Compliance Of Healthcare Workers Research Articles

Assessment of device-associated infection and compliance of healthcare workers to infection prevention and control standards at burn ICU unit of Ain Shams University Hospital.

Assessment of device-associated infection and compliance of healthcare workers to infection prevention and control standards at burn ICU unit of Ain Shams University Hospital.

Prevalence and predictors of hand hygiene compliance in clinical, surgical and intensive care unit wards: results of a second cross sectional study at the Umberto I teaching hospital of Rome.

Hand hygiene is the most cost-effective procedure for the prevention of healthcare-associated infections, but healthcare worker compliance is often insufficient. The objective of this second cross-sectional study was to quantify hand hygiene compliance among the healthcare workers of a large teaching hospital, to explore associated factors and to compare results to those of the 2021 study. In 2022, educational sessions were conducted within each hospital department during which hospital healthcare workers received tailored feedback on the hand hygiene compliance registered in the previous year. Then, one month later, direct observations hand hygiene compliance with five World Health Organization recommendations were collected again by anonymous observers in each ward. Data were grouped by healthcare area (clinical, surgical and intensive care), and three multivariable logistic regression models were built to identify predictors of hand hygiene compliance. Overall, 5,426 observations were collected by 73 observers in three weeks. Hand hygiene compliance was 79.7%, 73.5% and 63.1% in clinical, surgical and intensive care areas, respectively, increasing in clinical wards but decreasing in surgical departments compared to the 2021 study. The multivariable analyses showed that hand hygiene compliance after patient contact was consistently higher than before patient contact, while there was some variability in compliance with other factors across the three areas. The study found suboptimal adherence to good hand hygiene practice, with the lowest rates observed before patient interaction, which, together with the variability recorded across departments, underscores the challenges involved in achieving a uniform level of compliance. Hence, additional training is essential to raise awareness among healthcare workers, while repeating this survey over time will also be crucial, so that hand hygiene compliance can be monitored and any major issue identified.

Compliance with the five moments for hand hygiene of healthcare workers in a pediatric hospital. A prospective observational study

Introduction: Healthcare-associated infections (HAIs), also known as nosocomial infections or hospital-acquired infections, begin within 48 hours of hospitalization, within 30 days after hospital discharge, or 90 days after undergoing surgical procedures. Objective: The study aimed to describe the compliance with the five moments for hand hygiene (HH) of the healthcare workers (HCWs) in a hospital. Methods: A prospective observational study was conducted from June 1 to 30,2020 in a pediatric hospital. HCWs compliance with the five moments of HH was registered by direct observation blindly to the participants, using the fact sheet for HH of the WHO. In the rows, the five moments of contact with the patients were recorded: before touching a patient, before clean aseptic procedure, after body fluid exposure risk, after touching a patient and after touching patient surroundings. The actions performed, also was registered: hand washing, alcohol hand friction, omission, or use of gloves. Data were analyzed in SPSS V 21. The protocol was approved by the institutional review board. Results: During the study period, 2.595 observations to 104 HCWs were made. They were pediatric residents 38.5 %, nurses 32.7 % and pediatricians 28.8 %. A global compliance with the five moments of HH of the participants were 64.5% (1673/2595). Before touching a patient, the adherence was 86,9%. The nurses adhered in 69%, pediatrician in 68.6 % and the pediatric residents in 57.2%. Discussion: The global percentage of compliance with the five moments of HH of the medical and nursing staff of the pediatric hospital was 64.5%. Nurses had the highest percentage of adherence. Handwashing compliance was higher before contact with the patients.

Radiation protection in a cohort of healthcare workers: knowledge, attitude, practices, feelings and IR-exposure in French hospitals

The number of healthcare workers occupationally exposed to ionizing radiation (IR) is increasing every year. As health effects from exposure to low doses IR have been reported, radiation protection (RP) in the context of occupational activities is a major concern. This study aims to assess the compliance of healthcare workers with RP policies, according to their registered cumulative dose, profession, and perception of radiation self-exposure and associated risk. Every healthcare worker from one of the participating hospitals in France with at least one dosimetric record for each year 2009, 2014, and 2019 in the SISERI registry was included and invited to complete an online questionnaire including information on the worker’s occupational exposure, perception of IR-exposure risk and RP general knowledge. Hp(10) doses were provided by the SISERI system. Multivariate logistic regressions were used. Dosimeter wearing and RP practices compliance were strongly associated with ‘feeling of being IR-exposed’ (OR = 3.69, CI95% 2.04–6.66; OR = 4.60, CI95% 2.28–9.30, respectively). However, none of these factors was associated with RP training courses attendance. The main reason given for non-compliance is unsuitability or insufficient numbers of RP devices. This study provided useful information for RP policies. Making exposed workers aware of their own IR-exposure seems to be a key element to address in RP training courses. This type of questionnaire should be introduced into larger epidemiological studies. Dosimeter wearing and RP practices compliance are associated to feeling being IR-exposed. RP training courses should reinforce workers’ awareness of their exposure to IR.

Compliance with infection prevention and control standard precautions and factors associated with noncompliance among healthcare workers working in public hospitals in Addis Ababa, Ethiopia

BackgroundStandard Precautions (SPs) are the minimal infection prevention and control (IPC) measures that apply to all patient care activities at all times, regardless of whether the patient has a suspected or proven disease, in any place where healthcare service is provided. These evidence-based practices protect healthcare workers (HCWs) from infection while preventing the spread of infectious agents among patients, visitors, and the environment.ObjectivesAssessed compliance of HCWs working in public hospitals in Addis Ababa to infection prevention and control SPs, and factors associated with noncompliance.MethodsIn a hospital-based cross-sectional study, 422 HCWs were recruited from nine public hospitals in Addis Ababa using a stratified random sampling technique. Data were collected using self-administered questionnaires, entered into a computer using Epi data, and analyzed using SPSS version 25. The association between the independent and the outcome variables was investigated using logistic regression. Odd ratios with corresponding 95% confidence intervals (CI) were used as measures of the strength of the association between the outcome and the explanatory variables. A p-value below 5% was considered an indicator of statistical significance.ResultsThe level of knowledge of HCWs about IPC and SPs was 51.9% and 36.49% of the respondents were compliant with SPs. Receiving IPC Training [Adjusted Odds Ratio (AOR) = 1.81, 95% CI 1.06, 3.09], knowing SPs [AOR = 3.46, 95% CI = 1.83, 6.54], presence of a mechanism in the hospital to enforce the IPC practices [AOR = 1.71 95% CI = 1.01, 2.89], and availability of cleaning and disinfection chemicals in the hospital [AOR = 2.18, 95%CI = 1.15, 4.13] were significantly associated with the HCWs’ compliance with SPs.ConclusionCompliance with IPC standard precautions of HCWs in public hospitals of Addis Ababa is suboptimal. Working in medical units, less work experience, lack of training, poor knowledge, absence of a mechanism to enforce adherence, and inadequate resources are independent predictors for non-compliance of the HCWs.

EFEKTIVITAS PEMBERIAN SIMULASI HAND HYGIENE TERHADAP KEPATUHAN HAND HYGIENE PETUGAS NON MEDIS DI RUMAH SAKIT PKU MUHAMMADIYAH YOGYAKARTA UNIT II

Hospital Associated Infection (HAIs) is the world’s problem and one of the causes is hand hygiene compliance in healthcare workers are still low. Data showed 80% of HAIs spread by hands. Non medical healthcare workers are at risk for spreading the phatogen by hands, because although they don’t give intervention directly to the patients, they still have big possibilities to be in one of 5 moments hand hygiene. Hand hygiene simulation is one of training methods for heakthcare workers to create higher compliance in hand hygiene. This research was an experimental design with one group pre-posttest design. The population were all non medical healthcare workers in security department, nutritional department, and cleaning service department, the total sample is 37 persons. Paired T-test is used for stastitical analysis.The results obtained, the implementation of hand hygiene with proper procedure is 0,55%. The compliance rate increase after intervention by hand hygiene simulation 13,83%. Statistical analysis showed significant result p<0,05; p=0,026 for security department, p=0,027 for nutritional department, and p=0,002 for cleaning service department, meaning there is a difference in hand hygiene compliance of non medical healthcare workers before and after intervention by hand hand hygiene simulation.Hand hygiene simulation is effecticve to improve hand hygiene compliance. Therefore it can be used to improve hand hygiene compliance in non medical healthcare workers.

Effectiveness of Multimodal Intervention to Improve Blood Culture Collection in a Tertiary Care Hospital.

Introduction and methods Blood culturing has become one of the backbone investigations for septicemia, fever of unknown origin, etc. This study was conducted to test the effect of multimodal interventions on the practical skills of healthcareworkers (HCWs), raise awareness regarding the importance of aseptic blood culture collection practices, and increase compliance with the specific steps to be followed. Hence, this current interventional study was aimed at comparing the rate of isolation of contaminants grown among the blood culture specimens, assessing the knowledge, attitude, and practice (KAP) of HCWscollecting the blood culture specimen on various aspects of sample collection, educating the nursing staff regarding blood sample collection using a structured, pre-formed checklist, and emphasizing best practices for blood culture collection. All of the study's objectives were successfully met within the time frame specified. Using a pre-formed checklist and a Google form for KAP analysis eased the calculation. Results On analysis, the blood culture contamination rate in the pre-interventional phase dropped drastically from 6.16% to 3.03% in the post-interventional phase. The educational sessions conducted are a paramount reason for the reduction in the contamination rate. The HCWs were the least compliant towards the eighth step in the checklist (regarding palpation of skin); however, that too increased from 66.93% and 64.51% to a whopping 82.25% and 83.06%, respectively, with a chi-squarevalue of 0.03 and a p-valueof 0.85 (not significant). Conclusion Implementation of interventional studies as an audit like this in tertiary care hospitals can result in a significant reduction in blood culture contamination rates and can also improve the compliance of HCWs with blood culture protocols. This, in turn, can overall improve the effectiveness of blood culture (BC) testing and reduce mortality and morbidity in tertiary care hospitals. Further research can be conducted to brainstorm more methods to increase the compliance of HCWs. Better monitoring strategies can also be set to ensure low contamination rates. Additionally, some other methods can be derived to locate the source of contamination within the hospital environment and thus eliminate it. Similar interventions can be conducted for a longer duration of time to further reduce the blood culture contamination rate below 3% (as per the recommendations).

Evaluating Adherence to Therapeutic Drug Monitoring Guidelines for Gentamicin in Neonatal Care: A Retrospective Study at the Maternity and Children's Hospital in Makkah.

In this study, we assess healthcare providers' adherence to therapeutic drug monitoring (TDM) guidelines for gentamicin in neonates. Conducted at the Maternity and Children's Hospital in Makkah, Saudi Arabia, from July 2020 to July 2022, it retrospectively analyzed the compliance of healthcare workers in managing neonates treated with gentamicin. Covering 410 neonates, primarily diagnosed with respiratory distress (56%) and sepsis (32%), the study revealed that while a majority of trough and peak levels conformed to guidelines, substantial deviations were noted in cases of respiratory distress. This underlines the necessity for targeted TDM strategies, particularly in managing respiratory distress in neonates, to ensure optimal treatment efficacy and safety. The findings urge stringent compliance with TDM guidelines, emphasizing personalized approaches in neonatal gentamicin therapy for improved healthcare outcomes.

Healthcare workers’ compliance with the catheter associated urinary tract infection prevention guidelines: an observational study in Yemen

BackgroundCatheter-associated urinary tract infection is a global problem but it can be prevented with the appropriate implementation of evidence-based guidelines. This study was conducted to assess the level of compliance of healthcare workers with the catheter-associated urinary tract infection prevention guidelines during the insertion of a urinary catheter.MethodsAn observational study using a descriptive cross-sectional design was conducted at Sana’a City hospitals, Yemen. All the nurses and physicians from the governmental, teaching, and private hospitals were eligible to participate in the study. The data collection was performed through convenience sampling from March 2020 to December 2020, using a structured observational checklist prepared specifically for this study.ResultsThe majority of the urinary catheter insertions were performed by nurses. There were no written policy or procedures for an urinary catheter insertion and no in-service education or training departments in the majority of the hospitals. The overall mean score of compliance was 7.31 of 10. About 71% of the healthcare workers had a high or acceptable level of compliance and 29% had an unsafe level of compliance. Compliance was low for maintaining aseptic technique throughout the insertion procedure, using a single use packet of lubricant jelly, performing hand hygiene immediately before insertion, and securing the urinary catheter once inserted. Factors affecting the healthcare workers compliance were gender, the working ward/unit of the healthcare workers, the availability of a written policy/procedure and a department or unit for in-service education.ConclusionYemeni healthcare workers’ overall compliance was acceptable but it was unsafe in several critical measures. There is an urgent need for developing, implementing, and monitoring national guidelines and institutional policy and procedures for catheter-associated urinary tract infection prevention. Periodical in-service education and training programs and adequate access to the necessary materials and supplies are paramount.

Infection prevention and control compliance of healthcare workers towards COVID-19 in conflict-affected public hospitals of Ethiopia

ObjectiveNon-compliance with COVID-19 infection prevention and control (IPC) is one of the global public health problems particularly among those frontline healthcare workers. However, there are no detailed investigations on COVID-19...

The impact of COVID-19 pandemic on hand hygiene compliance of healthcare workers in a tertiary hospital in East China.

Hand hygiene is a cost-effective measure to reduce healthcare-associated infections (HAIs) in healthcare facilities. The impact of the coronavirus disease 2019 (COVID-19) pandemic on hand hygiene performance (HHP) provided evidence for targeted hand hygiene intervention measures. This study evaluated the HHP rate in a tertiary hospital before and after the COVID-19 outbreak. HHP was checked by infection control doctors or nurses every day, and they inputted the HHP rate to the full-time infection control staff every week. A random examination of HHP was conducted by a confidential worker every month. The HHP of healthcare workers (HCWs) was monitored in the outpatient department, inpatient ward, and operating room from January 2017 to October 2022. The influence of COVID-19 prevention and control strategies on HHP was elucidated by analyzing the results of HHP during the study period. The average HHP rate of HCWs was 86.11% from January 2017 to October 2022. The HHP rate of HCWs after the COVID-19 pandemic was statistically significantly higher than that before the pandemic (P < 0.001). The HHP rate was the highest (93.01%) in September 2022 when the local epidemic occurred. Among the different occupation categories, medical technicians showed the highest HHP rate (89.10%). The HHP rate was the highest after contact with body fluids or blood of patients (94.47%). The HHP rate of HCWs in our hospital showed an increasing trend in the recent 6 years, especially during the COVID-19 pandemic, and the increase was most obvious during the local epidemic.

Hand Hygiene Compliance and Healthcare Associated Infections Trends in a Tertiary Care Children Hospital, in Years 2016-2022

Healthcare workers hands are the most common vehicle for the transmission of healthcare-associated infections. Hand hygiene is considered the most effective measure for preventing microbial pathogen cross-transmission, and reducing healthcare-associated infections; thus, it’s key to maintain high healthcare workers compliance with this practice.&#x0D; We calculated trends of compliance to hand hygiene and healthcare-associated infections (HAIs) point prevalence in a tertiary care children hospital, in years 2016–2022. We observed a significantly increased hand hygiene compliance from 89.5% (95% CI: 89.1-89.9) in 2016 to 92.1% (95% CI: 91.7-92.4; p&lt;0.001) in 2022. Hand hygiene compliance significantly increased for four out of five moments for hand hygiene, and for most of the professional categories observed. We observed a stable trend of HAIs point prevalence which was 1.8% (95% CI: 0.7-3.6) in 2016, and 2.0% (95% CI:1.0-3.7; p=0.6) in 2022. No significant trends were observed over time stratifying by type of HAIs.&#x0D; Our results document the increased adherence to hand hygiene in the context of pandemic emergency response, associated to maintenance of low prevalence of HAIs.

Evaluation of Compliance with Standard Precautions and Burnout Levels of Nurses working in a University Hospital Standard Precautions and Burnout Levels of Nurses

Introduction: Standard precautions aim to prevent the transmission and control the spread of infectious agents from infected or colonized patients to other people and healthcare personnel. It is thought that nurses' compliance with standard precautions is affected by many factors such as age, gender, education level, professional experience, equipment and personnel status, as well as negative emotional states caused by work intensity and loss of motivation. The loss of physical and emotional strength and motivation is defined as burnout, and its prevalence is increasing among healthcare workers. Our study aimed to evaluate the compliance of nurses working in a university hospital with standard precautions and their burnout levels. Material Method: This cross-sectional study was conducted on nurses working at EskişehirOsmangazi University Hospital between January 2022, and May 2022. The study group consisted of 392 of 500 nurses working in the hospital who agreed to participate in the study. The data were collected through face-to-face interviews using a questionnaire form that utilized the literature. In our study, the "Compliance with Standard Precautions Scale" (CSPS) was used to determine the level of compliance with standard precautions and the "Maslach Burnout Scale" was used to determine the level of burnout. Mann Whitney U, Kruskal Wallis tests and Spearman Correlation analysis were used to analyze the data. Results: Of the participants, 83.4% were female, and 16.6% were male. Their ages ranged between 22 and 58 years, with a mean of 31.49±7.5 years. The scores of the nurses on the CSPS ranged from 0 to 19, with a mean of 13.7±3.3 (median: 14) points. It was found that women, those with a total working period of 5 years or more, and those who received any training on infectious disease prevention methods had higher scores on the CSPS (p&lt;0.05 for each). It was determined that there was a weak negative correlation between the scores obtained by the nurses from the CSPS and the scores obtained from the emotional burnout and depersonalization sub-dimensions, and a weak positive correlation between the scores obtained from the personal achievement sub-field. Conclusion: The study showed that nurses' level of compliance with standard precautions was moderate, and some variables affected the level of compliance with standard precautions. It was thought that the compliance of healthcare workers with standard precautions would increase further with motivations such as updating the knowledge of healthcare workers with continuous in-service trainings and improving working conditions.

Hand Hygiene: A Prospective Interventional Study on Compliance of Health Care Workers in a Tertiary Care Hospital in India

Hand Hygiene: A Prospective Interventional Study on Compliance of Health Care Workers in a Tertiary Care Hospital in India

Knowledge and Practice of Healthcare Workers about Hand Hygiene in Khartoum Oncology Hospital, 2021

Background: Hand hygiene is widely recognized as a simple way to prevent infection transmission to patients or among health care providers and adherence to its measures is associated with a significant reduction in mortality and morbidity. Despite this, many studies conclude that hand hygiene compliance is suboptimal. This study aims to assess compliance of healthcare workers to hand hygiene measures in Khartoum oncology hospital. Method: A cross-sectional hospital-based descriptive study was conducted during the period from December 2021 to July 2022 on a sample of 109 health care workers [doctors and nurses]. Hand hygiene knowledge and practice of health care workers were measured using a structured, pretested, administered questionnaire, modified from the WHO standardized questionnaire for HH knowledge and observation technique with a checklist was used to collect data on the practice. The data is analyzed by frequency tables. The Chi-square test is used to determine associations among categorized variables. All statistical tests were considered significant when the p value was 0.005. Result: Of the 109 participants, 56% had not received formal hand hygiene training in the last three years. 18.3% did not use alcohol for hand hygiene in their practice. Regarding participants' knowledge of the importance of hand hygiene, 97.2% considered it an important tool for infection prevention. Practice wise, 60% of participants did not wash their hands before touching the patients, while 20% of them used the same glove for more than one patient. A significant statistical association was found between the routine use of alcohol and receiving formal training in hand hygiene in the last three years (p-value 0.004). Conclusion: The overall use of alcohol-based hand rub for hand hygiene was high, in spite of low training programs in the last three years. There is a huge shortage of soap and alcohol in working places. Developing a training program will help magnify the use of alcohol for hand hygiene

SG-APSIC1107: Effectiveness of interventions increasing surgical hand hygiene compliance at Hung Vuong Hospital

Objectives: Surgical handwashing is one of the most important measures to prevent surgical site infection (SSI). We evaluated the effectiveness of the intervention program on surgical handwashing compliance of healthcare workers (HCWs) at Hung Vuong Hospital. Methods: This research was conducted from July 2019 to November 2019 in 3 phases. In the first phase, we determined the surgical handwashing compliance rate before the intervention. In the second phase, we implemented an intervention bundle as follows. We provided reminders of compliance in the form of video screen and automatic timers at surgical handwashing sinks. We provided links and QR codes for online access and live streaming of instructional videos on implementation of the hospital’s surgical hand sanitation procedures in the surgical handwashing area. We conducted direct monitoring to remind and guide HCWs to follow the procedures in combination with camera surveillance to accurately reflect compliance. Finally, we provided feedback in multiple steps: feedback to individual, feedback to head of department or department heads, cited names in briefings and sent names to the general planning department to suspend surgery privileges. In the third phase, we re-evaluated the surgical handwashing compliance rate after the intervention. Results: The total number of surgical handwashing checklists observed before and after the intervention was 787. The surgical handwashing compliance rate improved significantly from 48.8% to 71.8% (PR, 2.7; 95% CI, 1.98–3.57; P &lt; .01). The compliance rate in camera monitoring also increased from 22.1% to 57.9% (PR, 4.8; KTC 95%, 3.14–7.47; P &lt; .01). The compliances rates of both surgeons and scrub nurses improved significantly after the intervention (P &lt; .01). Conducting the new surgical handwashing procedure increased from 90.2% to 99.5% after this intervention. Conclusions: This intervention program improved surgical handwashing compliance of HCWs.

Compliance of Health Care Workers with infection prevention and control practices in COVID-19 pandemic

Compliance of Health Care Workers with infection prevention and control practices in COVID-19 pandemic

Impact of Educational Intervention on Compliance of Health Care Workers Towards Chemotherapy Handling Guidelines.

Chemotherapy safety guidelines have been enacted to minimize their side effects on healthcare providers when handling medications. The aim of this study is to assess the impact of an educational intervention on healthcare workers' compliance with chemotherapy safety guidelines. In this study, we used a quasi-experimental, pre-post testing design. It was conducted in the Oncology center at King Saud University Medical City (KSUMC) in Riyadh, Saudi Arabia. All healthcare workers involved in the preparation and administration of chemotherapy medications in KSUMC were invited. We evaluated Educational intervention to ensure the compliance of healthcare workers with standard safety guidelines through a questionnaire with 29 questions in total. Fifty-two participants were eligible in this study. Overall, the score for mean compliance with workplace guidelines among the participants increased from 17.62∓0.78 to 18.17∓0.80 out of 19. Multiple liner regression indicates that there are no variables among the included variables predicting a change in post-intervention. This study indicates that educational intervention is the only effect of compliance in the included sample. Education safety training could improve healthcare workers' knowledge and consequently improve their compliance in the preparation and administration of chemotherapy medication.

Using patients' observations to evaluate healthcare workers' alcohol-based hand rub with Pulpe'friction audits: a promising approach?

Hand hygiene plays an important role in the transmission of nosocomial infections from healthcare workers (HCW) to patients. Patients could play a key role in improving hand hygiene by sharing their experience of the HCW's practices. Already in 2019, the French national mission of transversal support for actions to prevent healthcare-associated infections proposed the national "Pulpe'friction" audit, to assess HCW's reported practices, social representations, and barriers to using alcohol-based hand rubs (ABHR). This audit consisted of a positive discussion between an auditor and the HCW as well as patients, which led the HCW to declare their real practices and the barriers they faced in the field and the patients to report about the HCW's ABHR practices and the information they received about when they should perform hand hygiene. To assess whether an association existed between HCW's reported ABHR compliance and patients' declarations about HCW's compliance in the Pulpe'friction audit data. Data from Pulpe'friction were collected from 1st January to 31st December 2019, before the COVID-19 pandemic. Mixed linear models were performed to analyze the association between self-reporting by HCW and patients, regarding hand rubs performed by HCW prior to patient care. There was a positive association between patients' observations and HCW's declared practices regarding the frequency of with which professionals performed hand rubs before patient contact. This indicates that professional and patient statements show the same tendency. The positive association was found in hospitals for patients under 45 and over 64 years old and for paramedics, but not for physicians and not in nursing homes or long-term care facilities. Patients felt more motivated to observe and evaluate HCWs' practices if they had received information about how to correctly wash their hands. Patients agreed to be involved in the evaluation or professional practices. The patients' observations were positively associated with HCWs reports. New indicators taking patients' observations into account could be interesting.

Assessment of Hand Hygiene Practices and Barriers to hand Hygiene among Healthcare workers of Government Medical College Hospital Jammu

Introduction: Hand hygiene is most effective interventions to reduce spread of pathogens and prevent Hospital Acquired Infections (HIAs). Compliance of healthcare workers with hand hygiene practices is vital in preventing transmission of HIAs.Aims: To assess practices and barriers of hand hygiene among healthcare workers of GMCH Jammu.Methodology: Cross sectional study was conducted among healthcare workers of Government Medical College Hospital Jammu. Simple random sampling was used to interview 250 participants. Data was collected using pretested, validated and semi structured questionnaire. Details like products used for hand hygiene, moments of hand hygiene, barriers to hand hygiene practices and knowledge about hand hygiene were asked. Appropriate statistical tests were appliedResults: Out of 250 healthcare workers majority were using soap and water 203(81%) and alcohol based sanitizers 202(80%).Majority 234(93.6%) were always performing hand hygiene after touching blood, body fluids and secretions,222(88.8%) and after contact with the patients but only 138(55.2%) were following hand hygiene practices while switching from one patient to other.Most common barrier to wash hands was lack of soap/water115(46%) and inconvenient location of sinks 112(44.8%). Only 117(46.8%) were following six steps of hand wash. The association between designation of health care worker and steps of handwashing was found to be statistical significant. Conclusion: Observed compliance to hand hygiene practices is low. There is lack of knowledge to perform six steps of hand washing and lack of facilities to maintain hand hygiene.