Hand Disinfection ; standards ; Hand Hygiene ; methods ; Humans ; Infection Control ; methods

PURPOSE: The purpose of this study was to identify the knowledge, perception and hand hygiene performance rate of hospital nurses and to identify any correlation between them.METHOD: Data were collected from 205 nurses working in a university hospital in Chungcheong-do. A self-report survey method was utilized. Participants completed the hand hygiene knowledge questionnaire.RESULTS: The average knowledge of hand hygiene was 11.76 (out of 18 points), and the average perception of hand hygiene was 35.55 (out of 96). The hand hygiene performance rate was 85.62%. Knowledge of hand hygiene showed significant differences according to age (F = 75.821, p < .001), gender (t = 25.049, p < .001) and working period (F = 24.843, p < .001). The most important explanatory factor in hand hygiene performance was hand hygiene perception (β= .26), followed by working period (β= .14). These variables accounted for 10.0% of subjects' hand hygiene performance.CONCLUSION: The results of this study suggest that continuous and effective education is needed to strengthen knowledge and perception of the importance of hand hygiene practice for nurses to prevent healthcare-associated infections.
Cross Infection ; Education ; Hand Hygiene ; Hand ; Methods ; Surveys and Questionnaires

PURPOSE: This study was conducted to test the effect of a scenario based hand hygiene education program on hand hygiene knowledge, hand hygiene perception, hand hygiene compliance and hand hygiene method in nursing students. METHODS: A non-equivalent control group, non-synchronized quasi-experimental design was used. Forty five nursing students participated in the study with 22 in the experimental group and 23 in the control group. Data were analyzed using descriptive statistics, χ2-test, t-test, and repeated measures of ANOVA. RESULTS: There were significant increases in hand hygiene knowledge (t=-4.28, p<.001) and accuracy of the hand hygiene method by week (F=7.33, p<.001). However, hand hygiene perception (t=-1.67, p=.102) and hand hygiene compliance rate (F=7.33, p=.405) were not significantly changed. CONCLUSION: The effects of the scenario based hand hygiene education program provided in this study were excellent, compared to the other hand hygiene education programs. Moreover, as a result of investigating the education effects through direct observation for 4 weeks, appropriate feedback was offered in the third week, and it was found that maintaining the effect was necessary. However, the current status of hand hygiene compliance and accuracy of methods for ensuring hand hygiene need to be studied further.
Compliance* ; Education* ; Hand Hygiene* ; Hand* ; Humans ; Methods* ; Nursing* ; Students, Nursing*

The purpose of this study was to compare the task elements categorized into required and additional man power's implemental between present and future-oriented duties of school nutrition teachers. The survey consisted of five duties, 27 tasks, 93 task elements, and 270 work details in the task elements of school nutrition teachers. A pilot-test was first conducted on nutrition teachers to confirm the survey contents, and then a main survey was performed on 240 school nutrition teachers, using a self-administrated online method, from July 16 to September 5, 2016. To compare present and future-oriented tasks, frequency analyses were conducted. Work details in the task elements were categorized into ‘required’ and ‘additional man power's implemental’, depending on school nutrition teachers' responses, based on a 50% cut-off percentage. The results showed that 13 work details among 60 work details (21.7%) in the ‘Duty C. Safety and hygiene management of school foodservice’, and 15 work details out of 106 work details (14.2%) in ‘Duty B. Foodservice management practices’ were identified as additional man power's implemental in future oriented duties. As to ‘Duty A. Nutrition management’, only three work details among 55 work details (5.5%) were identified as additional man power's implemental. On the other hand, all work details in ‘Duty D. Nutrition·diet education and counseling and ‘Duty E. Reinforce professionalism’ were identified as “required” as school nutrition teachers' duties. These findings imply that school nutrition teachers perceive nutrition management and education as their primary duties to the fulfill school foodservice' mission of promoting students' health and fostering students' dietary behaviors. The study offers practical and governmental implications, which can encourage school nutrition teachers to perform their primary duties.
Counseling ; Education ; Foster Home Care ; Hand ; Humans ; Hygiene ; Methods

PURPOSE: The purpose of this study was to compare the effect of alcohol gel according to the amount and drying time in health personnel hand hygiene and to promote in their practice adequate and effective hand hygiene. METHODS: The cross-over experimental study was performed with 14 volunteers. Hands were artificially contaminated with 5 mL of 10(8) CFU/mL of Serratia marcescens (ATCC 14756) and four different alcohol gel hand hygiene methods varying by the amount of alcohol gel (2 mL vs. 1 mL) and drying time (complete vs. incomplete) were compared. Samples were collected by glove juice sampling procedures. RESULTS: Mean log reduction values of the four different hand hygiene methods were 2.22+/-0.36, 1.26+/-0.53, 1.49+/-0.60, 0.89+/-0.47 respectively for the 4 groups: adequate amount (2mL) and complete dry (30 seconds rubbing followed by 2 min air-dry), inadequate amount (1 mL) and complete dry, adequate amount and incomplete dry (15 seconds rubbing and no air-dry), and inadequate amount and incomplete dry. The difference was statistically significant in the adequate amount and complete dry group compared to other three groups (p<.001). CONCLUSION: Only alcohol gel hand hygiene with adequate amount and complete drying was satisfactory by U.S. FDA-TFM efficacy requirements for antiseptic hand hygiene products.
Adolescent ; Adult ; Anti-Infective Agents, Local/*pharmacology ; Cross-Over Studies ; Ethanol/chemistry/*pharmacology ; Gels/*chemistry ; Hand Hygiene/*methods ; Humans ; Middle Aged ; Serratia marcescens/*drug effects ; Time Factors ; Young Adult

Since its emergence in December 2019, corona virus disease 2019 (COVID-19) has impacted several countries, affecting more than 90 thousand patients and making it a global public threat. The routes of transmission are direct contact, and droplet and possible aerosol transmissions. Due to the unique nature of dentistry, most dental procedures generate significant amounts of droplets and aerosols, posing potential risks of infection transmission. Understanding the significance of aerosol transmission and its implications in dentistry can facilitate the identification and correction of negligence in daily dental practice. In addition to the standard precautions, some special precautions that should be implemented during an outbreak have been raised in this review.
Aerosols ; Betacoronavirus ; Coronavirus Infections ; prevention & control ; transmission ; Cross Infection ; prevention & control ; Dentistry ; Hand Hygiene ; Humans ; Infection Control ; methods ; Pandemics ; prevention & control ; Personal Protective Equipment ; Pneumonia, Viral ; prevention & control ; transmission

INTRODUCTIONThe present study aimed to determine the impact of an extended infection control training programme, which was conducted for all interns posted to the Department of Paediatrics, on the incidence of paediatric intensive care unit (PICU)-acquired bloodstream infections (BSIs) in University Malaya Medical Centre, Malaysia.

METHODSThe development of nosocomial BSIs during the baseline period (1 January-31 October 2008) and intervention period (1 November-31 December 2009) was monitored. During the intervention period, all paediatric interns underwent training in hand hygiene and aseptic techniques for accessing vascular catheters.

RESULTSA total of 25 patients had PICU-acquired BSIs during the baseline period, while 18 patients had PICU-acquired BSIs during the intervention period (i.e. infection rate of 88 per 1,000 and 41 per 1,000 admissions, respectively). The infections were related to central venous catheters (CVCs) in 22 of the 25 patients who had PICU-acquired BSIs during the baseline period and 11 of the 18 patients who had PICU-acquired BSIs during the intervention period. Thus, the incidence rates of catheter-related BSIs were 25.2 per 1,000 CVC-days and 9.3 per 1,000 CVC-days, respectively (p < 0.05). The Paediatric Risk of Standardised Mortality III score was an independent risk factor for PICU-acquired BSIs and the intervention significantly reduced this risk.

CONCLUSIONThe education of medical interns on infection control, a relatively low-cost intervention, resulted in a substantial reduction in the incidence of PICU-acquired BSIs.

Catheter-Related Infections ; prevention & control ; Catheterization, Central Venous ; adverse effects ; Catheters, Indwelling ; adverse effects ; Central Venous Catheters ; adverse effects ; Child, Preschool ; Cross Infection ; prevention & control ; Female ; Hand Hygiene ; Humans ; Infant ; Infection Control ; methods ; Intensive Care Units, Pediatric ; Internship and Residency ; Malaysia ; Male ; Pediatrics ; education ; Proportional Hazards Models