Abstract

Objective: because they are health professionals, nursing and medical students' hands during internships can function as a transmission vehicle for hospital-acquired infections. Method: a descriptive study with nursing and medical degree students on the quality of the hand hygiene technique, which was assessed via a visual test using a hydroalcoholic solution marked with fluorescence and an ultraviolet lamp. Results: 546 students were assessed, 73.8% from medicine and 26.2% from nursing. The area of the hand with a proper antiseptic distribution was the palm (92.9%); areas not properly scrubbed were the thumbs (55.1%). 24.7% was very good in both hands, 29.8% was good, 25.1% was fair, and 20.3% was poor. The worst assessed were the male, nursing and first year students. There were no significant differences in the age groups. Conclusions: hand hygiene technique is not applied efficiently. Education plays a key role in setting a good practice base in hand hygiene, theoretical knowledge, and in skill development, as well as good practice reinforcement.

Highlights

  • Hospital-acquired infections (HAIs) are one of the main causes for morbility and mortality in the health field, which constitute one of the main issues in global public health[1].Health professionals’ hands are one of the main transmission mechanisms for HAIs

  • The World Health Organizations’ (WHO) recommendations about enhancement strategies and better hand hygiene (HH) practice are considered as reference criteria, setting up several educational interventions targeting health professionals[4]

  • Our study was a descriptive, cross-sectional study that occurred in two periods of time, and a sample was limited by the Universidad de Extremadura (UEX), namely the Medicine Campus where medicine and nursing undergraduate studies are available

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Summary

Introduction

Hospital-acquired infections (HAIs) are one of the main causes for morbility and mortality in the health field, which constitute one of the main issues in global public health[1].Health professionals’ hands are one of the main transmission mechanisms for HAIs. In everyday clinical practice, hand hygiene (HH) is happening less often than desired[3]. The World Health Organizations’ (WHO) recommendations about enhancement strategies and better HH practice are considered as reference criteria, setting up several educational interventions targeting health professionals[4]. Both in Spain[5] and in the Autonomous Community of Extremadura[6], promotion and knowledge development as well as a culture of patient safety are being stressed among professionals and patients in all health service levels. While performing its working lines on a local stage, the Complejo Hospitalario Universitario Infanta Cristina de Badajoz, the Sociedad Española de Medicina Preventiva, Salud Pública e Higiene (SEMPSPH) planned educational seminars and workshops about hand hygiene and its assessment

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