Student Dissertation

Agency : Hand Hygiene Practices; Health Care Workers; HCWs

Objective : To determine Hand Hygiene Knowledge among HCWs. To evaluate “WHO 5 Moments of Hand Hygiene” among HCWs. To determine Hand Hygiene Compliance among Doctors and Nurses.

Background : Health care-associated infections are a major cause of morbidity and mortality. Hand Hygiene is considered the most important and effective universal precaution for infection control in health care setting. Proper hand hygiene compliance is associated with the reduction in Hospital Acquired Infections (HAI) and forms the core of patient safety. Although the techniques and procedures involved in hand hygiene are simple, but compliance with hand hygiene recommendations is poor worldwide.

Methodology : Study setting and design Study type - Descriptive and cross-sectional study Study place - Sterling Hospital, Vadodara Study time – From 10th Feb to 10th May 2017 Study sample size - 400 participants Study population - Nurses, Doctors, Physiotherapists, Dialysis Technicians, Phlebotomist, Others Study departments - All Critical Care Areas (MICU / SICU, ICCU, TCU, DIALYSIS, BMT, CCU) Wards - GW & GW A/C - Emergency Department - Special/Semi Special wards

Findings : It was found from study that majority of HCWs have good knowledge regarding hand hygiene (88%).The overall hand hygiene compliance rate was found to be 47.50%. Hand hygiene compliance rate found to be highest after patient contact (66.67%), followed by before touching a patient (53.18%), then after exposure to body fluid (48.35%) ,then lowest hand hygiene compliance rates found before aseptic procedures (25.27%) & after patient surroundings (25.17%).The study also showed that nurses exhibited a little better HHC (49.90%) as compared to doctors (42.53%).

Recommendations : From the study, it was found that Hand hygiene compliance rate was inadequate only 47.50% even though healthcare workers have knowledge regarding hand hygiene.


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