Hands Of Health Workers Research Articles

Gambaran Kepatuhan Hand Hygiene Perawat di Instalasi Dialisis RSUD Dr. Soetomo Surabaya Tahun 2022

Healthcare-Associated Infection is one of the health problems in the world. In Indonesia, the incidence of Healthcare-Associated infections is relatively high. Patients with chronic kidney disease undergoing hemodialysis are at increased risk for Infection. The main chain of infection transmission is from the hands of health workers. Hand hygiene is essential in preventing Infection. However, the hand hygiene compliance of health workers is still low. This study aimed to describe the nurse's hand hygiene compliance, identify the factors that influence it and determine solutions to improve it. This study was descriptive-observational. The population of this study was all dialysis nurses in the Dialysis Unit of Dr. Soetomo General Hospital Surabaya. The sample size based on WHO requirements was 200 opportunities for hand hygiene. Identify the root cause using a fishbone diagram—determine alternative solutions to problems using Capability, Accessibility, Readiness, and Leverage methods. Based on the observations, nurses' compliance with hand hygiene was 28.5%. The lowest nurse compliance rate is at the indication before and after touching the patient. The factors that most influence the hand hygiene of dialysis nurses are the lack of knowledge and awareness of the importance of hand hygiene and the performance of the IPCLN team, which is not optimal. Hand hygiene socialization more creatively and sustainably, as well as improving the performance of the Infection Prevention and Control Team at the Dialysis unit, is expected to be able to increase hand hygiene compliance optimally.
 Keywords: Hand hygiene, Compliance, Nurses, Infection

Comparison of the effectiveness of Alcohol-Based Handrub with the combination of Chlorhexidine Gluconate, N-Propanol and Hydrogen Peroxide in Dr. Soetomo General Hospital, Surabaya, Indonesia

This study aims to analyze the ratio of the number of microorganism colonies on the surface of medical personnel’s hands before and after the use of three types of alcohol-based handrubs. This study is an experimental study with pre and post design at Dr. Soetomo Hospital in September-October 2019 with 20 respondents for each handrub used. T-test was performed to analyze the number of microbe colonies before and after the use of handrub with the combination of chlorhexidine gluconate, meanwhile Wilcoxon test was performed to analyze the number of microbe colonies before and after the use of handrub with the combination of n-propanol and hydrogen peroxide. Effectiveness analysis of the three handrubs was done using Kruskal Wallis test. There was a significant difference in the number of microbes before and after the use of handrub (p <0.05). The lowest median value of the number of microbes after the use of an alcohol-based handrub was found in the handrub with the combination of chlorhexidine gluconate, with 96.25%, followed by hydrogen peroxide with percentage of 95.25% and n-propanol with percentage of 92%. There was no significant difference in the number of microbial colonies after the use of the three handrubs (p >0.05). Hands are an intermediary medium that often transmit pathogenic microorganisms that may cause HAIs. According to WHO, the usage of the three types of alcohol-based handrubs in this research can significantly decrease the number of germs. In conclusion, there was a significant difference in the number of microbial colonies before and after handrub usage. Alcohol-based handrub with the combination of chlorhexidine gluconate had the greatest effect on decreasing microbial colony count in this study. The contents of the three types of handrubs studied in this research were equally effective in decreasing microbial colony numbers on the hands of health workers.

Гигиеническая обработка рук медицинских работников – важнейшее условие профилактики инфекций, связанных с оказанием медицинской помощи (оценка хода реализации пилотного проекта)

Гигиеническая обработка рук медицинских работников – важнейшее условие профилактики инфекций, связанных с оказанием медицинской помощи (оценка хода реализации пилотного проекта)

Correlation of Nurse Compliance to the Implementation of Hand Hygiene at Undata General Hospital, City of Palu, Indonesia

Nosocomial infection or currently better known as Health-Care Associated Infections (HAIs) is the most important cause of hospitalized mortality and morbidity. The hands of health workers are the most common carriers of microorganisms from one patient to another and from the contaminated environment to the patient. Hand hygiene is the most important measure in preventive measures because it is more effective and has low cost. The purpose of this research was to analyze the correlation of behavior determinant with compliance of nurse hand hygiene at Ward Room of Undata Palu Hospital, Indonesia. This research used cross sectional design study with observational method, interview, and questionnaires. Data on compliance of hand hygiene obtained through direct observation with questionnaires and interviews to nurses at ward room of Undata Palu General Hospital. This research conducted from July to August 2017 at ward room of Undata Palu Hospital, City of Palu, Central Sulawesi, Indonesia. There was a significant correlation between high predisposing factors, enabling factors, and reinforcing factors for implementation of hand hygiene (p < 0.05). Continued efforts to understand and improve hand hygiene compliance among hospital workers, including monitoring success after implementation of identified initiatives to promote recommended practice are essential to help reduce the impact of the spread of hospital infections particularly beneficial to the health of patients in the hospital who are at high risk.

Isolation and antibiotic susceptibility test of bacteria from healthcare workers and hospital environment

Hospital-acquired infections are one of the most significant adverse events for healthcare institutions increasing morbidity and mortality. The hospital environment is a potential source of infection especially with pathogenic bacteria. The study was aimed at identifying some possible sources of pyogenic bacterial infections in a Private hospital and determining the antibiotic susceptibility. Bacteriological analysis of swabs from hands of health care staff, the floors in the wards and clinics, beds and examination couches in the clinics and wards was carried out. Organisms were identified by Gram stain, catalase and coagulase test oxidase test.Bacillus spp and Streptococcus spp were isolated from the floor, bed and air. Staphylococcus spp was isolated from the hands of health workers. The organisms isolated were resistant to cloxacillin, amoxicillin, and streptomycin but susceptible to ofloxacin, gentamicin and co-trimoxazole. The findings in this study reveal that the hospital environment and the hands of healthcare workers can serve as a reservoir for antibiotic resistant microorganisms.

The inverted cup device for blood transfer on malaria RDTs: ease of use, acceptability and safety in routine use by health workers in Nigeria

BackgroundMalaria rapid diagnostic tests (RDTs) are becoming widely adopted for case management at community level. However, reports and anecdotal observations indicate that the blood transfer step poses a significant challenge to many users. This study sought to evaluate the inverted cup device in the hands of health workers in everyday clinical practice, in comparison with the plastic pipette, and to determine the volume accuracy of the device made of a lower-cost plastic.MethodsThe volume accuracy of inverted cup devices made of two plastics, PMMA and SBC, was compared by transferring blood 150 times onto filter paper and comparing the blood spot areas with those produced by 20 reference transfers with a calibrated micropipette. The ease of use, safety and acceptability of the inverted cup device and the pipette were evaluated by 50 health workers in Nigeria. Observations were recorded on pre-designed questionnaires, by the health workers themselves and by trained observers. Focus group discussions were also conducted.ResultsThe volume accuracy assessment showed that the device made from the low-cost material (SBC) delivered a more accurate volume (mean 5.4 μL, SD 0.48 μL, range 4.5–7.0 μL) than the PMMA device (mean 5.9 μL, SD 0.48 μL, range 4.9–7.2 μL). The observational evaluation demonstrated that the inverted cup device performed better than the pipette in all aspects, e.g. higher proportions of health workers achieved successful blood collection (96%, vs. 66%), transfer of the required blood volume (90%, vs. 58%), and blood deposit without any loss (95%, vs. 50%). Majority of health workers also considered it’ very easy’ to use (81%),’very appropriate’ for everyday use (78%), and 50% of them reported that it was their preferred BTD.ConclusionsThe good volume accuracy and high acceptability of the inverted cup device shown in this study, along with observed ease of use and safety in hands of health workers, further strengthens prior findings which demonstrated its higher accuracy as compared with other BTDs in a laboratory setting. Altogether, these studies suggest that the inverted cup device should replace other types of devices for use in day-to-day malaria diagnosis with RDTs.

Frequency of MRSA Isolates in Mobile Phones, Ears and Hands of Healthcare Workers

Background: Mobile devices and hand of Healthcare Workers may contaminate with bacteria and become a source of infection. Objective: This study was conducted to identify the types of bacteria in mobile phones, ears, and hands of health workers (HCWs) in Kosti teaching hospital and to determine the frequency of MRSA among Staphylococcus auerus isolates from these specimens. Materials and Methods: This was a cross-sectional, hospital and laboratory based study, was carried out in Kosti Teaching Hospital. A total of 120 swab samples were collected from mobile phone, hand and ear of healthcare workers. All the swabs were cultured directly on blood agar, MacConkey agar and chocolate agar. Identification of isolates was did base on colonial appearance, Gram stain, and conventional biochemical tests. All Staphylococcus auerus isolates were subjected to antibiotics susceptibility testing using disc diffusion technique. Data were analyzed by statistical package for social sciences (SPSS) software version 17 and presented in form of tables. Results: The frequency of positive culture among mobile phone, ear, and hand swabs were were 95% (57/60), 100% (30/30) and 96.7% (29/30), respectively. The frequency of MRSA was 98.6%. Conclusions: Mobile phone, ear and hand of Healthcare Workers were the source of nosocomial infections. Good basic hygiene measures are extremely important, not only for hospital staff but also for patients and visitors, and it has a positive impact in infection control.

Description of Hand Hygiene’s Compliance on Nurse of Hemodialysis at Haji Hospital Surabaya

Thousands patients around the world die every day because of infections when they get treatment. This is because the transmission of microbacteria from the hands of health workers. Hand hygiene is the most important aspect to prevent the transmission of microbacteria and preventing HAIs. Hand hygiene awareness of health workers is a fundamental behavior to prevent cross-infection. The purpose of this study was to evaluate the hand hygiene compliance of nurse in Unit Hemodialysis of Hajj General Hospital Surabaya. Type of this research is descriptive research and observations by using a qualitative approach. Data retrieval on the research is an interview with nurse and audit hand hygiene. Research instrument using a questionnaire of hand hygiene and BSI knowledge, and hand hygiene audit form made by WHO. The population in this research was all nurses in Hemodialysis Unit General Hospital Surabaya Hajj that add up to 11 people. The results of this research obtained that compliance with hand hygiene Unit Hemodialysis nurse is 35%. The compliance were still less and has not reached the standards established by the PPI Hajj General Hospital Surabaya that is 100% and still has not reach compliance standards of WHO that is 40%. Hand hygiene compliance was low caused by the low participation of PPI base training and the lack of availability of hand hygiene facility in the Hemodialysis Unit General Hospital Surabaya Hajj. Advice from research were conducting on job training about how to perform hand hygiene and improve hand hygiene facilities in Hemodialysis Units. Keywords: hand hygiene, compliance, nurse

Prevention and control ofClostridium difficileinfection

This article examines risk factors, pathogenesis, symptoms and management of Clostridium difficile infection, which is the major cause of enteric infections among people aged over 65 years in healthcare settings. Symptoms range from mild to profuse watery diarrhoea, which may be accompanied by severe life-threatening inflammation of the intestine. Transmission is by the faecal-oral route, via the hands of health workers and from environmental reservoirs. Eradication is difficult because C. difficile forms spores that survive for months in dust and on surfaces. Strategies to prevent and control C. difficile include thorough hand hygiene, isolation precautions, environmental cleaning and restricted use of broad spectrum antibiotics.

“Taming Tradition”: Medicalized Female Genital Practices in Western Kenya

This article considers the question of female genital practices at the hands of health workers in western Kenya. Recent articles in Medical Anthropology Quarterly have critically engaged with the biomedical arguments condemning such practices. This article studies the case of medicalized circumcision in which biomedical concerns over health risks have become incorporated in their vernacular practice. Although some suggest that medicalization may provide a harm-reduction strategy to the abandonment of the practice, research in one region challenges this suggestion. It argues that changing and conflicting ideologies of gender and sexuality have led young women to seek their own meaning through medicalized practice. Moreover, attributing this practice to financial motivations of health workers overlooks the way in which these "moral agents" must be situated within their social and cultural universe. Together, these insights challenge the view that medicine can remain neutral in the mediation of tradition.