Year : 2013 | Volume : 1 | Issue : 2 | Page : 41 - 43  

Original Articles
Assessment of hand hygiene levels among health care settings of a coastal city in Andhra Pradesh
  1. Samara Simha Reddy1, V.V.Durga Prasad2, S. K. Mishra3, M. Amarnath4, Somuvenkatesh.5

1&2PG student, 3Prof. & HOD of Community Medicine, GSL Medical College, Rajahmundry. 4Professor of Community Medicine, Pinnamalai Siddhartha Institute of Medical Sciences & Research Foundation, Vijayawada. 5MBBS Scholar, GSL Medical College, Rajahmundry.


Background: it is known that hand hygiene practice among medical and paramedical play an important role in preventing the transmission of infections. Magnitude of Health Care Associated Infection is very high in developing countries like India due to the numerous factors like under staffing, poor hygiene, lack of basic equipment, inadequate structures and overcrowding. Improved compliance with hand washing was associated with a significant use in overall rate of nosocomial and respiratory infections in particular. Although guidelines for hand hygiene practice among health care settings are present non compliance remains a major problem among these hospitals. Due to the paucity of studies on hand hygiene practices particularly in this area the present study was undertaken.

Objectives: To assess the hand hygiene level among different hospitals in a coastal city of Andhra Pradesh.

Methods: This is a descriptive cross-sectional study done among the health care settings of the coastal city. WHO hand hygiene self assessment framework, 2010 is used as a study tool. There are seventy two listed hospitals in the city and among them every second hospital is selected for the study. Data was collected from these hospitals after taking consent from the hospital authorities. The data was entered in MS EXCEL 2007 and the results are expressed in percentages and proportions.

Results: Among the health care setting selected in our study 7% are government hospitals, 93% are private hospitals. After assessing the hand hygiene level 64% hospitals have basic hand hygiene level, 36 % hospitals have intermediate hand hygiene level.

Conclusion: No hospitals in the current study have neither inadequate nor advanced hand hygiene level. There is much scope for the improvement of both hand hygiene levels and practices among health care settings and health workers respectively with the given recommendations

Key-words: Hand hygiene levels, health care settings, hand hygiene practices

Corresponding Author Dr. N. Samara Simha Reddy, PG Student, Dept. of Community Medicine, GSL Medical college, NH 5, Laxmipuram, Rajahmundry, 533296.



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