Work experience and seniority in health care vs. medical students’ knowledge of selected hand hygiene procedures

Różańska, Anna; Wójkowska‐Mach, Jadwiga; Bulanda, Małgorzata

doi:10.13075/mp.5893.00440

Cited by 12 publications

(18 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This group encompasses factors, which may cause disease in people, may be dangerous for workers, but their spread in the human population is unlikely and they may generally be defeated with efficient prophylaxis and treatment. Considering the study results -by Garus-Pakowska cited above -on compliance with hand hygiene of medical staff in dealing with patients, and another one taking into account the correct use of protective gloves (personal protective equipment) [6][7][8], or other authors [20,21] it may be stated that hospital staff often disregard the procedures aimed at protecting against harmful biological agents. Consequently, the hospital environment is not a safe work environment, and in particular it is not a microbiologically safe environment for patients.…”

Section: Discussionmentioning

confidence: 99%

Bacteria contamination of touch surfaces in polish hospital wards

Różańska¹,

Romaniszyn²,

Chmielarczyk³

et al. 2017

Med Pr

Self Cite

View full text Add to dashboard Cite

Background: The objective of the study has been to evaluate the pathogenic bacteria contamination of touch surfaces in hospital wards. Material and Methods: Samples were taken from frequently touched surfaces in the hospital environment in 13 units of various types. Culturing was carried out on solid blood agar and in growth broth (tryptic soy broth -TSB). Species identification was performed using the analytical profile index (API) biochemical testing and confirmed with matrix assisted laser desorption ionization time-flight mass spectrometry (MALDI-TOF-MS) system. Results: The total of 161 samples were taken for the study. Fifty-two of them, after 24 h of culture on a solid medium, demonstrated bacterial growth and further 60 samples had growth after prior multiplication in TSB. Overall, 69.6% of samples exhibited growth of 19 bacterial species. Pathogenic species -representing indicator organisms of efficiency of hospital cleaning -was demonstrated by 21.4% of samples. Among them Acinetobacter spp., Enterocococci spp. and Staphylococcus aureus were identified. Coagulase-negative staphylococci (CNS) were predominant. The proportion of various groups of bacteria significantly varied in respective hospitals, and in various types of wards. Disturbing observation is a large proportion of resistance of isolated CNS strains as a potential reservoir of resistance genes. Conclusions:The results show that touch surfaces in hospital units are contaminated by both potentially pathogenic and pathogenic bacterial species. In connection with the reported, also in Poland, frequent omission or incorrect execution of hand hygiene by hospital staff, and probably patients, touch surfaces still constitute important reservoir of pathogenic bacteria. Improving hand hygiene compliance of health-care workers with recommendations is necessary for increasing biological safety of hospital environment. Med Pr 2017;68(4):459-467

show abstract

Section: Discussionmentioning

confidence: 99%

Bacteria contamination of touch surfaces in polish hospital wards

Różańska¹,

Romaniszyn²,

Chmielarczyk³

et al. 2017

Med Pr

Self Cite

View full text Add to dashboard Cite

show abstract

“…In the study by Różańska et al [6] conducted among 414 medical students, only 53% of them knew the HH guidelines. In-depth knowledge of the WHO's "five moments for hand hygiene" among doctors and nurses seems to be a key issue in applying these guidelines in practice and, consequently, to reducing the number of nosocomial infections.…”

Section: Resultsmentioning

confidence: 99%

“…In-depth knowledge of the WHO's "five moments for hand hygiene" among doctors and nurses seems to be a key issue in applying these guidelines in practice and, consequently, to reducing the number of nosocomial infections. However, as research in Poland shows, poor knowledge of these principles can already be traced to medical students who did not internalise these principles prior to their first contact with the patient [6,10]. In a study by Wałaszek et al [10], in which 100 respondents (medical students, interns, physicians) were examined, it was found that 3/4 of the respondents did not correctly apply HH techniques and that compliance with HH principles was insufficient in all the "five moments for hand hygiene" (the highest score was 74%: before clean/aseptic procedures, and the lowest was 1%: after touching the patient's surroundings).…”

Section: Resultsmentioning

confidence: 99%

“…In the study by Kawalec et al [5] 90% of medical students cited limited access to disinfectants as the reason for the lack of compliance. In the study by Różańska et al [6] the apprenticeship period of 23% of medical students was not preceded by any hospital hygiene training, and in 28% of cases the training did not include HH. Research conducted in Poland has revealed management's poor performance in employee supervision, fear of admonishing other employees, excessive importance assigned to use of gloves in the prevention of infections, and the wearing of long and painted nails by medical staff [10][11][12][13].…”

Section: Introductionmentioning

confidence: 99%

“…Compliance with the guidelines is estimated at around 40% of the optimal value [1,3,4]. The results of research conducted in Poland show unsatisfac-tory compliance with the recommendations of the "five moments for hand hygiene" [5][6][7][8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Assessment of medical staff’s knowledge concerning the “five moments for hand hygiene”

Wałaszek¹,

Kołpa²,

Różańska³

et al. 2019

ppiel

Self Cite

View full text Add to dashboard Cite

Introduction: The guidelines issued by the WHO in 2009 on hand hygiene in healthcare have provided medical professionals with scientific evidence to justify the need to comply with hand hygiene practices when treating patients. Aim of the study: The aim was to examine the doctors' and nurses' knowledge of the "five moments for hand hygiene" by the WHO. Material and methods: The study was carried out using a questionnaire devised by the authors of the study; random sampling was used. The study involved 231 doctors and nurses working in a multi-profile hospital in Lesser Poland in 2017. Results: 75.9% of respondents admitted knowing the "five moments for hand hygiene", 12.9% said they did not know them, and 10.8% abstained. Most often, respondents listed the first point (before patient contact-81.7%), followed by, respectively: after patient contact-79.1%; after body fluid exposure risk-59.2%; before aseptic task-58.1%; and after contact with patient surroundings-51.8%. Better knowledge of the "five moments for hand hygiene" was shown by women than by men, by nurses than by doctors, and by people with seniority of less than 20 years. Employees of medical treatment wards presented more knowledge in this regard than employees of surgical departments and ICUs, while the staff of the Emergency Room had the lowest knowledge. Conclusions: Some respondents did not know the guidelines concerning the "five moments for hand hygiene" by the WHO, and the level of knowledge of those who declared good knowledge of the subject was insufficient.

show abstract

Assessment of surface cleaning and disinfection in neonatal intensive care unit

Chiguer

Maleb

Amrani

et al. 2019

Heliyon

View full text Add to dashboard Cite

BackgroundSurveillance for healthcare-associated infections (HAI) is a priority in the neonatal intensive care unit (NICU), given the critical immune status of patients. The aim of this study was to assess surface bacterial contamination before and after improving cleaning and disinfection practices.Materials and methodsThis was a cross-sectional study conducted in March 2018. Surface samples were taken from the same areas in three steps: after cleaning, after "improved" cleaning, and after terminal disinfection using hydrogen peroxide vapor (VHP). Sampling and culture was carried out according to standard ISO14698-1: 2004. Results interpretation was based on the thresholds defined by good hospital pharmacy practice. Statistical analysis was performed by SPSS 21.0 and a P-value < 0.05 was considered to be significant.ResultsIn total, 290 samples were taken from different zones: fixed equipment (69%), aseptic washbasins (12%), pneumatic system (9%), computer equipment (6%) and mobile equipment (4%). Prevalence of non-compliances after cleaning and disinfection was 75%, 10% after “improved” cleaning, and 0% after automated VHP (P < 0.0001). Median of CFU was 24[EI (0–625)] after standard cleaning, 2[EI (0–35)] after “improved” cleaning and 0 [EI (0–3)] after VHP (P < 0.0001). Isolated germs werecoagulase-negative Staphylococcus (31.2%), Acinetobacter baumannii (26%), Staphylococcus aureus (19.5%), Pseudomonas aeruginosa (9%), Klebsiella pneumoniae (9%), E. coli (4%) and Enterobacter sp (1.3%).ConclusionImproved cleaning and disinfection practices associated to VHP give microbiological satisfactory results. It is important to educate cleaning staff for effective surface cleaning and disinfection operations to control HAI.

show abstract

Work experience and seniority in health care vs. medical students’ knowledge of selected hand hygiene procedures

Cited by 12 publications

References 25 publications

Bacteria contamination of touch surfaces in polish hospital wards

Bacteria contamination of touch surfaces in polish hospital wards

Assessment of medical staff’s knowledge concerning the “five moments for hand hygiene”

Assessment of surface cleaning and disinfection in neonatal intensive care unit

Contact Info

Product

Resources

About