study was done on 350 healthcare workers, such as medical doctors, nurses, nurse' aide and other HCWs of the hospital. Questionnaire of hand washing made by WHO was used to collect data, and SPSS18 was used to data analysis. P value less than 0.05 was assumed significant. Oral consent was taken from participants before filling the questionnaire. Forty one percent were male, and average age of participants was 32.3 year (SD = 6.8). Sixty five percent of the participants were routinely washing their hands. One hundred and twenty seven cases had been participated in hand washing workshop and 82.5% of them used hand washing routinely which was significantly more than nonparticipating (p<0.001). Almost 48% of males and 76.8% of females did hand washing, which indicates a significant difference between males and females. Nurses had highest rate of hand washing(76.1%) and physicians had lowest(47.9%) and this was significant(p<0.001). Sixty three percent of HCWs of internal medicine division , 50.8% of surgical ward, 69.5% of Emergency department, 87.5% of pediatric diseases section and 78.1% of gynecology section were doing routine hand washing.
Journal of Preventive Medicine and Hygiene, 2009
Most nosocomial infections are thought to be transmitted by the hands of health care workers. The aim of this work was to assess the knowledge, attitude and practice of hand washing among health care workers (HCW) in Ain-Shams University hospitals and to investigate the presence of the necessary facilities and supplies required for hand washing (HW) in ten wards. A crosssectional descriptive and observational study was conducted for six months from June till November 2006. Observation of the HCW for hand washing practice was done at any opportunity of contact with the patients in the different wards by members of the infection control team. Knowledge & attitude of HCW towards hand hygiene was done through self-administered questionnaire to HCW in 10 different departments. The total opportunities observed were 2189 opportunities. Doctors showed a significantly higher compliance (37.5%) than other groups of HCW (P = 0.000), however only 11.6% of the opportunities observed for doctors were done appropriately. The most common type of HW practiced among HCW was the routine HW (64.2%) and the least was the antiseptic HW (3.9%). Having a short contact time and improper drying (23.2%) were the most common errors that lead to inappropriate HW. Most of the wards had available sinks (80%) but none of them had available paper towels. The mean knowledge score was higher in nurses compared to doctors (42.6 ± 11.7 versus 39.1 ± 10.5). Most of the nurses (97.3%) believe that administrative orders and continuous observation can improve hand washing practices. Implementation of multifaceted interventional behavioral hand hygiene program with continuous monitoring and performance feedback, increasing the supplies necessary for HW and institutional support are important for improving the compliance of hand hygiene guidelines. Aim of the work 1) Assessment of knowledge, attitude and practice of hand washing among health care workers (HCW) in Ain-Shams University hospitals. 2) Careful inspection of ten wards in Ain-Shams University hospitals for facilities required for hand washing. Key words Hand washing • Health care workers • Knowledge • Attitude • Practice • Egypt J prev med hyg 2009; 50: 19-25
International Journal of Community Medicine and Public Health, 2019
Background: Hand hygiene practices either by hand rub by disinfectant or hand washing by soap and water are very important for preventing Health care-associated infections (HCAIs). WHO have devised guidelines for hand rub and hand wash and advocated "My five moments for hand hygiene" as the approach for appropriate performance, teaching and evaluation of hand hygiene. The objective of this study is to observe hand hygiene practices, among health care providers in a tertiary care govt. hospital and document facilities available at the point of patient care for hand hygiene practices. Methods: A cross sectional observation study was conducted in 8 departments of a Government Tertiary care Hospital for observation of hand hygiene practices as Per WHO Guideline on "5 Moment of Care". Total of 600 observations were made and one Health care provider was observed once at a point of time. Data Entry was done in MS excel and was analysed in Open Epi software. Results: Among 600 moments observed, 354 (59%) moments were those where hand hygiene practices were missed by HCPs. Among various HCPs 63% Doctors, 62% Nurses, 52% Medical students and 59% nursing students missed the hand hygiene practices. Lack of antimicrobial soap, alcohol based agents, sterile towel and hand drier were perceived barriers for hand hygiene Practices. Conclusions: There lies a huge gap in practice of hand hygiene among all cadres of health care providers. The study is able to identify the lack of infrastructure which can be improved to promote hand hygiene in wards.