Ravella Venkatasubramanyam Nandhini, Vadivel Kalyanasundaram Abiramasundari, Prabhakaran Neelusree
Department of Microbiology, Saveetha Medical College and Hospital, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, IND.
Cureus. 2024 Aug 13;16(8):e66820. doi: 10.7759/cureus.66820. eCollection 2024 Aug.
Healthcare-associated infections (HCAIs) and emerging multi-drug resistance in nosocomial pathogens are perceived as a serious public health threat. Hands of healthcare workers (HCWs) become routinely colonized during patient care, serving as vehicles for transmission and leading to HCAIs. Hand hygiene (HH) is a globally accepted tool to avoid the broadcast of dangerous microorganisms and prevent HCAIs.
A cross-sectional study was carried out to evaluate the knowledge, attitude, and practice toward HH among the medical students at Saveetha Medical College, Chennai, India. A 25-item validated questionnaire survey was formulated and circulated to 100 medical students of all four academic years.
There were 100 responses to the survey, and 44 (44%) participants performed HH appropriately for 20 seconds with alcohol-based hand rub. In our study, 25％ of the participants revealed that HH practices were not followed during emergencies. Many participants (40%) stated that the lack of sink, soaps, alcohol-based sanitizers, paper towels, and water is the reason for not performing HH.
The gross knowledge of HH of the participants is moderate, but there were gaps between the knowledge and practice. Hence, it is essential to conduct structured training sessions and surveillance programs for medical students to address these gaps in knowledge and the correct HH procedures.
医疗保健相关感染（HCAIs）以及医院病原体中出现的多重耐药性被视为严重的公共卫生威胁。医护人员在患者护理过程中手部经常被定植，成为传播媒介并导致医疗保健相关感染。手部卫生（HH）是一种全球公认的避免危险微生物传播和预防医疗保健相关感染的手段。
开展了一项横断面研究，以评估印度钦奈萨维塔医学院医学生对手部卫生的知识、态度和实践情况。制定了一份经过验证的包含25个条目的问卷调查，并分发给四个学年的100名医学生。
该调查共收到100份回复，44名（44%）参与者使用含酒精洗手液正确进行了20秒的手部卫生操作。在我们的研究中，25％的参与者表示在紧急情况下未遵循手部卫生规范。许多参与者（40%）表示缺乏水槽、肥皂、含酒精消毒剂、纸巾和水是未进行手部卫生操作的原因。
参与者对手部卫生的总体知识掌握程度中等，但知识与实践之间存在差距。因此，有必要为医学生开展结构化培训课程和监测项目，以弥补这些知识差距和正确的手部卫生操作流程。
