Correlation of Hand Hygiene Knowledge and Hand Decontamination Practices of Medical Students

Authors

  • Syeda Ghadeer Zehra Naqvi
  • Nazish Jaffar
  • Syeda Aqeela Zehra
  • Rubina Ghani
  • Hasan Ali

DOI:

https://doi.org/10.51985/JBUMDC2019085

Abstract

and to assess the practical implication of their knowledge regarding hand hygiene during the clinical postings.
Study Design and Setting: A cross sectional study was conducted in Sindh Medical College, Jinnah Sindh Medical
University (SMC-JSMU) Karachi, from July to November 2018.
Methodology: A total of 316 M.B.B.S students from first year to final year were included in the study. Students were
equally divided into preclinical and clinical groups. Hence, the knowledge of preclinical and clinical students were compared
in the present study. Age range of participants was 18 to 24 years and both male and female participants were involved.
Data was analyzed by SPSS 22.0. P value < 0.05 was considered as statistically significant.
Results: Approximately 249 (78.8%) students agreed that hands of health care workers are a source of nosocomial infections.
Nearly 293 (92.7%) students admitted that hand decontamination and gloving is necessary before bedside procedures. Only
61 (38.6%) students performed it routinely. Chief restricting factor in performance of hand hygiene was inadequate supply
of hand hygiene resources as reported by 122 (77.2%) students.
Conclusions: Majority of medical students in both preclinical and clinical groups were well aware of HH practices and
its significant role in infection control. However, only a limited number of students routinely performed HH. The difference
between knowledge and practice of students was mainly due to the inadequate facilities of hand washing in public sector
hospitals.

References

WHO Guidelines on Hand Hygiene in Health Care: First Global Patient Safety Challenge Clean Care Is Safer Care. (2009). Available from: https://apps.who.int/iris/bitstream/ handle/ 10665/44102/9789241597906_eng. pdf; jsessionid= BA9CB32DF8DD55D5755CDA3A20E52438?sequence=1

Diwan V, Gustafsson C, Rosales Klintz S, Joshi SC, Joshi R, et al. Understanding healthcare workers self-reported practices, knowledge and attitude about hand hygiene in a medical setting in rural India. PLoS One.2016;11(10): e0163347.

Anwar MA, Rabbi S, Masroor M, Majeed F, Andrades M, Baqi S. Self-reported practices of hand hygiene among the trainees of a teaching hospital in a resource limited country. J Pak Med Assoc. 2009;59(9):631–4. pmid:19750862.

Bloomfield SF, Aiello AE, Cookson B, O'boyle C, Larson EL. The effectiveness of hand hygiene procedures in reducing the risks of infections in home and community settings including hand washing and alcohol base hand sanitizers. Am J Infect Control. 2007; 35: S27–S64.

Sherwani SK, Nazim K, Memon AA, Hussain T, Ahmad H, Baig MT, Kazmi SU. General perspective regarding hand washing practices in Karachi Pakistan. South Asian J. Life Sci. 2013;1(1): 1 – 4.

Nair SS, Hanumantappa R, Hiremath SG, Siraj MA, Raghunath

P. Knowledge, attitude and practice of hand hygiene among medical and nursing students at a tertiary health care center in Raichur, India. ISRN preventive medicine. 2014; 1- 4.

Sherwani SK, Bashir A, Ahmed H, Alami SI. Knowledge, attitude and practices of washing hands among mothers in Karachi, Pakistan. FUUAST J. Biol. 2011; 1(1): 103-106.

Sax H, Allegranzi B, Uckay I, Larson E, Boyce J, Pittet D. “My five moments for hand hygiene”: a user-centred design approach to understand, train, monitor and report hand hygiene. J Hosp Infect. 2007;67(1):9-2117719685.

Rao MH, Arain GM, Khan MI, Talreja KL, Ali G, Munir MK, Naz S, Hussain I, Ahmed J. Assessment of Knowledge, Attitude and Practices Pattern of Hand Washing in Some Major Public Sector Hospitals of Pakistan (a Multi-Center Study). Pak J Med Res. 2012;51(3):76-82.

Modi PD, Kumar P, Solanki R, Modi J, Chandaeamani S, Gill N. Hand hygiene practices among Indian Medical Undergraduates: a questionnaire-based survey. Cureus. 2017; 9(7): e1463.

Yawson AE, Hesse AA, Hand hygiene practices and resources in a teaching hospital in Ghana. J Infect Dev Ctries. 2013; 7(04): 338-47.

Kamble VS, Biradar SM, Takpere A, Reddy S. Knowledge of hand hygiene practices among students of ESIC medical college, Gulbarga, Karnataka, India. Int J Community Med Public Health. 2017;3(1):94-8.

Thakker VS, Jadhav PR. Knowledge of hand hygiene in undergraduate medical, dental, and nursing students: A cross- sectional survey. J Family Med Prim Care. 2015; 4(4): 582–586.

Ariyaratne MH, Gunasekara TD, Weerasekara MM, Kottahachchi J, Kudavidanage BP, Fernando SS. Knowledge, attitudes and practices of hand hygiene among final year medical and nursing students at University of Sri Jayewardenepura. Sri Lankan Journal of Infectious Diseases. 2013; 3(1);15-25.

Shinde MB, Mohite VR. A study to assess knowledge, attitude and practices of five moments of hand hygiene among nursing staff and students at a tertiary care hospital at Karad. International Journal of Science and Research. 2014;3(2):311- 21.

Widmer AF. Replace hand washing with use of a waterless alcohol hand rub? Clinical infectious diseases. 2000;31(1):136- 43.

Amissah I, Salia S, Craymah JP. A Study to assess hand hygiene knowledge and practices among health care workers in a teaching hospital in Ghana. IJSR. 2016; 5:301-7.

Van de Mortel TF, Apostolopoulou EA, Petrikkos GL.A comparison of the hand hygiene knowledge, beliefs, and practices of Greek nursing and medical students. American Journal of Infection Control. 2010;38(1):75.

Ali MM, Batool F, Tariq H, Atta L, Inam F, Ihtesham R, Iftikhar SF, Ghafoor R. Hand sanitation practices within clinical settings: its knowledge and practice among students of peshawar medical college (PMC). Journal of Medical Students. 2015;1(1): 37-42.

Downloads

Published

2021-03-18

How to Cite

Naqvi, S. G. Z. ., Jaffar, N. ., Zehra, S. A. ., Ghani, R. ., & Ali, H. . (2021). Correlation of Hand Hygiene Knowledge and Hand Decontamination Practices of Medical Students. Journal of Bahria University Medical and Dental College, 10(2), 147–151. https://doi.org/10.51985/JBUMDC2019085

Issue

Section

Student Corner - Original Article

Most read articles by the same author(s)