Knowledge of Hand Hygiene Practices among Healthcare workers in Neonatal and Paediatric Intensive Care Unit of a tertiary care hospital of Odisha

  • Jasashree Choudhury Department of pediatrics.IMS & SUM Hospital,BBSR
  • Anuspandana Mahapatra


Background:The objective of this study was to assess the knowledge of hand hygiene of healthcare workers  in the neonatal and paediatric intensive care unit in a tertiary care hospital.

Methods : Study was conducted  to assess  the knowledge of hand hygiene for the five moments of hand hygiene of WHO. Healthcare workers   were given a questionnaire during routine patient care on random basis and the data was collected. Data analysis was   performed using SPSS software version 13.

Results : A total of 50 health care workers  were questioned during the observation period. Answers differed by role: nurses (25) and doctors (10).15 nurses have no knowledge of moments of hand hygiene and were excluded from study. Nurses  were more likely to use soap and water compared to waterless-alcohol-based hand hygiene practices. Doctors were most likely to use alcoholic hand rub.

Conclusion : Though knowledge of  hand hygiene practice  is high ,use of alcohol-based disinfectant was found to be very low compared to soap and water. 

Keywords: Hand hygiene, Health care, Soap and water, Alcohol hand rub.


1. Pittet D, Allegranzi B, Sax H, Dharan S, Pessoa-Silva CL, Donaldson L, et al. Evidence-based model for hand transmission during patient care and the role of improved practices. Lancet Infect Dis 2006;6(10):641-52.
2. Jumaa PA. Hand hygiene: Simple and complex. Int J Infect Dis 2005;9:3-14.
3. Center for Disease Control. Guideline for hand hygiene in health-care settings. Recommendations of the healthcare infection control practices advisory committee and the HICPAC/SHEA/APIC/IDSA hand hygiene task force. Society for healthcare epidemiology of America/association for professionals in infection control/infectious diseases society of America. MMWR Recomm Rep 2002;51(16):1-45.
4. Metintas S, Akgun Y, Durmaz G, Kalyoncu C. Prevalence and characteristics of nosocomial infections in a Turkish university hospital. Am J Infect Control 2004;32(7):409-13.
5. World health Organisation. Hand Hygiene Technical Reference Manual: To be used by Health Care Workers, Trainers and Observers of Hand Hygiene Practices. Geneva: World Health Organisation; 2009.
6. Esen S, Leblebicioglu H. Prevalence of nosocomial infections at intensive care units in Turkey: A multicentre 1-day point prevalence study. Scand J Infect Dis 2004;36(2):144-8.
7. Laboratory Centre for Disease Control, Bureau of Infectious Diseases, Health Canada. Hand washing, cleaning, disinfection and sterilization in health care. Can Commun Dis Rep 1998;24 Suppl 8:i-xi, 1-55, i-xi, 1-57.
8. Kouni S, Mougkou K, Kurlaba G, Nteli C, Lourida A, Maroudi-Manta S et al. P130: Assessment of Hand Hygiene Practices at the Two Children’s Hospitals in Greece. Antimicrobial resistance and infection Control, Vol. 2. Supplement 1, Article P130, 2013, Proceedings of the 2nd International Conference on Prevention and Infection Control, Geneva, Switzerland, June; 2013.
9. Helder OK, van Goudoever JB, Hop WC, Brug J, Kornelisse RF. Hand disinfection in a neonatal intensive care unit: Continuous electronic monitoring over a one-year period. BMC Infect Dis 2012;12:248.
10. Karabey S, Ay P, Derbentli S, Nakipoglu Y, Esen F. Handwashing frequencies in an intensive care unit. J Hosp Infect 2002;50(1):36-41.
11. Sacar S, Turgut H, Kaleli I, Cevahir N, Asan A, Sacar M, et al. Poor hospital infection control practice in hand hygiene, glove utilization, and usage of tourniquets. Am J Infect Control 2006;34(9):606-9.
12. Mazi W, Senok AC, Al-Kahldy S, Abdullah D. Implementation of the world health organization hand hygiene improvement strategy in critical care units. Antimicrob Resist Infect Control 2013;2(1):15.
13. Scheithauer S, Oude-Aost J, Heimann K, Haefner H, Schwanz T, Waitschies B, et al. Hand hygiene in pediatric and neonatal intensive care unit patients: Daily opportunities and indication- and profession-specific analyses of compliance. Am J Infect Control 2011;39(9):732-7.
14. van de Mortel T, Murgo M. An examination of covert observation and solution audit as tools to measure the success of hand hygiene interventions. Am J Infect Control 2006;34(3):95-9.
15. Haas JP, Larson EL. Measurement of compliance with hand hygiene. J Hosp Infect 2007;66(1):6-14.
16. Bhumbala U, Ahmad S, Mathur D. Study on microbial contamination of mobile phones and their role in nosocomial infection in a tertiary hospital of South India. Asian J Pharm Clin Res 2016;9(3):1-2.
17. Singh V, Chauhan P, Kanta R. Are we aware how contaminated our mobile phones with pathogenic bacteria. Int J Pharm Pharm Sci 2011;3(4):275-6.
18. Anupriya A, Priyanka N, Snehalaxmi R. Healthcare associated infections and infection control practices in intensive care unit of a tertiary care hospital. Asian J Pharm Clin Res 2016;9(4):399-402.
19. Wadhwa R, Sharma Y, Panday R. Nosocomial infection by non fermenting gram negative bacilli in tertiary care hospital: Screening and care. Int J Pharm Pharm Sci 2016;8(3):274-7.
20. Asare A, Enweronu-Laryea CC, Newman MJ. Hand hygiene practices in a neonatal intensive care unit in Ghana. J Infect Dev Ctries 2009;3(5):352-6.
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How to Cite
Choudhury, J., and A. Mahapatra. “Knowledge of Hand Hygiene Practices Among Healthcare Workers in Neonatal and Paediatric Intensive Care Unit of a Tertiary Care Hospital of Odisha”. Asian Journal of Pharmaceutical and Clinical Research, Vol. 10, no. 4, Apr. 2017, pp. 272-4, doi:10.22159/ajpcr.2017.v10i4.16716.
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