Hand Hygiene Knowledge Research Articles

Assessing pharmacists and other healthcare providers' knowledge of hand sanitization during COVID-19 pandemic in Jordan: A comparative study.

Health care providers including pharmacists are often on the first line when dealing with COVID -19; they can be under threat of contracting and spreading the disease. We aimed to assess and compare their knowledge of hand sanitization during COVID-19 pandemic to improve quality of care. A cross-sectional study was conducted in Jordan, on healthcare providers in different settings from 27 October till 3 December 2020, using a pre-validated electronic questionnaire. Participants (n = 523) were healthcare providers practicing in different settings. Descriptive and association statistical analyses were produced on the data using SPSS 26. Chi square was used for the categorical variables, and One way ANOVA was used on the continuous and categorical variables. A significant difference was recorded in total knowledge mean according to gender (59.78 vs 61.79 p = 0.030) in favor of men, and between pharmacists and other healthcare providers in favor of the latter (59.22 vs 61.45, p = 0.02). No significant difference was generally noticed between those who attended hand hygiene training and those who did not. Healthcare providers' knowledge of hand hygiene was generally good among participants, regardless of training and it was possibly increased because of fear of COVID-19 infection. Physicians were the most knowledgeable in regard of hand hygiene while pharmacists were the least among healthcare providers. Thus, structured, more frequent, and tailored training on hand sanitization in addition to new educational strategies are recommended for healthcare providers, in particular, pharmacists for better quality of care especially in pandemics.

Knowledge, Attitude and Practice Study About Hand Hygiene Among Medical Students at University of Cyberjaya, Malaysia

Background: Hand Hygiene is one of the preventive measures to reduce the health care-associated infection. Medical students spend significant time in hospital during their clinical training thus they are required to have good awareness and compliance towards hand hygiene. Aim: To assess the level of knowledge, attitude and practice on hand hygiene among medical students. Materials & Methods: An online cross-sectional study was conducted on 290 medical students who were selected through convenience sampling. The scores obtained were categorized into good, moderate and poor. Data analysis was done using Jeffreys’ Amazing Statistics Program. Result: The study showed that 58.6% of respondents have moderate knowledge towards hand hygiene, 69.3% of respondents have a good attitude towards hand hygiene and 41.4% of respondents have moderate practice towards hand hygiene. Conclusion: Educational interventions can be implemented to resolve the lack of knowledge and practice of hand hygiene among medical students. Keywords: KAP, Hand Hygiene, Medical Students, Malaysia

Assessment of Hand Hygiene Knowledge and Practices among Private Dental Clinics in Munshiganj, Bangladesh: A Cross-Sectional Study

Introduction: The study was performed to assess knowledge about infection control through hand-washing practices among dentists and paramedical professionals working at private dental clinics and provide help to identify and overcome obstruction towards proper hand hygiene pattern. Method: A questionnaire-based study was supervised at 15 different private dental clinics situated in the Munshiganj district of Bangladesh. Data on handwashing practices and other factors were collected from 60 samples during the months of November and December 2020. Site inspections of and washing facilities were also supervised. The data was analyzed on SPSS. Result: Majority (78.3%, 50.0% & 35.0%) of the respondents strongly agreed that hand washing helps to prevent spread of infection to the patients. Less than half (48.3%) of the respondents washed their hands before wearing gloves. 31 doctors claimed that hand washing is done after termination of duty while 10 claims that they wash hands after each examination (p< 0.001). And most of the doctors use antibacterial soap (p=0.004). Conclusion: The study wraps up that most of the health care providers had the education about the advantage of handwashing, but proper technique was not followed. The reasons given for not adopting handwashing practices were shortage of time, being busy with a greater number of patients, a skin reaction, and an unsuitable atmosphere. Update Dent. Coll. j: 2023; 13(1): 23-26

Assessing hand hygiene knowledge, attitude, behavior and adherence among nursing assistants: A cross-sectional study

ObjectiveThis study explored hand hygiene knowledge, attitude, behaviors and adherence amongst nursing assistants. MethodsThis cross-sectional study was conducted with structured questionnaires and direct observation. Nursing assistants were recruited from two long-term care facilities in eastern Taiwan from July to September, 2021. ResultsThe nursing assistants had high levels of hand hygiene knowledge, attitude, and behavior, however, the direct observational revealed hand hygiene adherence at 58.6% with 17.99 seconds duration on average. Comparing with alcohol-based hand rub, the nursing assistants performed very low adherence rate with soap and water wash, and the use of paper towel was the least followed skill applying to soap and water wash. ConclusionsThe study finds that hand wash with soap and water has lower adherence than the alcohol-based hand rub. Future innovations in hand hygiene, such as accessible and easy-to-use hand washing agents and easy-to-remember hand cleansing techniques will be valuable.

Knowledge of Hand Hygiene and Use of Alcohol-Based Hand Rub Among Interns in a Nigerian Tertiary Health Facility

Background: Healthcare-associated infections and antimicrobial resistance are both largely prevented through hand hygiene. There are still gaps in hand hygiene knowledge and routine use of alcohol-based hand rub among healthcare workers. Objectives: This study assessed the knowledge of hand hygiene and the use of alcohol-based hand rub among interns at the University of Nigeria Teaching Hospital, Enugu State, Nigeria. Materials and Methods: A cross-sectional study was conducted among 230 interns using a structured WHO hand hygiene knowledge questionnaire. A two-stage sampling technique was employed. Descriptive and inferential statistics were carried out and p-value was set at ≤ 0.05. Results: Two respondents (0.9%) had good knowledge of hand hygiene while slightly more than half (117/230, 50.9%) had moderate knowledge. Also 50.9% (n = 117) used alcohol-based hand rub. Majority of the respondents, 140 (60.9%) had attended training in hand hygiene. Sex was significantly associated with the knowledge of hand hygiene (p=0.03) as male respondents had a higher proportion of good knowledge while having received training on hand hygiene was significantly associated with routine use of hand hygiene (p=0.004). Conclusions: Since only very few of the interns had overall good knowledge of hand hygiene, targeted structured training on hand hygiene and infection prevention and control practices to improve the knowledge of such healthcare workers is highly recommended.

Clean Hands, Dirty Truths: A Qualitative Study of Healthcare Professionals' Hand Hygiene in Public Hospitals of Lahore Before and During COVID-19

This qualitative research investigates the hand hygiene knowledge and practices of healthcare professionals in public hospitals, as well as how the COVID-19 pandemic affected their knowledge and practices in this area. The study conducted 20 in-depth interviews with medical staff working in public tertiary care facilities in Lahore, Pakistan. The results show that while healthcare workers possess a basic understanding of hand hygiene, they exhibit lower compliance with hand-washing practices, which is attributed to inadequate hand hygiene facilities and a heavy workload. Despite increased funding to hospitals during the pandemic, the findings suggest that the COVID-19 pandemic increased healthcare practitioners' awareness of hand hygiene and its importance, but it did not lead to a significant improvement in hygiene practices due to increased workload and inadequate facilities.

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

Knowledge Attitude and Practice on Infection Prevention and Control of Healthcare Workers During Covid-19 In A Tertiary Hospital

Health care workers are the first to be on the front lines of the epidemic. Increased infection and mortality rates among health care workers will paralyze a country's response to the COVID-19 epidemic, and it will certainly have a significant long-term impact on health care delivery, especially in health systems that are already struggling with workforce shortages due to lack of skilled personnel, skilled labor migration, and geographic location. Assessing IPC knowledge, attitude, and practice remains important in determining the level of compliance with IPC measures.It is in this context that our study aims to assess the knowledge, attitude, and practice of health care workers at Befelatanana University Hospital. Our population was predominantly female (n= 60; 57%) with a sex ratio of 0.76. The average age was 28 years with an extreme age of 21 and 57 years. More than a third of the staff interviewed were residents (n=42; 39.62%), followed by nurses and midwives. More than half had less than 5 years of work experience (n=60; 56.82%) and more than half also reported no training in ICC (n=63; 59%). The majority of health workers (n=103; 97.17%) had previous contact with a suspected and confirmed case (Covid-19). Of the health workers (n=69; 65.09%) contracted Covid-19 of which (n=62; 59%) were confirmed cases and (n=7; 6%) were suspected cases Our study revealed that more than one third of the participants had insufficient knowledge of hand hygiene (34.91%), almost half of the participants (42.45%) had insufficient knowledge of wearing PPE, insufficient knowledge of donning (35.85%), insufficient knowledge of removal (42.45%). We noted the non-compliance of IPC measures in their practices: the majority reported using surgical masks for more than 4 hours, very few CHWs (n=17; 21%) changed their masks every 8 hours and 29 (36%) . Only 37.71% (n=40) of participants performed a leak test on their FFP2 masks.The majority of staff (98.11%) reported using the gowns; half of the staff (53.17%) did not wash the cloth gowns. We found noncompliance in the use of face shields: 95.3% discarded face shields and 88.7%. We identified factors associated with contamination of healthcare workers, namely midwives/nurses, physicians, residents, and specialty residents, lack of knowledge of hand washing with alcohol-based disinfectant, lack of knowledge of the indication for gowns as universal precautions. Knowledge and skill deficiencies in terms of IPC during Covid- 19 was observed in our study. Thus, establishing a national IPC program and strengthening the training of health workers remains crucial to implement IPC measures at all levels of the health structure in order to reduce the spread of infection either before or during an outbreak . This allows each health worker to be better prepared for a potential outbreak.

Knowledge and Practice of Hand Hygiene Among Dental Undergraduates: A Cross-Sectional Study

Objectives: (1) To decipher the level of knowledge of hand hygiene among undergraduate dental students, (2) to assess the practice regarding hand hygiene among undergraduate dental students and (3) to identify the correlation between level of knowledge and practice of hand hygiene in clinical settings among undergraduate dental students. Materials and Methods: A cross-sectional study was conducted among undergraduate dental students from year 3 to year 5. Both validated self-administered questionnaires on hand hygiene knowledge by World Health Organization and questionnaire on hand hygiene practice were distributed to respective class representatives. Data on demographic characteristics were also collected. Prevalence was determined by descriptive statistics. Pearson’s correlation test was used to check the association between knowledge level and practice of hand hygiene. Results: Two hundred and fiftytwo subjects comprising of 87.7% females and 12.3% males were recruited. Response rate was 100%. Majority of respondents (74.6%) had good knowledge level of hand hygiene while 25.4% had moderate knowledge level. 100% of respondents had good practices of hand hygiene as they follow ≥50% in line with the recommended guideline. Level of knowledge were found to have weak correlation to practice of hand hygiene in clinical settings (r= -0.354, p<0.001). Conclusion: Level of hand hygiene knowledge slightly influences the practice of hand hygiene in the form of negative correlation. Although respondents had good knowledge, there might be other external factors which influences the practice, such as lack of time and high patient workload. Further qualitative study should be conducted to elucidate other factors influencing the practice of hand hygiene among undergraduate dental students.

Behavioral determinants of hand hygiene compliance among nurses in intensive care units in Hai’l, Saudi Arabia

Hand hygiene (HH) is widely regarded as the single most effective method of preventing healthcare-associated infections yet achieving and maintaining compliance among healthcare workers remains a significant challenge. This study aims to identify behavioral determinants of HH compliance using the Attitude-Social Influence-Self-Efficacy (ASE) model among Intensive Care Unit (ICU) nurses in Saudi Arabia. This is a descriptive cross-sectional study using a self-reported questionnaire among ICU nursing staff in 6 Ha’il, Saudi Arabia hospitals. The study employed convenience sampling, using the Behavioral Determinants of Hand Hygiene Compliance in ICU questionnaire with 128 respondents. Frequency, percentage, mean, standard deviation, ANOVA, Pearson-r, and Multiple Regression analysis were used. Total compliance to HH for six hospitals was 86.83%. Self-efficacy was high (mean=3.59, SD=.54). The average score of participants’ knowledge of HH was 57% (SD=2.30). Only social pressure was identified as a predictor of noncompliance to HH (β=-1.97; P=.001). The current data highlight the importance of self-efficacy, social influence, positive attitude, and good knowledge regarding HH. However, only social pressure was a predictor of compliance with HH guidelines. When developing interventions to improve HH in ICUs, strategies should include these determinants tailored to the individual, cultural, and institutional factors.

Implementation of the Hand Hygiene Eczema Education Program to Improve Patient Knowledge and Symptoms

Background: COVID-19 hand hygiene recommendation had resulted in a hand eczema -exacerbation. The guidelines of care for the management of hand eczema recommend the use of educational interventions for patients. Objective: An educational intervention was designed to increase the patient's knowledge of appropriate hand hygiene and improve the patient's symptoms. Methods: The validated self-assessment patient-oriented eczema measure tool and pre- and post-tests were used to measure outcomes prior to educational intervention and again in 1-2 months postintervention. Of the 26 participants enrolled, 21 completed the study. The study included newly diagnosed or established patients with eczema, and the education material was available for all patients. Results: The difference between the average pretest and initial posttest was statistically significant (df = 20, P (T ≤ t) = 0.000663535, p < .05). Similarly, the difference between the average pretest and follow-up posttest was also statistically significant (df = 20, P (T ≤ t) < 0.001, p < .05). Participants also had a 2.04 mean point decrease in symptoms severity. Conclusions: The results demonstrated an improvement in patient's knowledge and reduction in symptoms. Implications for Nursing: The program can serve as a new guideline for managing hand eczema symptoms due to COVID-19 in the adult population in the private office setting.

Categorical Analysis of Variance on Knowledge, Compliance and Impact of Hand Hygiene among Healthcare Professionals during COVID-19 Outbreak in South-East, Nigeria

This paper examined the knowledge, compliance and impact of hand hygiene among healthcare professionals during COVID-19 outbreak in South-East, Nigeria. The data used in this study were collected from twenty (20) hospitals in South-East, Nigeria using questionnaire with closed-type question forms. A total number of 600 questionnaires were used in this study. Two-way CATANOVA was used to examine the gender and health profession that have well knowledge, compliance and impact experience of hand hygiene during COVID-19 outbreak. The result showed no statistically significant difference in the knowledge, compliance and impact experience of hand hygiene among four major health professions (medical doctors, nurses, pharmacists, laboratory scientists) and also between the genders at a 5% significance level. The findings showed that the changing of healthcare professional from one health profession to another does not affect the knowledge, compliance and impact experience of hand hygiene. It was noticed that 599(99.8%) healthcare professionals have good knowledge of hand hygiene, 395(65.8%) practice hand hygiene every time, and 507(84.5%) have high impact experience of hand hygiene. There is enhancement in the knowledge, compliance and impact experience of hand hygiene of healthcare professionals as their years of service increase.

Qualitative assessment of hand hygiene knowledge, attitudes and practices among healthcare workers prior to the implementation of the WHO Hand Hygiene Improvement Strategy at Faranah Regional Hospital, Guinea.

Healthcare-associated infections are a serious burden globally. Few qualitative studies have explored healthcare workers' knowledge, attitudes and practices of hand hygiene. Prior to the implementation of the World Health Organization's Hand Hygiene Improvement Strategy at Faranah Regional Hospital in the Upper Region of Guinea in December 2018, we conducted a qualitative baseline assessment of knowledge, attitudes and practices of hand hygiene among healthcare workers to guide future hand hygiene interventions. The qualitative study consisted of direct observations, In-Depth Interviews (IDIs) and Focus Group Discussions (FGDs). We found that the 2013-16 Ebola outbreak had had a pivotal impact on healthcare workers' knowledge, attitudes and practices. The severity of the disease and the training provided for infection control were responsible for their knowledge acquisition and adoption of good attitudes and practices. However, negligence, resulting in poor hand hygiene practices, rose after the outbreak, once the "cue of fear" that had motivated workers for their own self-protection had waned. Our results suggest that local capacity building through training and availability of hand hygiene materials would be a sustainable approach to enhance hand hygiene culture at the hospital. Our study suggests that there is a need for a high and long-term commitment of authorities and healthcare workers at all levels for a sustainable hand hygiene culture.

SG-APSIC1120: Hand hygiene knowledge: Its effect on hand hygiene adherence rate during the COVID-19 pandemic in the primary care setting

Objectives: Good hand hygiene knowledge among healthcare workers (HCWs) is important in the fight against COVID-19. The coronavirus disease is primarily spread through droplet and contact routes, so hand hygiene and PPE are key infection control measures to protect patients and HCWs. We sought to determine whether hand hygiene knowledge scores had an impact on the hand hygiene adherence rate during a pandemic. Methods: Hand hygiene audit observations that were conducted covertly on a monthly basis and are presented as percentages of adherent reactions to moments to wash or sanitize hands. These data were examined in relation to HCW knowledge scores on hand hygiene. The knowledge scores on hand hygiene were analyzed based on 15 questions derived from WHO tools. Scores were determined using a quiz administered in a hand hygiene promotion event. Results: In total, 195 HCWs participated and scores on hand hygiene knowledge were ranked into 3 categories: 2% scored ≥90% (high), 60% scored 70%–89% (medium), and 38% scored ≤70% (low). Knowledge scores at the medium level and above were considered satisfactory. Even though 38% of the participants scored ≤70%, there was no direct impact on monthly hand hygiene audit observation rates in the 6 healthcare clinics. Hand hygiene observation rates ranged from 90% to 97%, with an overall mean of 92% for 2021. Conclusions: Contrary to studies that have shown the significant impact of knowledge on the hand hygiene adherence rate, our data suggest that a high hand-hygiene adherence rate is achievable and sustainable among HCWs. Adherence could be driven by attention to the importance of hand hygiene associated with the pandemic and potential exposure to COVID-19. High hand-hygiene compliance attains a place of importance in the minds of HCWs during a pandemic crisis.

SG-APSIC1055: Hand hygiene challenges among the ancillary team during the COVID-19 pandemic

Objectives: Ancillary staff members perform operational support functions and play an active role in enhancing the patient care experience. Infection prevention practices among ancillary staff play a critical role in preventing transmission of microorganisms, which ensures the safety of patients. Low hand hygiene compliance was found among porters in a cross-institutional hand hygiene audit in 2021. A quality improvement team was formed to improve hand hygiene compliance, especially during the COVID-19 pandemic. Methods: A focus-group discussion and survey were conducted to understand hand hygiene knowledge and challenges among porters. Using the findings, the team initiated Glo–germ education tools, pocket alcohol hand-rub agents, pocket moisturizer, poster display, and a toolbox messaging system via conversion of group roll call to satellite-area roll call. Respective satellite teams were sent hand hygiene reminders, and prompt corrective action was taken following noncompliance events. Analytic comparisons of pre- and postsurvey data were performed using the χ2 test, and P &lt; .05 was regarded as statistically significant. Results: In total, 572 ancillary staff participated in the survey. Knowledge of hand hygiene practices improved significantly following the interventions, as shown in the comparison of pre- and postintervention results: knowledge of the hand hygiene steps (P &lt; .001), knowledge of the duration of hand rub (P &lt; .001), and knowledge of duration of handwashing (P &lt; .001). Also, 295 staff members (97.68%) stated that implementation measures increased their awareness of the importance of hand hygiene. Moreover, the hand hygiene compliance rate improved from 77.8% to 100%. There were no significant differences related to sex (P = .089), age group (P = .355), years of working (P = .359), education level (P = .268), or difficulty in reading English (P = .906). Conclusions: Evaluating staff hand hygiene knowledge and understanding the challenges faced among porters helped toward the development of appropriate interventions and assurance of success in project.

Knowledge, awareness and practice of hand hygiene among healthcare workers for the prevention of infection: A cross-sectional study

Knowledge, awareness and practice of hand hygiene among healthcare workers for the prevention of infection: A cross-sectional study

Assessment of knowledge and practices of hand hygiene among health workers in Rwanda

BackgroundHand hygiene (HH) has proven to be the leading measure to prevent the cross-transmission of microorganisms. However, HH compliance among healthcare workers has been very low in Rwanda, with average compliance of<40%. There was no nationwide data related to HH compliance in Rwanda except for a few studies in different institutions on quality improvement. The research aimed to assess the hand hygiene knowledge level and compliance among the health care providers at Kirehe District Hospital. MethodsA cross-sectional study was conducted among 29 healthcare workers (20 nurses/midwives and 9 doctors) working at the maternity unit at Kirehe District Hospital in Rwanda. Knowledge was assessed using the WHO HH questionnaire. ResultsThe overall knowledge score was 77.5%, and 44% of participants had moderate HH knowledge. Gloves were 98% available and accessible to health professionals. The hand rub was available in 52%, mostly used by doctors who carried it in their pockets (40.6). The availability of soap and water was 45% and 29%, respectively. A binomial test was done to see if there was any factor that was associated with HH knowledge; it was found that there was no statistically significant association between knowledge and demographics. ConclusionThe findings of this study showed that most healthcare workers had good knowledge of HH. Healthcare workers were observed putting on gloves without washing their hands between patients during rounds. The HH infrastructure was poorly located, with limited supplies, and there were no hand-washing facilities in some rooms.

Knowledge, Attitudes, and Practice of Hand Hygiene among HCWs at KSAMC in Madinah City, Saudi Arabia

Knowledge, Attitudes, and Practice of Hand Hygiene among HCWs at KSAMC in Madinah City, Saudi Arabia

Assessment of Knowledge, Attitude and Practice of Healthcare Workers about Hand Hygiene

Aims: The purpose of this study was to assess the knowledge, attitude and practice of healthcare workers about hand hygiene.&#x0D; Study Design: A cross sectional study was used.&#x0D; Place and Duration of Study: Memon Medical Institute Hospital, a tertiary care private hospital Karachi, Pakistan from November 2021 to December 2021.&#x0D; Methodology: Non-random convenience sampling method was used in this study.&#x0D; Results: Most participants have an acceptable level of knowledge of hand hygiene. The highest scores were in the infection control domain and the lowest scores defined the hand hygiene domain. Multivariate analysis showed that work experience and previous education were the most important predictors of participants' knowledge of hand hygiene.&#x0D; Conclusion: Hand hygiene is the simplest yet effective way to stop the spread of germs/microbes non-invasive independent predictors for screening esophageal varices may reduce medical as well as financial burden, hence improving the management of cirrhotic patients. These predictors, however, need further work to validate reliability.

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.