Evaluation of handwashing technique held by medical interns in the educational and medical centers of Guilan university of medical sciences in Rasht

Seyyed Mahdi Zia Ziabari, P. Asadi, M. Ghasemi, Saeid Sadeghi Joni, Shadi Akasteh, Ilnaz Tavakoli
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Abstract

Introduction: Hand hygiene is a significant strategy in preventing and controlling infections with a great impact on nosocomial infections and preventing microbial resistance. Objectives: The main goal of this study was to investigate the performance of medical interns in handwashing in the educational and medical centers of Guilan University of Medical Sciences. Patients and Methods: This is a cross-sectional study, which was conducted in 2020 in Rasht city. The study population consisted of all medical interns. The handwashing was observed in medical interns after obtaining their permission and separately at a suitable time and place. They were given a grade based on a poster approved by the Ministry of Health of Iran. Results: A total number of 147 medical interns were enrolled in this study. We also found out that the mean score of study population in handwashing steps was 7.11± 1.97. The lowest rate of correct performance was for 5th (tying the fingertips and washing them) (32%), 8th (washing around the wrist) (49.7%) and 7th (washing the palm lines with the fingertips) (53.1%) steps. The performance score of female interns had a higher average than male interns (7.4 versus 6.8) (P=0.028). Conclusion: Considering the importance of handwashing in preventing the transmission of diseases, especially in the COVID-19 pandemic and the repeated recommendations to wash hands properly as a simple and accessible way to prevent further transmission of the virus, the review of the awareness and practice of medical interns about the handwashing seems to be critical.
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拉什特桂兰医科大学教育和医疗中心实习医生洗手技术评价
手部卫生是预防和控制感染的重要策略,对医院感染和预防微生物耐药性有重要影响。目的:本研究的主要目的是调查桂兰医科大学教育和医疗中心实习医生洗手的表现。患者和方法:这是一项横断面研究,于2020年在拉什特市进行。研究人群包括所有的医学实习生。在征得实习生同意后,在适当的时间和地点分别观察实习生的洗手情况。根据伊朗卫生部批准的海报给他们打分。结果:本研究共纳入147名实习医师。研究人群洗手步骤的平均得分为7.11±1.97。正确执行率最低的是第5步(绑住指尖并洗净)(32%)、第8步(洗手腕周围)(49.7%)和第7步(用指尖洗净掌纹)(53.1%)。女实习生的绩效得分平均高于男实习生(7.4比6.8)(P=0.028)。结论:考虑到洗手在预防疾病传播中的重要性,特别是在COVID-19大流行中,以及人们一再建议正确洗手是防止病毒进一步传播的一种简单易行的方式,审查医疗实习生的洗手意识和实践似乎至关重要。
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