Are doctor’s hands contributing in spreading nosocomial pathogens? Rapid appraisal from a tertiary care health center of Northern India

Authors

  • Shewtank Goel Department of Microbiology, Teerthanker Mahaveer Medical College and Research Centre, Moradabad, Uttar Pradesh
  • Rakesh Tank Department of General Medicine, 3Department of Community Medicine, SHKM Govt. Medical College, Mewat, Haryana
  • Abhishek Singh Department of Community Medicine, SHKM Govt. Medical College, Mewat, Haryana
  • Sanjeev Kumar Khichi Department of Community Medicine, SHKM Govt. Medical College, Mewat, Haryana
  • Ravi Bypareddy Department of Ophthalmology, All India Institute of Medical Sciences, New Delhi
  • Pooja Goyal Department of Community Medicine, ESIC Medical College, Faridabad
  • Jayaprakash Karkala Department of Forensic Medicine, AJIMS, Mangalore, Karnataka

DOI:

https://doi.org/10.18203/2320-6012.ijrms20161745

Keywords:

Nosocomial pathogens, Doctor, Hands, Patients, Ward and tertiary care hospital

Abstract

Background: Clinical white coats have very long history of being a symbol of hope and healing for medical professionals; however there has been a concern that white coats may play a big role in transmitting infections within and outside hospital settings.Aim of the study was to assess pattern of pathogenic bacteria on the hands of doctors of a tertiary care hospital along with effect of hand wash on reduction of contamination.

Methods: The present study was a hospital based, cross sectional type. Eighty-six doctors of all designations (Junior doctors, n=51; and senior doctors, n=35) were included in this study. The swabs were taken at entry in the wards and also at exit from the wards without washing the hands. Then, swabs were taken after hand washing with tap water and subsequently after alcohol swabs. A total of four wards (2 General Medicine and Surgery wards each) included in the study. Isolated microorganisms were identified using Gram’s stain, hemolysis patterns and colony morphology. The data were analyzed using MedCalc statistical software.

Results: Staphylococcus aureus was isolated in 24.41% at entry and in 52.33% at exit. Similarly Pseudomonas aeruginosa and Klebsiella pneumonia were not present on the hands of doctors at entry but isolated in 5.81% and 10.46% of doctors at exit. Pseudomonas aeruginosa and Klebsiella pneumonia were not present on the hands of doctors at entry in both medicine and surgery wards but isolated at exit. Complete removal/reduction of microorganism (100%) was recorded in Escherichia coli and Candida sp after tap water wash. Decrease in count of Pseudomonas aeruginosa up to 80.00% after tap water wash. 88.89 % decrease in microorganism after subsequent alcohol wash was seen in Staphylococcus aureus, Coagulase-negative Staphylococci and Klebsiella pneumonia. Conclusions: It has been observed that simple hand washing (first with water and then with alcohol) is an effective tool to reduce the contamination significantly. Thus, hospital infection control practices including hand washing need to be followed strictly.

 

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Published

2017-01-02

How to Cite

Goel, S., Tank, R., Singh, A., Khichi, S. K., Bypareddy, R., Goyal, P., & Karkala, J. (2017). Are doctor’s hands contributing in spreading nosocomial pathogens? Rapid appraisal from a tertiary care health center of Northern India. International Journal of Research in Medical Sciences, 4(6), 1978–1982. https://doi.org/10.18203/2320-6012.ijrms20161745

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Original Research Articles