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Perception and practices of hand hygiene in a tertiary care hospital of Mangalore

Author: 
Shruthi M Shetty, Kiran, K. G., Vinayak J Kempaller, Rashmi Kundapur and Nalam Udaya Kiran
Subject Area: 
Health Sciences
Abstract: 

Background: Hand hygiene plays an important role in preventing diseases. Hand hygiene techniques are simple and effective, but there is a poor compliance by health workers to maintain hand hygiene. Objectives: To assess the knowledge, attitude, and practices of hand hygiene in interns and postgraduates of a Tertiary care hospital of Mangalore. Methods: A cross sectional study was conducted from August- September 2015 using a semi- structured questionnaire based on WHO hand hygiene Questionnaire. Written consent was taken. Likert Scale was used for scoring of knowledge, positive attitudes, and good practices. Data was analyzed using SPSS. Mann Whitney U Test was used to assess the differences between interns, postgraduates and those who are trained and untrained in hand hygiene. Results: 150 students participated in this study, in which 40 were interns and 110 were post graduates. 78% of the students had received training for hand hygiene, yet only 61% of the students always washed their hands after seeing patients.7% strongly agreed that the facilities available for hand hygiene were satisfactory. Around 15% of students strongly disagreed that wearing gloves reduced the need for hand hygiene. Mann Whitney U Test revealed a significant difference in knowledge scores between interns and final year post graduates (p = 0.019), trained and untrained students towards attitude (p=0.004) and practices (p<0.001) of hand hygiene techniques. Conclusions: Differences were observed between trained and untrained students, and between interns and postgraduates. Ongoing training with assessment of the students is required to prevent the risk of transmission of infections.

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