Citation Information :
Singh S, Singh AK. Prevalence of bacteria contaminating the hands of healthcare workers during routine patient care: A hospital-based study. 2016; 18 (1):60-62.
Background: The pathogenic bacterium on the hands of healthcare workers (HCWs) is considered as the main route of spread of nosocomial infections. The study was aimed to determine the bacterial contamination of hands of HCWs during routine patient care in a large teaching hospital.
Material and Methods: This study includes a total of 200 consecutive, non-repetitive participants. Doctors, medical students, nurses and attendants from the Department of Anaesthesia and Department of Medicine of the hospital were included, who were actively providing health care. The informed consent was taken from all the participants of the study. The hand impressions of the participants were taken on 5% blood agar and processed as per guidelines. After taking the hand impressions, hand cleaning of each participant was done by standard preparation of 70% isopropyl alcohol-based hand rub. The hand impressions from the participants were again taken on 5% blood agar plates.
Results: Out of 200 samples collected from HCWs, 95 (47.5%) samples showed growth of microorganisms. Most commonly isolated microorganism was Staphylococcus aureus present in 70% of nurses, 60% of students and 40% of attendants. Prevalence of Acinetobacter spp. was also found to be high among nurses (20%), followed by attendants, sweepers (16%) and doctors (4%).
Conclusions: Hands of hospital staff are colonised with pathogenic bacteria, especially Gram-positive such as S. aureus. Hand hygiene is an effective method of reducing the bacterial flora on the hands of the HCWs.
Widmer AF. Surgical hand hygiene: Scrub or rub? J Hosp Infect 2013;83 Suppl 1:S35-9.
Widmer AF, Rotter M, Voss A, Nthumba P, Allegranz B, Boyce J, et al. Surgical hand preparation: State-of-the-art. J Hosp Infect 2010;74:112-22.
Spruce L. Back to basics: Hand hygiene and surgical hand antisepsis. AORN J 2013;98:449-57.
Brouwers MC, Kho ME, Browman GP, Burgers JS, Cluzeau F, Feder G, et al. AGREE II: Advancing guideline development, reporting and evaluation in health care. CMAJ 2010;182:E839-42.
National Guideline Clearinghouse. Rockville, MD: National Guideline Clearinghouse; 1997. Guideline Summary: Perioperative Protocol. Health Care Protocol; 2012. Available from: http://www.guideline.gov/content.aspx?id=39387. [Last cited on 2014 Jun 23].
WHO Guidelines on Hand Hygiene in Health Care. Geneva: World Health Organization; 2009. p. 262. Available from: http://www.whqlibdoc.who.int/publications/2009/9789241597906_eng.pdf?ua=1. [Last cited on 2014 Jun 23].
Siegel JD, Rhinehart E, Jackson M, Chiarello L; The Healthcare Infection Control Practices Advisory Committee. Guidelines for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings; 2007. Available from: http://www.cdc.gov/ncidod/dhqp/pdf/isolation2007.pdf. [Last accessed on 2015 Dec 15].
Pittet D. Infection control and quality health care in the new millennium. Am J Infect Control 2005;33:258-67.
Duckro AN, Blom DW, Lyle EA, Weinstein RA, Hayden MK. Transfer of vancomycin-resistant enterococc via health care worker hands. Arch Intern Med 2005;165:302-7.
Widmer AF. Replace hand washing with use of a waterless alcohol hand rub? Clin Infect Dis 2000;31:136-43.
Kampf G, Kapella M. Suitability of sterillium gel for surgical hand disinfection. J Hosp Infect 2003;54:222-5.
World Health Organization. WHO Guidelines on Hand Hygiene in Health Care: First Global Patient Safety Challenge Clean Care is Safer Care. Geneva: World Health Organization; 2009. p. 14-6.
CLSI. Performance Standards for Antimicrobial Susceptibility Testing; Twenty-Third Informational Supplement; CLSI Document M100-S23. Vol. 33. Wayne: Clinical and Laboratory Standards Institute; 2013. p. 74-85.
Jenner EA, Fletcher BC, Watson P, Jones FA, Miller L, Scott GM. Discrepancy between self-reported and observed hand hygiene behaviour in healthcare professionals. J Hosp Infect 2006;63:418-22.
Mojtahed A, Khoshrang H, Taromsar MR, Leil EK, Hoorvash E. Bacterial contamination of health care worker's hands in intensive care units in Rasht. Journal of Nosocomial Infection 2014;1:36-43.
Pittet D, Dharan S, Touveneau S, Sauvan V, Perneger TV. Bacterial contamination of the hands of hospital staff during routine patient care. Arch Intern Med 1999;159:821-6.
Khodavaisy S, Nabil M, Davar B, Vahed M. Evaluation of bacterial and fungal contamination in the health care workers' hands and rings in the intensive care unit. J Prev Med Hyg 2011;52:215-8.