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American Journal of Public Health Research. 2019, 7(6), 203-208
DOI: 10.12691/AJPHR-7-6-3
Original Research

Knowledge and Practice of Hand Hygiene among Patients’ Relatives in Jos University Teaching Hospital (JUTH) Jos-Nigeria

Olaniru B Olumide1, Nedolisa Angela C2, Song Elisha3, Alla O Joel3, Oyero Steve K4, Obeta M Uchejeso5, , Michael E Paul2, Isiguzoro Ikechukwu OU1, Fiyaktu Yakubu Bwotle1, Ntuhun Bala Dennis3, Iheanacho U Charity3, Caroline Andrew1, Jugu P Kizito4, Zingdam Nanfa4, Kwanem Tracy2 and Mwanse Y Sarah2

1Department of Chemical Pathology, Jos University Teaching Hospital, Jos-Nigeria

2Department of Medical Microbiology, Jos University Teaching Hospital, Jos-Nigeria

3Department of Haematology and Blood Group Serology, Jos University Teaching Hospital, Jos-Nigeria

4Department of Histopathology, Jos University Teaching Hospital, Jos-Nigeria

5Department of Chemical Pathology, Federal School of Medical Laboratory Science, Jos-Nigeria

Pub. Date: December 22, 2019

Cite this paper

Olaniru B Olumide, Nedolisa Angela C, Song Elisha, Alla O Joel, Oyero Steve K, Obeta M Uchejeso, Michael E Paul, Isiguzoro Ikechukwu OU, Fiyaktu Yakubu Bwotle, Ntuhun Bala Dennis, Iheanacho U Charity, Caroline Andrew, Jugu P Kizito, Zingdam Nanfa, Kwanem Tracy and Mwanse Y Sarah. Knowledge and Practice of Hand Hygiene among Patients’ Relatives in Jos University Teaching Hospital (JUTH) Jos-Nigeria. American Journal of Public Health Research. 2019; 7(6):203-208. doi: 10.12691/AJPHR-7-6-3

Abstract

Background: Healthcare associated infections (HAIs) are drawing increasing attention from patients, care-givers, government and regulatory bodies. This is not only because of the problem in terms of the associated morbidity, mortality and cost of treatment but also due to the growing recognition that most of these are preventable. Justification: The medical community is witnessing an unprecedented advancement of infections transmission. There is now undisputed evidence that strict adherence to hand hygiene reduces the potential risk of cross-transmission of infection among patients to their relations and even to the medical practitioners. Aim and objectives: The study creates awareness among patients and relatives towards reducing cross infection in tertiary hospital in Jos. Methodology: The study used a survey method to assess the patients’ relations in Jos University teaching Hospital (JUTH) using 345 volunteers. Responses on 12 variables were assessed and analyzed using SPSS 21. Result: 162 (47.o %) males and 183 (53.0%) female relatives participated. 234 (67.2%) of the patients relative are from the age of 40 years and below. 200 (58.0%) participants are urban dwellers, 140 (40.6%) rural dwellers and only 5 (1.4%) did not indicate their location. Educational background shows that 18 (5.2%) of patient’s relations are illiterate, 34 (9.9%) attended at least primary school while 116 (33.6%) have attended secondary school level and about 177 (51.3%) have attended up to tertiary education. Knowledge of Hospital acquired infections gave 284 (82.3%) Yes and 61 (17.7%) had not heard of HAIs. On the knowledge of pathogens transmission 296 (85.8%) said Yes and (13.6%) had no knowledge of it. On the knowledge of hand hygiene, 297 (86.1%) were aware and 48 (13.9%) did not. Before leaving the Hospital, 110 (31.9%) do wash hands, 235 (68.1%) do not wash their hands. After leaving the hospital, 95 (22.9%) do wash hand always, 182 (52.8%) sometimes and 68 (19.7%) do not care about washing hands. Patient relations washed their hands, 107 (31.0%) using water only, 210 (60.9%) used soap and water, 10 (2.9%) used ashes and water and 18 (5.2%) used sanitizer. Unfortunately, 17 (4.9%) do not have time to wash hands, to 11 (3.2%) washing hands was not necessary, 57 (16.5%) did forget and 45 (13.0%) hands always look clean but 119 (34.5%) do not have provisions for hand hygiene. Conclusion: The study supports the agenda of the world health organization (WHO) on patient and their relations safety programs, it is high time that developing countries including Nigeria formulated the much-needed policies for implementation of basic infection prevention practices in healthcare set-ups such as hand hygiene policy starting from Jos University Teaching Hospital.

Keywords

infection, transmission, hand hygiene, healthcare associated infections, Jos-Nigeria

Copyright

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References

[1]  Pittet D, Hugonnet S, Harbarth S, Mourouga P, Sauvan V, Touveneau S, Perneger T. (2000), Effectiveness of hospital-wide programme to improve compliance with handhygiene. Lancet, 356: 1307-12.
 
[2]  Scheithauer S, Batzer B, Dangel M, Passweg J, Widner A. (2017); Workload even affects hand hygiene in highly trained and well-staff setting: A prospective 365/7/24 observational study. J Hosp Infect, 97:11-6
 
[3]  Bloomfield F, Asello A, O’boye E, Larson E. (2007). The effectiveness of hand hygiene procedures in reducing the risks of the infections, in home and community setting including hand washing and alcohol-based sanitizers. Am J infect control 10: 27-64
 
[4]  Anderson DJ, Cummings KL, & Kaye KS. (2010). Hand Hygiene Noncompliance and the Cost of Hospital‐Acquired Methicillin‐Resistant Staphylococcus aureus Infection. Infection Control and Hospital Epidemiology, Vol. 31, No. 4 (April 2010), pp. 357-364
 
[5]  WHO (2009). WHO Guidelines on hand hygiene in health care. First Global patient safetychallenge clean care is safer care. Geneva. WHO; 2009.P.30-156
 
[6]  Sax H, Allegranzi B, Uc¸kay I, Larson E, Boyce J Pittet D (2007) ‘My five moments for hand hygiene’: a user-centred design approach to understand, train, monitor and report hand hygiene. Journal of Hospital Infection. 67, 9-21.
 
[7]  Kampf Gu¨nter & Axel Kramer (2004). Epidemiologic Background of Hand Hygiene andEvaluation of the Most Important Agents for Scrubs and Rubs. Clinical Microbiology Reviews, Oct. 2004, p. 863–893 Vol. 17, No. 4.
 
[8]  Mathai E., Allegranzi B., Kilpaatric C., Pitet D. (2010). Prevention and control of healthcare-associated infections through improved hand hygiene.Indian J med microbial 28: 6-100.
 
[9]  Huis Anita, Theo van Achterberg, Marijn de Bruin, Richard Grol, Lisette Schoonhoven & Marlies Hulscher (2012). A systematic review of hand hygiene improvement strategies: a behavioural approach. Implementation Science 2012 7: 92.
 
[10]  Bello S., Emmanuei EE., Enembe FO., Olabisi AO. (2013). Hand washing practice among health care providers in a teaching hospital in Southern Nigeria.Int. J infect control, 9: 32-4.
 
[11]  Erasmus V., Daha T., Brug H., Richardus J. Systematic review of studies in compliance with hand hygiene Guidelines in Hospital care. Infect control hospital epid 2010; 31: 283-94.
 
[12]  Uneke JC, Ndukwe DC, Oyibo GP, Nwakpu KO, Nnabu RC, Nittita PP. (2014). Promotion of hand hygiene strengthening initiative in a Nigerian teaching hospital: implication for improved patient safety in low-income health facilities. Braz J Infect dis .2014; 18(1): 21-27.
 
[13]  Abdulraheem IS, Amodu MO, Saka MJ, Bolarinwa OA, Uthman MMB. (2012). Knowledge, Awareness and compliance with standard precautions among health worker in North Eastern Nigeria. J Comm med Health Education 2012; 2: 131.
 
[14]  Kingston LM., Slevin BL., O’connell NH., Dunne CP. (2017); Attitudes and practices of Irish hospital-based physician towards hand hygiene and hand rubbing using alcohol-base hand rub: A comparison between 2007 and 2015. J hospital Infect, 97: 17-25.
 
[15]  Sreejith SN, Ramesh H, Shashidhar GH, Mohammed AS, & Pooja R. (2014). Knowledge, Attitude, and Practice of Hand Hygiene among Medical and Nursing Students at a Tertiary Health Care Centre in Raichur, India. ISRN Preventive Medicine Volume 2014, Article ID 608927, 4 pages.
 
[16]  Li, Yunxia Yaohong Liu, Li Zeng, Chong Chen, Dan Mo, Sue Yuan. Knowledge and practice of hand hygiene among hospitalised patients in a tertiary general hospital in China and their attitudes: a cross sectional survey. BMJ Open 2019; 9: e027736.
 
[17]  Wu KS, Lee SS, Chen JK, Tsai HC, Li CH, Chao HL, Chou HC, Chen YJ, Ke CM, Huang YH, Sy CL, Tseng TY, Chen YS. (2013). Hand hygiene among patients: Attitudes, perceptions, and willingness to participate. American Journal of Infection Control.
 
[18]  Katherine Ellingson, Janet P Haas, Allison E Aiello, Linda Kusek, Lisa L Maragakis, Russell N Olmsted, Eli Perencevich, Philip M Polgreen, Marin L Schweizer, Polly Trexler, Margaret VanAmringe, Deborah S Yokoe (2014). Strategies to Prevent Healthcare-Associated Infections through Hand Hygiene. Infection Control and Hospital Epidemiology, Vol. 35, No. 8.
 
[19]  WHO (2010). Guide to implementation of the WHO multimodal hand hygiene improvement strategy. http://www.who.int/patientsafety/en/.
 
[20]  Oyeomoro U, Ukegbu A, Emelumadu O, Kanu O. (2011). Hand washing among health care providers in a tertiary hospital in South East Nigeria. J Epid Comm health, 65:470-1.