Research Article

Change of Hand Floor During the Shift in Emergency Servise Staff

Volume: 40 Number: 2 June 28, 2018
EN TR

Change of Hand Floor During the Shift in Emergency Servise Staff

Abstract

Abstract:

Objective: This study aims to reveal if there will be any change in hand flora and pathogen microorganism before and after shift of emergency service staff in order to determine the infection risc to the patients who admit  to our emergency department.

Materials and methods: Our study was planned to evaluate the change of the hand floor and pre-shift and post-shift hand cultures from 10 physicians, 13 nurses, 10 transport personnel in the emergency department of Cumhuriyet University. Also the micro-organisms of air samples from special intervention areas (resuscitation, red area) as well as general use areas were analyzed. 

Results: We compared the washing status between pre (4,%11.1) post-contact16 (44.4%) hand washing rate was significantly higher (p <0.05). there wasn’t any difference between the microorganisms samples that were reproduced on the pre-shift right and left hand samples and post-shift right and left hand. According to the total count of samples taken from the left and right hand before shift in terms of the microorganism seen the difference was significiant (t=7,48; p=0,001).

Conclusions: Although our participants knew the hand hygiene indications of emergency service workers, their harmony was found to be low, consistent with many studies in the literature. It has been observed that the habit of using gloves and hand disinfectant was low also. Efficient strategies may be developed; improving institutional healthcare conditions, conducting educations at certain intervals, observing the practitioner and collecting feedback. However, it should be noted that the most significant issue is that the significance in hand washing is ensured with changes in habits.

Key Words: Hand Hygiene, hospital-acquired infection control, hand washing, health workers, methicillin-resistant staphylococcus aureus.

Keywords

References

  1. 1. World Health Organization. Guidelines on Hand Hygiene inHealthcare. Geneva: WHO Press; 2009.
  2. 2. Pittet D, Allegranzi B, Storr J, Donaldson L. Clean care is safer care: the global patient safety challenge 2005-2006. Int J Infect Dis. 2006; 10(6): 419-24.
  3. 3.Boyce JM, Pittet D. 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. Society for Healthcare Epidemiology of America/Association for Professionals in Infection Control/Infectious Diseases Society of America. MMWR Recomm Rep. 2002; 51(RR-16):1-45.
  4. 4. Allegranzi B, Storr J, Dziekan G, Leotsakos A, Donaldson L, Pittet D. The first global patient safety challenge “Clean care is safer care”: from launch to current progress and achievements. J Hosp Infect. 2007; 65(Suppl. 2): 115-23.
  5. 5. Sevim Şen1, Meral Sonmezoğlu2, Elif Akbal3, Esra Uğur4, Sibel Afacan1 Bir Universite Hastanesinde Sağlık Personelinin El Hijyeninde Beş İndikasyona Uyumu.2010.
  6. 6. Akdeniz S. Yoğun bakım infeksiyonlarının önlenmesinde hemşirenin rolü, s: 149-59. Köksal İ, Çakar N, Arman D (eds), Yoğun Bakım İnfeksiyonları. 2005. Bilimsel Tıp Yayınevi, Ankara.
  7. 7. Kuzu N, Ozer F, Aydemir S, Yalcin AN, Zencir M. Compliance with hand hygiene and glove use in a university-affiliated hospital. Infect Control Hosp Epidemiol. 2005; 26(3): 312-5.
  8. 8. Pessoa-Silva CL1, Dharan S, Hugonnet S, et al. Dynamics of bacterial hand contamination during routine neonatal care. InfectControl Hosp Epidemiol. 2004; 25(3): 192-7.

Details

Primary Language

English

Subjects

Health Care Administration

Journal Section

Research Article

Authors

Sefa Yurtbay *
Niğde Ömer Halisdemir University Training and Research Hospital, Department of Emergency Medicine, Niğde, Turkey.
0000-0002-7373-1002
Türkiye

Yusuf Kenan Tekin
Cumhuriyet University, Faculty of Medicine, Department of Emergency Medicine, Sivas, Turkey
0000-0001-8047-4836
Türkiye

İlhan Korkmaz
Cumhuriyet University, Faculty of Medicine, Department of Emergency Medicine, Sivas, Turkey
0000-0001-5182-3136
Türkiye

Fatma Mutlu Kukul Güven
Kastamonu University, Faculty of Medicine, Department of Emergency Medicine, Kastamonu, Turkey
0000-0003-3755-6021
Türkiye

Erdal Demirtaş
Cumhuriyet University, Faculty of Medicine, Department of Emergency Medicine, Sivas, Turkey
0000-0003-0853-0623
Türkiye

Publication Date

June 28, 2018

Submission Date

March 6, 2018

Acceptance Date

June 7, 2018

Published in Issue

Year 2018 Volume: 40 Number: 2

AMA
1.Yurtbay S, Tekin YK, Korkmaz İ, Kukul Güven FM, Demirtaş E. Change of Hand Floor During the Shift in Emergency Servise Staff. CMJ. 2018;40(2):175-183. doi:10.7197/223.v40i37154.402526