Hand Hygiene Practices among Nursing Staff in Public Secondary Care Hospitals in Kuwait: Self-Report and Direct Observation

Al-Wazzan, Batool; Salmeen, Yasmeen; Al-Amiri, Eisa; Abul, Ala'a; Bouhaimed, Manal; Al-Taiar, Abdullah

doi:10.1159/000324545

Cited by 64 publications

(78 citation statements)

References 57 publications

(45 reference statements)

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“…Studies of compliance with hand washing in 2003 at a Saudi hospital showed rates of just 6.7% before patient contact and 23.7% after patient contact (150). Saudi Arabia and Bahrain were among the first countries to sign the Hand Hygiene (151,152). Such suboptimal hand hygiene will invariably contribute to the spread of ␤-lactamase-positive bacteria in the GCC states.…”

Section: Gram-negative Bacilli In the Arabian Peninsulamentioning

confidence: 99%

β-Lactamase Production in Key Gram-Negative Pathogen Isolates from the Arabian Peninsula

et al. 2013

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SUMMARY Infections due to Gram-negative bacilli (GNB) are a leading cause of morbidity and mortality worldwide. The extent of antibiotic resistance in GNB in countries of the Gulf Cooperation Council (GCC), namely, Saudi Arabia, United Arab Emirates, Kuwait, Qatar, Oman, and Bahrain, has not been previously reviewed. These countries share a high prevalence of extended-spectrum-β-lactamase (ESBL)- and carbapenemase-producing GNB, most of which are associated with nosocomial infections. Well-known and widespread β-lactamases genes (such as those for CTX-M-15, OXA-48, and NDM-1) have found their way into isolates from the GCC states. However, less common and unique enzymes have also been identified. These include PER-7, GES-11, and PME-1. Several potential risk factors unique to the GCC states may have contributed to the emergence and spread of β-lactamases, including the unnecessary use of antibiotics and the large population of migrant workers, particularly from the Indian subcontinent. It is clear that active surveillance of antimicrobial resistance in the GCC states is urgently needed to address regional interventions that can contain the antimicrobial resistance issue.

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Section: Gram-negative Bacilli In the Arabian Peninsulamentioning

confidence: 99%

β-Lactamase Production in Key Gram-Negative Pathogen Isolates from the Arabian Peninsula

et al. 2013

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“…Moreover, some laboratory personnel in Lebanon lacked proper knowledge and practice about how to dispose blood-contaminated waste [13]. In Kuwait, hand hygiene compliance among nursing staff in secondary care hospitals had been reported to be poor [14]. …”

Section: Introductionmentioning

confidence: 99%

Knowledge and Self-Reported Practice of Universal Precautions among Kuwait University Medical Students in Their Clinical Years

et al. 2012

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Objectives: This cross-sectional study aimed to assess the knowledge and practice of universal precautions among Faculty of Medicine, Kuwait University, medical students in their clinical years. Subjects and Methods: A self-administered questionnaire including 9 knowledge and 9 practice questions of universal precautions was used. A score was calculated for both knowledge and practice. These scores were dichotomized into less than median score (poor) and more than median score (good). 244 students were invited to participate. Results: Of the 244 students, 220 (90.2%) accepted to participate. Of the 9 knowledge questions about universal precautions, 7 were answered correctly by more than 60% (range 64.8–90.4) of the students. All questions regarding the practice of universal precautions were answered correctly by over 60% (range 61.8–96.4) of the students. The prevalence of poor knowledge was 38.2% (84/220) and poor practice was 27.7% (61/220). Grade point average was significantly (p = 0.008) associated with the knowledge status of the respondents; however, it was not significantly associated (p = 0.397) with practice of universal precautions. Furthermore, neither the knowledge status nor any of the sociodemographic variables were significantly associated with the practice of universal precautions. Conclusions: A substantial number of students of the Faculty of Medicine, Kuwait University, in their clinical years appeared to have poor level of both knowledge and practice of universal precautions. Efforts are needed to optimize the level of knowledge and practice among students to minimize the risk of preventable infections.

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“…A cross-sectional study conducted by direct observation using the Lewisham observation tool and self-administered questionnaire in six major public Science Publications AJID secondary care hospitals in Kuwait resulted in an overall compliance increase of 33.4% after staff training (Al-Wazzan et al, 2011). Compliance rates significantly varied between different ward categories from 14 in emergency to 55% in medical wards.…”

Section: Resultsmentioning

confidence: 99%

“…Being busy with work (42.2%), having sore/dry hands (30.4%) and wearing gloves (20.3%) were the most frequently reported hindrances to improving hand hygiene in that study. Only patient care activities that are described as 'dirty contacts' by the Fulkerson scale were considered as indications for hand hygiene while any attempt for hand hygiene was considered as compliance (Al-Wazzan et al, 2011).…”

Section: Resultsmentioning

confidence: 99%

Best Practices for Hand Hygiene Compliance by Health Care Providers in the Inpatient Setting

Akpaka¹

2014

American Journal of Infectious Diseases

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This study discusses the strategies that have proven successful in improving adherence to hand hygiene policies among health care providers working in acute care, inpatient settings. Review of literature suggests that while some efforts to improve hand hygiene compliance have focused on environmental engineering other efforts have focused mostly on broad-based educational and motivational initiatives, such as online educational programs and staff training. Both environmental engineering and educational interventions have resulted in improvements in compliance rates, ranging from 25.4 to 97%. Hospitals and healthcare facilities that already use these strategies should continue to do so while evaluating factors that may lead to further improvements. Hospitals and facilities that do not already have these strategies in place should adopt them to help curb the transmission of microbes. These strategies may include random audits, well-written protocols, visual reminders, training for new staff and regular continuing education for current staff.

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Hand Hygiene Practices among Nursing Staff in Public Secondary Care Hospitals in Kuwait: Self-Report and Direct Observation

Cited by 64 publications

References 57 publications

β-Lactamase Production in Key Gram-Negative Pathogen Isolates from the Arabian Peninsula

β-Lactamase Production in Key Gram-Negative Pathogen Isolates from the Arabian Peninsula

Knowledge and Self-Reported Practice of Universal Precautions among Kuwait University Medical Students in Their Clinical Years

Best Practices for Hand Hygiene Compliance by Health Care Providers in the Inpatient Setting

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