Hand washing practices amongst medical students in Port Harcourt, Nigeria
Keywords:
Hand washing practices, medical students, Port HarcourtAbstract
Background: Hand washing with soap and water is one of the most effective and inexpensive means of preventing infections. Rates of hand washing are low worldwide even amongst health care workers who are should know about its importance. The aim of the study was to evaluate the knowledge, attitudes and hand washing practices both in and outside the hospital amongst medical students in Port Harcourt.
Method: This was a descriptive cross sectional survey carried out amongst randomly selected fourth to sixth year medical students of the University of Port Harcourt. A simple questionnaire exploring perceptions, attitudes and self-reported behavior was used. Information obtained included biodata, awareness information and practice. Data were analyzed using descriptive statistics.
Results: Two hundred and sixty one students participated in the study with a M: F of 1.5:1. Diarrhea diseases were most commonly recognised as being associated with contaminated hands. 37.6% washed their hands regularly after interacting with their patients while 33.9% did so only after the days work. 58.3% and 58.9% washed hands before meals and after defecating respectively. Use of soap was generally low. The greatest motivation for hand washing was fear of contracting disease, whilst constraints included lack of soap, forgetfulness and inconveniently located sinks.
Conclusion: Hand washing rates are low amongst medical students in Port Harcourt. There is need for regular education and re-education.
References
Loria F, Kaufmann RB, Kay D, Enanoria W, Haller L, dan Colford JMC. Water, sanitation and hygiene interventions to reduce diarrhea in less developed countries: a systematic review and meta analysis. The Lancet 2005; 5: 42-52
Curtis V, Cairncross S. Effect of washing hands with soap on diarrhea risk in the community: A systematic review. The Lancet infectious diseases 2003; 3: 275-281
Planners guide for global hand washing. http://www.global hand washing day.org.
arvis WR. Handwashing the Semmelweis lesson forgotten? The Lancet 1994: 344: 1311 1312.
Teare L, Cookson B, French G, Gould D, Jenner E, McCollough J, et al (Hand Washing liason group). Hand washing modest measure- big effects. BMJ 1999; 318 : 686
Larson EL. APIC guidelines for handwashing and hand antisepsis in healthcare settings. Am J infection control 1995; 23: 251-259
Gould D. Can ward-based learning improve infection control? Nursing times. 1996; 92: 42-43
Weese J, Johnson JA. Food safety: it's in your hands. Alabama A and M and Aurburn Universities. http://www.aces.edu/pubs/docs/H/HE-0610.pdf. Accessed September 6, 2010
Kazuhiro U, Yukiko Y, Nanae M, Kimiko M, Miyuki Y, Tamiyo O, Miyoko T, Tomoko T. Effective hand-washing with non-medicated soap for removing bacteria. Journal of Japanese Society of Nursing Research 2003; 26: 59-66
Tibballs J. Teaching hospital medical staff to hand wash. Med Austral. 1996; 164: 395-398
Pittet D, Simon A, Hugonnet S, Pessoa-Silva C.L, Sauvan V. Hand Hygiene among Physicians: Performance, Beliefs, and Perceptions. Annals ofInternal Medicine 2004; 141:1-8
Doebbeling BN, Stanley GL, Sheertz CT, Pfaller MA Houston AK, Annis L, Li N, Wenzel RP. Comparative efficacy of alternative hand-washing agents in reducing nosocomial infections in intensive care units. N Engl J Med. 1992;327:88-93.
Global Hand Washing Day Planners Guide. Second edition. http://www.globalhandwashingday.org Accessed September 6, 2010
Blackmore MA. Hand drying methods. Nursing Times 1987; 83: 71-74
Gould D. Making sense of hand hygiene. Nursing Times 1994; 90: 63-64
Horton R. Handwashing: the fundamental infection control principle. Br J Nurs. 1995; 4: 926-33
Lyle H. The situation in hand. Nursing Times 1997; 93: 76-78
Kerr J. Hand washing. Nursing Standard 1998; 12: 35 -42.
Samuel R, Almedom AM, Hagos G, Albin S, Mutungi A. Promotion of handwashing as a measure of quality of care and prevention of hospital- acquired infections in Eritrea: The Keren study. Afr Health Sci. 2005; 5: 413.
Scott B, Curtis V, Rabie T. Garbrah- Aidoo N. Health in our hands, but not in our heads: understanding hygiene motivation in Ghana. Health Policy Plan 2007; 22: 225-3321.Larson E, Kretzer EK. Compliance with handwashing and barrier precautions. J Hosp Infect 1995;30: 88-106
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