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Year : 2019  |  Volume : 22  |  Issue : 7  |  Page : 1008-1013

Hand hygiene knowledge, training and practice: A cross-sectional study in a tertiary health institution, North-central Nigeria

1 Department of Medicine, Infectious Diseases Unit, Jos University Teaching Hospital, Plateau State, Nigeria
2 Department of Medical Microbiology, Jos University Teaching Hospital, Plateau State, Nigeria
3 Department of Pharmacy, Jos University Teaching Hospital, Plateau State, Nigeria

Correspondence Address:
Dr. K I Onyedibe
Department of Medical Microbiology, Jos University Teaching Hospital and University of Jos, Plateau State
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/njcp.njcp_204_18

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Background: Hand hygiene (HH) is the single most important means of preventing hospital-acquired infections. We set out to determine the knowledge, training gaps, and practice of HH in a tertiary health institution in a resource constrained setting. Methods: This cross-sectional study was conducted among health care workers in a 600-bed capacity tertiary health centre. The study was conducted between April and November 2013. A multi-stage randomized sampling method was used to self-administer 322 WHO HH knowledge questionnaires. Information on HH training in the past 3 years, knowledge and practice of HH were obtained, and data were analysed using Epi-Info version 3.5.1. Results: A response rate of 98.5% was obtained for the HH knowledge assessment. Mean age of the study population was 39 ± 9.8. About 64% were females. Of all the respondents, only 16% had good knowledge of HH, 52% had moderate knowledge while 32% had poor knowledge. About 24% had formal training on HH. In terms of practice, only about 22% of the respondents self-reported routine practice of HH. Conclusions: The findings in this study suggest that there is sub-optimal HH knowledge, practice and training. It is imperative to improve the HH training and retraining of health care workers with a focus on attendants. Administrative controls and bold signage in healthcare institutions are also recommended.

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