Hand decontamination practices and the appropriate use of gloves in two adult intensive care units in Malaysia

  • Supaletchimi Gopal Katherason Universiti Sains Malaysia
  • Lin Naing Institute of Medicine, Universiti Brunei Darussalam, Brunei Darussalam
  • Kamarudin Jaalam Lecturer, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia.
  • Nik Abdullah Nik Mohamad Lecturer, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia.
  • Kavita Bhojwani Hospital Ipoh, Ministry of Health, Perak, Malaysia
  • Najah Dato' Seri Hj Harussani Hospital Ipoh, Ministry of Health, Perak, Malaysia
  • Asma Ismail Institute for Research in Molecular Medicine (INFORMM), Health Campus, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia
Keywords: hand hygiene, hand decontamination, gloves, healthcare personal, intensive care unit, education program

Abstract

Background: Hand decontamination is a critical infection control practice in the prevention of nosocomial infection. This study was conducted to observe the hand hygiene practices of nurses and doctors in two intensive care units (ICUs) in Malaysia.

Methodology: Staff members were observed during patient contacts, and their hand washing techniques and hand hygiene practices were monitored. Five contact periods were observed for staff members while they cared for their assigned patients. Hand hygiene practices before and after patient contacts were categorized as clean uncontaminated, clean recontaminated, new gloves, and unchanged contaminated gloves. Compliance to hand-washing steps and time taken for hand washing were analyzed. Appropriate use of gloves based on CDC criteria also was assessed.
Results: Compliance to hand hygiene practices was 70% before each patient contact. Staff members did not completely adhere to the hand-washing steps. The average time taken to wash hands was 20 seconds, and the necessary steps (rubbing palm over dorsum; rubbing fingers interlaced, and rotational rubbing of thumbs) were practiced minimally by all staff. Hand washing protocol was generally followed by all staff (100%). Alcohol hand rubs were available but were used moderately (60%); when used, staff members did not wait for the alcohol to dry. Only 4% of staff changed contaminated gloves between patients.

Conclusions: Hand hygiene compliance by ICU staff members needs to be improved. Improving adherence to correct hand hygiene techniques will require effective education programs and behavioral modification techniques. Moreover, hand hygiene guidelines must be incorporated into new staff orientation programs and the continuing education curriculum in the two hospitals studied.

Author Biographies

Supaletchimi Gopal Katherason, Universiti Sains Malaysia

Lecturer, School of Health Sciences

Health Campus, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia

 

 

 

Lin Naing, Institute of Medicine, Universiti Brunei Darussalam, Brunei Darussalam
Senior Lecturer, Institute of  Medicine, Universiti Brunei Darussalam, Brunei Darussalam
Kamarudin Jaalam, Lecturer, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia.

Lecturer

Department of Anesthesiology and Critical Care Medicine

Nik Abdullah Nik Mohamad, Lecturer, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia.

Lecturer

Department of Anesthesiology and Critical Care Medicine

Kavita Bhojwani, Hospital Ipoh, Ministry of Health, Perak, Malaysia

Head of Department

Consultant Anesthesiologist and Intensive Care Unit
Najah Dato' Seri Hj Harussani, Hospital Ipoh, Ministry of Health, Perak, Malaysia

Specialist

Anesthesiologist and Intensive Care Unit

Asma Ismail, Institute for Research in Molecular Medicine (INFORMM), Health Campus, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia

Professor

Lecturer

Institute for Research in Molecular Medicine (INFORMM), Health Campus, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia
Published
2009-12-28
How to Cite
1.
Katherason S, Naing L, Jaalam K, Nik Mohamad NA, Bhojwani K, Harussani N, Ismail A (2009) Hand decontamination practices and the appropriate use of gloves in two adult intensive care units in Malaysia. J Infect Dev Ctries 4:118-123. doi: https://doi.org/10.3855/jidc.593
Section
Technical Notes