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VOLUME 2 , ISSUE 2 ( July-December, 2014 ) > List of Articles

RESEARCH ARTICLE

A Comparative Study of Hand Hygiene Practices in Operation Theaters in Tertiary Level Hospitals in Delhi, India

IB Singh, Parmeshwar Kumar, Aarti Vij

Citation Information : Singh I, Kumar P, Vij A. A Comparative Study of Hand Hygiene Practices in Operation Theaters in Tertiary Level Hospitals in Delhi, India. Int J Res Foundation Hosp Healthc Adm 2014; 2 (2):87-93.

DOI: 10.5005/jp-journals-10035-1021

Published Online: 01-09-2014

Copyright Statement:  Copyright © 2014; The Author(s).


Abstract

Background

Healthcare associated infections (HCAIs) are directly related to the hand hygiene practices. Differences in implementation of practices may exist among hospitals despite standard guidelines.

Objective

To compare the hand hygiene practices in the operation theaters of tertiary care hospitals in Delhi. Design and setting: A 6-months descriptive and cross-sectional study conducted in operation theaters of tertiary level, referral public and private sector hospitals in Delhi.

Design and setting

A 6-months descriptive and cross-sectional study conducted in operation theaters of tertiary level, referral public and private sector hospitals in Delhi.

Materials and methods

Six leading multispecialty hospitals, three each from the private and public sectors were selected through purposive sampling. The sample comprised of cases from one major operation theater (OT) from each hospital conducting general surgery cases (10% of all cases).

A performa with 24 parameters was designed using the Center for Disease Control Guidelines for hand hygiene. Hospitals were analysed in categories and also independently.

Results

One thousand nine hundred and twenty observations were analyzed from six hospitals. The level of compliance was higher among the private sector and the autonomous hospital. Statistically significant differences were observed with groups of hand hygiene parameters namely hand washing, selection of hand hygiene agent, skin care, and educational programs and surgical scrub, but not regarding hand hygiene policy or technique. Comparison of five hand hygiene practices strongly recommended by CDC practices revealed significant differences. Adherence to hand washing practices was 76%, surgical scrub practice was 85% and overall compliance of hand hygiene practice was 80.5%.

Conclusion

The study revealed gaps in implementation of hand hygiene practices despite standard guidelines. In future, post interventional studies may reflect the extent of improvement of these practices through reduction in HCAIs.

How to cite this article

Kumar P, Gupta SK, Kapil A, Vij A, Singh IB. A Comparative Study of Hand Hygiene Practices in Operation Theaters in Tertiary Level Hospitals in Delhi, India. Int J Res Foundation Hosp Healthc Adm 2014;2(2):87-93.


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  1. Reducing the risk of healthcare associated infections by complying with CDC hand hygiene guidelines. Joint Commission J Quality and Patient Safety 2005 Mar;31(3):173-179.
  2. Guidelines for Hand hygiene in healthcare settings. MMWR 2002;51 (No. RR-16):3
  3. Hand washing practices in an intensive care unit: the effects of an educational program and its relationship to infection rates. Am J Infect Control 1989;17:330-339.
  4. A multifaceted approach to education, observation, and feedback in a successful hand hygiene campaign. Jt Comm J Qual Patient Saf 2011 Jan;37(1):3-10.
  5. Rings and watches: should they be removed prior to operative dental procedures? J Dent 1996 Jan-Mar;24(1-2):65-69.
  6. Improving patient safety during insertion of peripheral venous catheters: an observational intervention study. GMS Hyg Infect Control 2013 Nov 6;8(2):18
  7. Behavioural interventions to improve infection control practices. Am J Infec Control 1998 Jun;26(3):245-253.
  8. Understanding adherence to hand hygiene recommendations: the theory of planned behavior. Am J Infect Control 2001 Dec;29(6):352-360.
  9. Should surgeons scrub with chlorhexidine or iodine prior to surgery? Interact Cardiovasc Thorac Surg 2011 Jun;12(6):1017-1021.
  10. Compliance with hand washing in a teaching hospital. Ann Int Medi 1999 Jan 19;130(2):126-130.
  11. Effect of topical treatments on irritant hand dermatitis in healthcare workers. Am J Infect Control 2009 Dec 1;37(10):842
  12. First global patient safety challenge clean care is safer care. Geneva: World Health Organization; 2009. Available at: http://whqlibdoc.who.int/publi-cations/2009/9789241597906_eng.pdf. Web accessed on 12.06.13.
  13. Bacterial carriage on the fingernail of OR nurses. AORN J 1994 Nov;60(5):796, 799-805.
  14. Second global patient safety challenge safe surgery saves lives. Geneva: World Health Organization; 2009. Available at: http://whqlibdoc.who.int/publications/2009/9789241598552_eng.pdf. Web accessed on 02.3.11.
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