Modi Pranav D, Kumar Pooja, Solanki Rajavi, Modi Janhavi, Chandramani Srinath, Gill Niharika
Trainee Research Assistant, Clinsearch Healthcare Solutions, Thane, Maharashtra; Dept. of Internal Medicine, K.J. Somaiya Hospital and Medical Research Centre, Mumbai.
MGM Univeristy of Health Sciences, MGM Medical College, Navi Mumbai, India.
Cureus. 2017 Jul 12;9(7):e1463. doi: 10.7759/cureus.1463.
Background and objectives To prevent the spread of infections in all healthcare settings, hand hygiene must be routinely practiced. Appropriate hand hygiene techniques can go a long way in reducing nosocomial infections, cross-transmission of microorganisms and the risk of occupational exposure to infectious diseases. World Health Organisation (WHO) has taken an incredible approach called "My Five Moments for Hand Hygiene" which defines the key moments when health-care workers should perform hand hygiene. We thus carried out a survey to assess knowledge of hand hygiene practices among undergraduate medical students. Materials and methods A cross-sectional survey was conducted among 523 Indian medical undergraduates. The questionnaire used was adapted from the WHO hand hygiene knowledge questionnaire for health-care workers and was distributed both, in print and online formats. The response to each question was examined using percentages. Results Nearly 57% (n=298) of medical students who participated in this study did not receive any formal training in hand hygiene. Only 27% (n=141) students knew that the most frequent source of germs responsible for health-care associated infections were the germs already present on or within the patient. Nearly 68.6% (n= 359) students were unaware of the sequence of hand washing and hand rubbing. Although 71.9% (n=376 ) students claimed that they use an alcohol-based hand rub routinely, only 36.1% (n=189 ) students knew the time required for a hand rub to kill the germs on the hands. Overall hand hygiene knowledge was low in 6.9% (n=36), moderate in 80.9% (n=423) and good in 12.2% (n=23) of respondents. Conclusions The awareness about hand hygiene practices among medical students is low. Nearly 57% (n=298) of the respondents never received any formal training in hand hygiene throughout their course of medical undergraduate study. To prevent the spread of infections in healthcare settings, medical students should be given proper training in hand hygiene practices right from the first year of the medical curriculum. This should be done by running workshops and annual seminars on hand hygiene practices and making it a requisite for clinical skills assessment.
背景与目的 为防止感染在所有医疗环境中传播，必须常规进行手部卫生清洁。适当的手部卫生清洁技术在减少医院感染、微生物交叉传播以及职业暴露于传染病的风险方面大有帮助。世界卫生组织（WHO）采取了一种了不起的方法，即“手部卫生的五个关键时刻”，它定义了医护人员应进行手部卫生清洁的关键时刻。因此，我们开展了一项调查，以评估本科医学生对手部卫生清洁做法的知晓情况。
材料与方法 对523名印度本科医学生进行了横断面调查。所使用的问卷改编自WHO医护人员手部卫生知识问卷，以纸质版和在线版两种形式发放。使用百分比来分析对每个问题的回答。
结果 参与本研究的医学生中，近57%（n = 298）未接受过任何手部卫生清洁方面的正规培训。只有27%（n = 141）的学生知道与医疗保健相关感染最常见的病菌来源是患者身上或体内已有的病菌。近68.6%（n = 359）的学生不知道洗手和手揉搓的顺序。尽管71.9%（n = 376）的学生声称他们常规使用含酒精的手消毒剂，但只有36.1%（n = 189）的学生知道手揉搓杀死手上病菌所需的时间。总体而言，6.9%（n = 36）的受访者手部卫生知识水平低，80.9%（n = 423）的受访者中等，12.2%（n = 23）的受访者良好。
结论 医学生对手部卫生清洁做法的知晓率较低。近57%（n = 298）的受访者在整个本科医学学习过程中从未接受过任何手部卫生清洁方面的正规培训。为防止感染在医疗环境中传播，医学生应从医学课程的第一年起就接受手部卫生清洁做法的适当培训。这可以通过举办手部卫生清洁做法的工作坊和年度研讨会，并将其作为临床技能评估的一项要求来实现。
