Das Pradipta, Khuntia Pradipta Kishore, Das Maneesha, Bisoi Debasis, Shekar Nithya, Pujari Pran Singh
Department of Surgery, Kalinga Institute of Medical Sciences, Bhubaneswar, Odisha, India.
Department of Conservative Dentistry and Endodontics, Institute of Dental Sciences, Siksha 'O' Anusandhan University, Bhubaneswar, Odisha, India.
J Pharm Bioallied Sci. 2022 Jul;14(Suppl 1):S568-S572. doi: 10.4103/jpbs.jpbs_570_21. Epub 2022 Jul 13.
Health-care-associated infection or nosocomial infection is defined as patients getting an infection on admission to the hospital if they were not infected or incubating the infection before admission. Hand hygiene is the most important measure that can avoid the transmission of germs and can prevent health-care-associated infections.
A hospital-based cross-sectional study was conducted between June 2020 to July 2021 with the objective to evaluate knowledge, attitude, and practice of hand hygiene among the inpatients of Kalinga Institute of Medical Sciences, Bhubaneswar. A predesigned structured questionnaire was used for data collection. Knowledge and attitude of the participants were assessed using prevalidated 9 point and 6 point scale. Practice of the health-care providers (HCPs) toward health hygiene observed by the patients was also assessed using 6 point scale.
Majority of the participants had average knowledge score (56.7%) and average attitude score (62.0%) on hand hygiene, whereas their observation on the practice of hand hygiene among HCPs has given bad score (50.7%). Males have significantly good knowledge ( = 0.0001) and attitude score ( = 0.00097) compared to female. Similarly higher educational level participants had significantly good knowledge ( = 0.0002) and attitude score ( = 0.0053) on hand hygiene.
The findings of this study indicate that there is insufficient hand hygiene awareness among the inpatients in a tertiary care hospital population mainly among the female and less educated participants. Hence, development of community-based hand hygiene promotion programs for the general public are the need of the hour.
医疗保健相关感染或医院感染被定义为患者在入院时感染，前提是他们在入院前未感染或未处于感染潜伏期。手部卫生是避免病菌传播和预防医疗保健相关感染的最重要措施。
于2020年6月至2021年7月开展了一项基于医院的横断面研究，目的是评估布巴内斯瓦尔卡林加医学科学研究所住院患者对手部卫生的知识、态度和实践情况。使用预先设计的结构化问卷进行数据收集。参与者的知识和态度使用预先验证的9分制和6分制进行评估。患者观察到的医疗保健提供者（HCPs）的手部卫生实践情况也使用6分制进行评估。
大多数参与者对手部卫生的知识得分平均（56.7%），态度得分平均（62.0%），而他们对HCPs手部卫生实践的观察得分较差（50.7%）。与女性相比，男性的知识（P = 0.0001）和态度得分（P = 0.00097）显著更高。同样，教育水平较高的参与者对手部卫生的知识（P = 0.0002）和态度得分（P = 0.0053）显著更高。
本研究结果表明，在三级医院人群中，住院患者对手部卫生的认识不足，主要是女性和受教育程度较低的参与者。因此，为普通公众制定基于社区的手部卫生促进计划是当务之急。
