HAND HYGIENE AS A GUARANTEE OF TREATMENT SAFETY: CURRENT STATE OF THE PROBLEM AND PROSPECTS OF EDUCATIONAL ACTIVITY

Authors

DOI:

https://doi.org/10.11603/1681-2786.2021.2.12136

Keywords:

nosocomial infections, hand hygiene, medical personnel, education

Abstract

Purpose: to analyze the current state of the problem of prevention of nosocomial infections and determine the importance of good hand hygiene by medical staff. Justify the feasibility of modernizing curricula to understand the importance of learning practical skills for hand hygiene.

Materials and Methods. We have used bibliographic and information-analytical methods in the study. Scientific and regulatory bases are information and working documents of the WHO and the WHO European Regional Office, current orders and instructions of the Ministry of Health of Ukraine, electronic database of medical and biological publications PubMed.

Results. Nosocomial infections occur in 5–10 % of hospitalized patients in developed countries and in 20% of patients in countries with low living standards. Infections have different effects on patients, and are not limited to prolonged hospital stays, and can cause pneumonia and death. Nosocomial infections increase financial costs for patients and healthcare facilities. These infections are difficult to treat with antibiotics, increasing resistance to many antibacterial agents, especially in the presence of gram-negative microflora. Proper hand hygiene of healthcare professionals can significantly reduce the transmission of bacterial pathogens, and the widespread implementation of training programs increases the commitment to proper hand hygiene in health care facilities by 40–50 %

Conclusions. Nosocomial infections are a global problem in modern medicine and a key factor in its spread is the hands of medical staff. These infections are difficult to treat with antibiotics, respectively, increasing resistance to most antibacterial agents. Proper hand hygiene among healthcare professionals can significantly reduce the transmission of bacterial organisms. Increasing the commitment of medical staff to ensure hand hygiene can be achieved by modernizing educational programs, lectures, workshops and training for students.

Author Biographies

V. V. Vashchuk, Danylo Halytsky Lviv National Medical University, Lviv, Ukraine

PhD (Medicine), Associate Professor of the Department of General Surgery, Danylo Halytsky Lviv National Medical University

T. P. Kyryk, Danylo Halytsky Lviv National Medical University, Lviv, Ukraine

PhD (Medicine), Associate Professor of the Department of General Surgery, Danylo Halytsky Lviv National Medical University

H. I. Herych, Municipal non-profit enterprise «Lviv Municipal Emergency Hospital», Lviv, Ukraine

Head of the First surgical department of the Municipal non-profit enterprise "Lviv's Municipal Emergency Hospital"

M. I. Kushnirchuk, Danylo Halytsky Lviv National Medical University, Lviv, Ukraine

PhD (Medicine), Associate of the Department of General Surgery, Danylo Halytsky Lviv National Medical University

References

(2008). MOZ Ukrainy Nakaz vid 04.04.2008 r. № 181 Pro zatverdzhennia metodychnykh rekomendatsii «Epidemiolohich¬nyi nahliad za infektsiyamy oblasti khirurhichnych vtruchan ta yikh profilaktyka» [MHC of Ukraine Order from 04.04.2008 No. 181 On approved of geudelunce "Epidemioloh gical interventions and their prevention"] [in Ukrainian].

(2010). MOZ Ukrainy Nakaz vid 21.09.2010 r. № 798 «Pro zatverdzhennia metodychnykh rekomendatsii «Khirurhichna ta hihiienichna obrobka ruk medychnoho personalu» [Ministry of Health of Ukraine Order from 21.09.2010 No. 798 On approval of guidelines "Surgical and hygienic treatment of hands of medical staff"] [in Ukrainian].

Salmanov, A.H. (2011). Optymizatsiya zabezpechennya hihiyeny ruk medychnoho personalu khirurhichnoho statsionaru [Optimization of hand hygiene medical personnel surgical depertment]. Ukrayinskyy medychnyy chasopys – Ukrainian Medical Journal, 2(82), 85-91 [in Ukrainian].

Musu, M., Lai, A., Mereu, N.M., Galletta, M., Campagna, & Coppola, R.C. (2017). Assessing hand hygiene compliance among healthcare workers in six Intensive Care Units. Journal of Preventive Medicine and Hygiene, 58(3), 231-237.

Luangasanatip, N., Hongsuwan, M., Limmathurotsakul, D., Lubell, Y., Lee, A.S., & Cooper, B.S. (2015). Comparative efficacy of interventions to promote hand hygiene in hospital: systematic review and network meta-analysis. BMJ (Clinical research ed.), 351, 3728. https://doi.org/10.1136/bmj.h3728.

Vikke, H.S., Vittinghus, S., Giebner, M., Kolmos, H. J., Smith, K., Castrén, M., & Lindström, V. (2019). Compliance with hand hygiene in emergency medical services: an international observational study. Emergency Medicine Journal : EMJ, 36(3), 171-175. https://doi.org/10.1136/emermed-2018-207872.

Core competencies for infection prevention and control professionals (2020). Geneva: World Health Organization; Licence: CC BY-NC-SA 3.0 IGO.

Hamadah, R., Kharraz, R., Alshanqity, A., AlFawaz, D., Eshaq, A. M., & Abu-Zaid, A. (2015). Hand Hygiene: Knowledge and Attitudes of Fourth-Year Clerkship Medical Students at Alfaisal University, College of Medicine, Riyadh, Saudi Arabia. Cureus, 7(8), 310. https://doi.org/10.7759/cureus.310.

Wałaszek, M., Kołpa, M., Różańska, A., Jagiencarz-Starzec, B., & Wolak, Z. (2020). Hospital knowledge and practice of doctors and nurses regarding hand hygiene in a survey. Przeglad Epidemiologiczny, 74(1), 119-132. https://doi.org/10.32394/pe.74.09.

Gould, D.J., Moralejo, D., Drey, N., Chudleigh, J.H., & Taljaard, M. (2017). Interventions to improve hand hygiene compliance in patient care. The Cochrane database of Systematic Reviews, 9(9), CD005186. https://doi.org/10.1002/14651858.CD005186.pub4.

Brosio, F., Kuhdari, P., Stefanati, A., Sulcaj, N., Lupi, S., Guidi, E., Bergamini, M., & Gabutti, G. (2017). Knowledge and behaviour of nursing students on the prevention of healthcare associated infections. Journal of Preventive Medicine and Hygiene, 58(2), 99-104.

WHO Global Hand Hygiene Campaign 5 May 2019 – Focus on UHC // https://www.who.int/infectionprevention/campaigns/cleanhands/5may2019/en/

Published

2021-09-22

How to Cite

Vashchuk, V. V., Kyryk, T. P., Herych, H. I., & Kushnirchuk, M. I. (2021). HAND HYGIENE AS A GUARANTEE OF TREATMENT SAFETY: CURRENT STATE OF THE PROBLEM AND PROSPECTS OF EDUCATIONAL ACTIVITY. Bulletin of Social Hygiene and Health Protection Organization of Ukraine, (2), 57–61. https://doi.org/10.11603/1681-2786.2021.2.12136

Issue

Section

Medical personnel training