Compliance of surgical hand scrub in operation theatre of teaching hospital, Chitwan

Abstract

Background: Surgical hand scrub is an important practice that forms the base in the prevention and control of surgical site infection. The objective of the study was to evaluate the compliance of surgical hand scrub among surgical team in Operation Theatre of Teaching Hospital, Chitwan. 
 Methods: Descriptive cross-sectional design was used. Data collection instrument (a checklist) was developed based on national and interna­tional standards of surgical hand scrub. Data was collected by observation of surgical team who were scrubbing in the Operation Theatre, Chitwan Medical College before proceeding to surgical procedures. 
 Results: A compliance with the standards for surgical scrub prerequisites (70%), scrub process (81.53%), time of scrub (27%) and overall compli­ance (75.95%) observed. The total score of compliance with the standard was only 13%. The main issues found in the study were not correctly wore surgical cap and mask (44.9%), using of timer/wall clock before starting scrubbing (91.3%), improper follow the continue rotational action down opposing arms working to the elbow for one minute (53.6%) and repeat­ed blotted dry of skin area once it done (30.4%) 
 Conclusions: The results showed there was gap in the surgical hand scrub of the studied hospital and the compliance with the standard can be im­proved by simple surgical hand scrub intervention, periodical observation audit and feedback.

Adherence of surgeons to the World Health Organization recommendations of hand scrubbing in a tertiary care hospital in Peshawar

“…A study in Nepal showed similar adherence rates to various components of the scrubbing protocol as our study with an overall better adherence (17.5%) to WHO's five minute first scrub of the day. 13 Our research revealed that majority of our OT staff was well aware of the WHO recommendations of scrubbing and more than 80% had noticed relevant posters displayed in the operation theatres. Furthermore, all departments were notified beforehand yet adherence was extremely low (1.6%).…”

Güncel Bi̇lgi̇ler Işiğinda Cerrahi̇ El Yikama

“…Farklı iki çalışma sonucunda da ameliyathanede çalışan sağlık personelinin el yıkama uyum oranlarının %14,6 ve %13 gibi düşük seviyelerde olduğu belirlenmiştir. 6,9 Ameliyat sürecinde giyilen eldivenler mikroorganizmaların hastaya geçişini engellemeye yardımcı olsa da uygulanan her cerrahi işlemde yaklaşık %30 oranında eldivenlerde delinme meydana geldiği belirtilmektedir. 10,11 Bu nedenle "Cerrahi El Antisepsisi" uygulamalarının standartlara uygun bir şekilde gerçekleştirilmesi önem taşımaktadır.…”