Veterinarians’ Perception, Knowledge and Practices of Hand Hygiene in Enugu State Southeast, Nigeria
A cross-sectional survey utilizing questionnaire assessed veterinarians’ awareness, attitudes and practices of hand hygiene (HH) in Enugu State Southeastern Nigeria. Data obtained were analyzed using chi-square on SPSS (version 15.0) at a significance level of P < 0.05 to determine possible associations between variables and perceptions/knowledge about HH. Out of 294 respondents, 26.9% were familiar with the WHO’s “5 moments of HH” model but majority knew the importance of the model. There was high compliance with HH after touching an animal (100%) and animal’s surrounding (96%), and contact with body fluid (100%) but HH before touching an animal (52.5%) and performing clean procedures (58.5%) were practiced sub-optimally. Majority of the respondents often forgets to perform HH (61.9%) and prioritizes clinical tasks to HH when busy (65%). The attitudes/practices towards HH were generally negative. Minority knew that unclean veterinary personnel’s hands are the main route of infection in the veterinary clinic (38.1%) and alcohol-based hand rubs are more effective on pathogens than other cleansing agents (23.1%). Majority of the respondents does not know when different HH techniques ought to be performed. The overall knowledge of HH by the respondents was moderate (55.4%). No significant association (P > 0.05) was found between level of knowledge and gender, age, qualification, duration of practice and location. Poor knowledge of HH guidelines, unavailability and inaccessibility of HH facilities, and unavailability of reminders were the major barriers to compliance with appropriate HH practices. In conclusion, veterinarians’ awareness and perception about HH in the study area is moderate while the practices are sub-optimal, thus the education of Nigerian veterinarians about HH and the teaching of the principles and practices of appropriate HH during veterinary schools are recommended.
Allegranzi B, Bagheri NS, Combescure C, Graafmans W, Attar H, Donaldson L, Pittet D (2011). Burden of endemic health-care-associated infection in developing countries: systematic review and meta-analysis. Lancet 377(9761):228-241.
Anderson MEC (2015). Contact precautions and hand hygiene in veterinary clinics. Veterinary Clinics of North America: Small Animal Practice 45(2):343-360.
Anderson MEC, Sargeant JM, Wesse JS (2014). Video observation of hand hygiene practices during routine companion animal appointments and the effect of a poster intervention on hand hygiene compliance. BMC Veterinary Research 10(1):106.
Anderson MEC, Weese JS (2016). Self-reported hand hygiene perceptions and barriers among companion animal veterinary clinic personnel in Ontario, Canada. Canadian Veterinary Journal 57(3):282-288.
Bahal A, Karamchandani D, Fraie AP, McLaws M-L (2007). Hand hygiene compliance: universally better post- contact than pre-contact in healthcare workers in UK and Australia. British Journal of Infection Control 8(1):24-28.
Bergström K, Grönlund U (2014). A pre- and post-intervention study of infection control in equine hospitals in Sweden. Acta Veterinaria Scandinavica 56(1):52.
Bouwera M, Labuschagnea S, Spamera S, Vermaaka C, Zietsmana L-M, Steynb D, Joubert G (2017). Knowledge of final-year medical students at the University of the Free State of hand hygiene as a basic infection control measure. South African Family Practice 1(1):1-5.
Boyce JM, Pittet D (2002). Healthcare infection control practices advisory committee, HICPAC SHEA APIC IDSA hand hygiene task force. 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. American Journal of Infection Control 30:S1-S46.
Centre for Disease Control (2002). Guideline for hand hygiene in healthcare settings: recommendations of the healthcare infection control practices advisory committee and the HICPA/SHEA/APIC/IDSA hand hygiene task force. http: //www. cdc.gov/ handhygiene/ providers/guideline.html.
Chavali S, Menon V, Shukla U (2014). Hand hygiene compliance among healthcare workers in an accredited tertiary care hospital. Indian Journal of Critical Care Medicine 18(10):689-693.
Cheng VC, Tai JW, Ho SK, Chan JF, Hung KN, Ho PL, Yuen KY (2011). Introduction of an electronic monitoring system for monitoring compliance with moments 1 and 4 of the WHO "My 5 Moments for Hand Hygiene" methodology. BMC Infectious Diseases 11(1):151.
Diwan V, Gustafsson C, Rosales Klintz S, Joshi SC, Joshi R, Sharma M,… Lundborg CS (2016). Understanding healthcare workers self-reported practices, knowledge and attitude about hand hygiene in a medical setting in rural India. PLoS ONE 11(10):e0163347.
Erasmus V, Daha TJ, Brug H, Richardus JH, Berendht MD, Vos MC, van Beeck ES (2010). Systematic review of studies on compliance with hand hygiene. Infection Control and hospital Epidemiology 31(3):283-294.
FitzGerald G, Moore G, Wilson AP (2013). Hand hygiene after touching patients surroundings: the opportunities most commonly missed. Journal of Hospital Infection 84(1):27-31.
Hinkin J, Curtter J (2014). How do university education and clinical experience influence pre-registration nursing students infection control practice? A descriptive cross sectional survey. Nurse Education Today 34(2):196-201.
Jeong SY, Kim KM (2016). Influencing factors of hand hygiene behavior of nursing students based on theory of planned behavior: A descriptive survey study. Nurse Education Today 36:159-64.
Kampf G, Kramer A (2004). Epidemiologic background of hand hygiene and evaluation of the most important agents for scrubs and rubs. Clinical Microbiology Reviews 17(4):863-893.
Khanal G, Thapa S (2017). Awareness of hand hygiene among health care workers of Chitwan, Nepal. SAGE Open 7(4):2158244017735141.
Kingston LM, O'Connell NH, Dunne CP (2017). Survey of attitudes and practices of Irish nursing students towards hand hygiene, including hand rubbing with alcohol-based hand rub. Nurse Education Today 52:57-62.
Kirk J, Kendall A, Marx JF, Pincock T, Young E, Hughes JM, Landers T (2016). Point of care hand hygiene -where’s the rub? A survey of US and Canadian health care workers’ knowledge, attitudes, and practices. American Journal of Infection Control 44:1095-101.
Ling ML, Apisarnthanarak A, Madriaga G (2015). The burden of healthcare-associated infections in Southeast Asia: A systematic literature review and meta-analysis. Clinical and Infectious Diseases 60(11):1690-1699.
Maheshwari V, Kaore NC, Ramnani VK, Gupta SK, Borle A, Kaushal R (2014). A study to assess knowledge and attitude regarding hand hygiene amongst residents and nursing staff in a tertiary health care setting of Bhopal City. Journal of Clinical and Diagnostic Research 8(8):DC04-DC07.
Mathur P (2011). Hand hygiene: back to the basics of infection control. Indian Journal of Medical Research 134(5):611-620.
McFubara KG, Ogbe DK, Mbooh RT, Nwizia BP, Nasamu UP, Ogori DS (2017). Hand washing among health workers in tertiary health facilities in Bayelsa State, Nigeria. International Journal of Community Medicine and Public Health 4(5):1459-1465.
Morley PS (2013). Evidence-based infection control in clinical practice: If you buy clothes for the emperor, will he wear them? Journal of Veterinary Internal Medicine 27(3):430-438.
Nair SS, Hanumantappa R, Hiremath SG, Siraj MA, Raghunath P (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 http:// dx.doi. org/ 10.1155/2014/608927.
Nakamura RK, Tompkins E, Braasch EL, Martinez Jr. JG, Bianco D (2012). Hand hygiene practices of veterinary support staff in small animal private practice. Journal of Small Animal Practice 53(2):155-160.
Nigerian Population Commission (2007). Federal Republic of Nigeria (NPC/FRN) (2007). Special FRN, Gazette no. 23 on the 2006 population census.
Patrick DR, Findon G, Miller TE (1997). Residual moisture determines the level of touch-contact-associated bacterial transfer following hand washing. Epidemiology and Infection 119(3):319-325.
Pires D, Pittet D (2017). Hand hygiene mantra: teach, monitor, improve, and celebrate. Journal of Hospital Infection 95(4):335-337.
Pittet D (2014). Burden of endemic healthcare-associated infection in Africa. 16th ICID Abstracts/International Journal of Infectious Disease 21:51.
Saito H, Kilpatrick C, Pittet D (2018). The 2018 World Health Organization SAVE LIVES: clean your hands campaign targets sepsis in health care. Intensive Care Medicine 44:499-501.
Salman M, Raza MH, Mustafa ZU, Shrestha S, Ali M, Fahham H, ….Hussain K (2018). Knowledge, attitudes and practices of hand hygiene among Pakistani health professionals: A cross-sectional study. Journal of Infection in Developing Countries 12(1):063-066.
Segun B, Effa EE, Okokon EO, Oduwole OA (2013). Handwashing practice among healthcare providers in a teaching hospital in southern Nigeria. International Journal of Infection Control v9:i4 doi: 10.3396/IJIC.v9i4.031.13 9:i4.
Shea A, Shaw S (2012). Evaluation of an educational campaign to increase hand hygiene at a small animal veterinary teaching hospital. Journal of American Veterinary Medical Association 240(1):61-64.
Shobowale EO, Adegunle B, Onyedibe K (2016). An assessment of hand hygiene practices of healthcare workers of a semi-urban teaching hospital using the five moments of hand hygiene. Nigerian Medical Journal 57(3):150-154.
Stull JW, Weese JS (2015). Hospital-associated infections in small animal practice. Veterinary Clinics of North America: Small Animal Practice 45(2):217-233.
Tartari E, Pires D, Pittet D (2017). Clean your hands 5th May 2017: ‘Fight antibiotic resistance - it’s in your hands’. Antimicrobial Resistance and Infection Control 6:39.
Watson JA (2016). Role of a multimodal educational strategy on health care workers’ handwashing. American Journal of Infection Control 44(4):400-404.
World Health Organization (WHO) (2009). Patient safety. Hand hygiene: why, how and when. Geneva, WHO, 2009. http://who.int/gpsc/5may/Hand_Hygiene_Why_How_and_When_ Brochure.pdf
World Health Organization (WHO) (2017). Global priority list of antibiotic-resistant bacteria to guide research, discovery, and development of new antibiotics. WHO 2017, http://www.who.int/medicines/ publications/WHO-PPL-Short_Summary_25FebET_NM_WHO.pdf.
World Health Organization (WHO) (2017). Save lives: Clean your hands WHO’s global annual campaign advocacy toolkit. http://www.who.int/gpsc/5may_advocacy-toolkit.pdf.
World Medical Association (WMA) (2013). World Medical Association Declaration of Helsinki: Ethical principles for medical research involving human subjects. Journal of American Medical Association 310(20):2191-2194.
Wright JG, Jung S, Holman RC, Marano NN, McQuiston JH (2008). Infection control practices and zoonotic disease risks among veterinarians in the United States. Journal of American Veterinary Medical Association 232(12):1863-1872.
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