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Hand Hygiene Facilities in the Clinical Laboratories of a Tertiary Health Facility in a Lassa Fever Endemic Country

Received: 1 February 2018    Accepted: 8 April 2018    Published: 17 July 2018
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Abstract

Hand hygiene is a general term referring to any action of hand cleansing. It basically includes hand washing and hand rubbing. It is considered the most important simple measure for preventing the spread of pathogens generally and particularly in health-care setting. The objective of the survey was to evaluate the availability and accessibility of hand hygiene facilities in the clinical laboratories of a tertiary health facility in south west Nigeria. A previously used survey checklist assessing the condition of sink and other hand hygiene facilities in a health care setting was further modified and employed for data collection. Descriptive data analysis was done by calculating the frequencies. There were sixteen sinks in the laboratories where the survey was conducted. All the sixteen sinks were accessible to the users and were physically intact. Four (25%) of the sinks had damaged draining pipes. Half of the sinks had hand-held faucet. There was no sink with automated faucet. None of the faucets had water flowing when turned on at the time of the survey. Also, none had water flowed through it in the past 72 hours prior the survey according to users’ interview. Soap was available in only 6 (37.5%) of the sinks and there was no hand rub/ hand disinfectant or hand drying materials available. The survey has shown that there was a gross lack of hand hygiene facilities in the clinical laboratories of the tertiary health facility. There is an urgent need for critical stakeholders in the health sector to give policy and financial priority to provision of adequate modern hand hygiene facilities in all health care settings.

Published in American Journal of Laboratory Medicine (Volume 3, Issue 2)
DOI 10.11648/j.ajlm.20180302.11
Page(s) 25-29
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Hand Hygiene Facilities, Clinical Laboratories, Hospital-Acquired Infections, Lassa Fever Endemic Setting

References
[1] WHO Guidelines on Hand Hygiene in Health Care (Advanced Draft). Part of the WHO Consultation on Hand Hygiene in Health Care Global Patient Safety Challenge, 2005-2006: Clean Care is Safer Care. Geneva, 2006.
[2] Busari OA, Agboola MS, Oyekale OT, Ojo OM, Oje OJ, Oladosu YO. A survey of hand hygiene facilities in a tertiary hospital in Nigeria. TAF Preventive Medicine Bulletin 2012; 11 (5): 571-576.
[3] Beggs CB, Noakes CJ, Shepherd SJ, Kerr KG, Sleigh PA, Banfield K. The influence of nurse cohorting on hand hygiene effectiveness. Am J Infect Control 2006; 34: 10: 621-626.
[4] Boyce JM et al. Guidelines 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. Morbidity and Mortality Weekly Report 2002; 51 (RR-16): 1-45.
[5] Omilabu SA, Badaru SO, Okokhere P, Asogun D, Drosten C, Emmerich P. Lassa fever in Nigeria. Emerg Infect Dis 2005, 11 (10): 1642-1644.
[6] Ogbu O, Ajuluchukwu E, Uneke CJ. Lassa fever in West Africa sub-region: an overview. J Vect Borne Dis 2007; 44 (1): 1-11.
[7] Bowen MD, Rollin PE, Ksaizek TG, Hustard HL, Bausch DG, Demby AH. Genetic diversity among Lassa virus strains. J Virol. 2000; 74 (15): 6992-7004.
[8] Fichet-Calvet E, Rogers DJ. Risk maps of Lassa fever in West Africa. PLOS Negl Trop Dis 2008; 3:388.
[9] Centre for Disease Control and Prevention. Lassa fever fact sheet; 2014. Available: http://www.cdc.gov/ncidod/dvrd/spb/mnpages/dispages/factsheets/lassa_fever_fact_sheet.pdf. Accessed January 20018.
[10] World Health Organization. World Health Organization fact sheet on Lassa fever. 2015; 10 (11).
[11] Eze KC, Salami TAT, Eze IC, Pogoson AE, Omordia N, Ugochukwu MO. High Lassa fever activity in Northern part of Edo state, Nigeria: re-analysis of confirmatory test results. Afr J Health Sci 2010; 17: 52-56.
[12] Fischer-Hosch SP, Tomori O, Nasidi A, Perez-Oronoz GI, Fakile Y. Hutwagner L, McCormick JB. Review of cases of nosocomial Lassa fever in Nigeria: the high price of poor medical practice. BMJ 1995; 30: 311: 857-9.
[13] Kennyyside RA, McCormick JB, Webb PA, Smith E, Elliot L, Johnson KM. Case-control study of Mastomysnatalensis and humans in Lassa virus-infected households in Sierra Leone. Am J Trop Med Hyg 1983; 32: 829-37.
[14] Mortimer EA, Jr, Lipsitz PJ, Wolinsky E, et al. Transmission of staphylococci between newborns. Importance of the hands of personnel. Am J Dis in Children 1962; 104: 289-95.
[15] Aiello AE et al. What is the evidence for a causal link between hygiene and infections? Lancet Infectious Diseases 2002; 2: 103-110
[16] Luby SP et al. Effect of intensive hand washing promotion on childhood diarrhoea in high-risk communities in Pakistan: a randomized controlled trial. JAMA 2004; 291: 2547-54.
[17] Luby SP et al. The effect of hand washing on child health: a randomized controlled trial. Lancet 2005; 366: 225-233.
[18] Cowling BJ, Chan KH, Fang VJ, et al. Facemasks and hand hygiene to prevent influenza transmission in households: a cluster randomized trial. Ann Intern Med 2009; 151 (7): 437-446.
[19] Abdul Mujeeb S, Adill MM, Altaf A, Shan SA, Luby S. Infection control practices in clinical laboratories in Pakistan. Infect Control Hosp Epidemiol 2003; 24 (2): 141-2.
[20] Hinkin J, Gammon J, Cutter J. Review of personal protection equipment used in practice. Br J Community Nurs 2008; 13 (1): 14-9.
[21] Sadoh WE, Fawole AO, Sadoh AE, Oladimeji AO, Sotiloye OS. Practice of universal precautions among health care workers. J Natl Med Assoc 2006; 98 (5): 722-6.
[22] Richard VS, Kenneth J, Cherian T, Chandy GM. Preventing transmission of blood-borne pathogens to health care workers. Natl Med J India 2000; 13 (2): 82-5.
[23] Alvarado-Ramy F, Beltrami EM. New guidelines for occupational exposure to blood-borne viruses. Cleve Clin J Med 2003; 70 (5): 457-65.
[24] Rotter M. Hand washing and hand disinfection. In: Mayhall CG, ed. Hospital epidemiology and infection control. 2nd ed. Philadelphia, Lippincott Williams & Wilkins; 1999; 1339-55.
[25] Jumaa PA. Hand hygiene: simple and complex. International Journal of Infectious Disease 2005; 9: 3-14.
[26] Semmelweis I. Etiology, concept and prophylaxis of childhood fever. Eds.: Carter KC. 1st ed. Madison, WI: University of Wisconsin Press, 1983.
[27] Pittet D, Boyce JM. Hand hygiene and patient care: Pursuing the Semmelweis legacy. Lancet Infect Dis 2001; 1: 9-20.
[28] Asare A, Enweronu-Laryea CC, Newman MJ. Hand hygiene practices in a neonatal intensive care unit in Ghana. J Infect Dev Ctries 2009; 3: 352-6.
[29] Karabey S Ay P, Derbentli S, Nakipoglu Y, Esen F. Hand washing frequencies in an intensive care unit. J Hosp Infect 2002; 50: 36-41.
[30] Bischoff WE, Reynolds CN, Sessler MB, Edmond RP. Hand washing compliance by health care workers: The impact of introducing accessible, alcohol-based hand antiseptic. Arch Intern Med 2000; 160: 1017-21.
[31] Pittet D, Allegranzi B, Storr J et al. Infection control as a major World Health Organization priority for developing countries. J Hosp Infect 2008; 68: 285- 92.
[32] Devnani M, Kumar R, Sharma RK, Gupta AK. A survey of hand washing facilities in the out-atient department of a tertiary care teaching hospital in India. J Infect Dev Ctries 2011; 5 (2): 114-8.
[33] Trampuz A, Widmer AF. Hand hygiene: a frequently missed lifesaving opportunity during patient care. Mayo ClinProc 2004; 79: 109-16.
[34] Whitby M, McLaws ML, Ross MW. Why health care workers don’t wash their hands: a behavioural explanation. Infec Control HospEpidemiol 2006; 27: 484-92.
[35] Kesavann S, Barodawaia S, Mulley GP. Now wash your hand? A survey of hospital handwashing facilities. J Hosp Infect 1998; 40: 291-93.
[36] Amazian K, Abdelmoumene T, Sekkat S, et al. Members of NosoMedia Network (2006) Multi centre study on hand hygiene facilities and practice in the Mediterranean area: results from the NosoMed Network. J HospInfec Control 2009; 37: 851-54.
[37] Mermel LA, Josephson SL, Dempsey J, et al. Outbreak of Shigellasonnie in a clinical microbiology laboratory. J ClinMicrobiol 1997; 35: 3163-5.
[38] Caniza MA, Duenas L, Lopez B, et al. A practical guide to alcohol based hand hygiene facilities and practise in the Mediterranean area: results from the NosoMed Network. J Hosp Infect 1998; 40: 291-93.
[39] Zaragoza M, Salles M, Gomez J, et al. Hand washing with soap or alcoholic solutions? A randomized clinical trial of its effectiveness. Am J Infect Control 1999; 27: 799-806.
[40] Voss A, Widmer AF. No time for hand washing!? Hand washing versus alcoholic rub: can we afford 100% compliance? Infect Control Hosp Epidemiol 1997; 18: 205-8.
[41] Widmer AF, Frei R. Decontamination, disinfection, sterilization. In: Murray PR, Baron EJ, Pfaller M, Tenover FC, Yolken R, editors. Manual of Clinical Microbiology. 7th ed. Washington, DC: American Society for Microbiology; 1999; 138-64.
[42] Garner JS et al. CDC Guideline for hand washing and hospital environmental control, 1985. Infection Control 1986; 7: 231-43.
[43] Larson E. Guideline for use of topical antimicrobial agents. American Journal of Infection Control 1988; 16: 253-66.
[44] Larson EL. APIC Guideline for hand washing and hand antisepsis in health care settings. American Journal of Infection Control 1995; 23: 251-69.
[45] Ducel G. Prevention of hospital-acquired infections: a practical guide. Geneva, WHO, 2002.
[46] WHO/WPRO/SEARO. Practical guidelines for infection control in health care facilities. WHO/WPRO/SEARO 2004.
[47] Alex-Hart BA, Opara PI. Hand washing practices among health workers in a teaching hospital. Am J Infect Dis 2011; 7 (1): 8-15.
[48] Patrick DR et al. Residual moisture determines level of touch-contactassociated bacterial transfer following hand washing. Epidemiology of Infection 1997; 119: 319-25.
[49] Yamamoto Y et al. Efficiency of hand drying for removing bacteria from washed hands: comparison of paper towel drying with warm air drying. Infection Control and Hospital Epidemiology 2004; 25: 262-64.
[50] Gustafson DR et al. Effects of four hand drying methods for removing bacteria from washed hands: a randomized trial. Mayo Clinical Proceedings 2000; 75: 705-8.
[51] Ansari SA et al. Comparison of cloth, paper and warm air drying in eliminating viruses and bacteria from washed hands. American Journal of Infection Control 1991; 19: 243-9.
Cite This Article
  • APA Style

    Olusegun Adesola Busari, Opeyemi James Oje, Babajide Adeleke, Olusogo Ebenezer Busari, Olusegun Emanuel Gabriel, et al. (2018). Hand Hygiene Facilities in the Clinical Laboratories of a Tertiary Health Facility in a Lassa Fever Endemic Country. American Journal of Laboratory Medicine, 3(2), 25-29. https://doi.org/10.11648/j.ajlm.20180302.11

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    ACS Style

    Olusegun Adesola Busari; Opeyemi James Oje; Babajide Adeleke; Olusogo Ebenezer Busari; Olusegun Emanuel Gabriel, et al. Hand Hygiene Facilities in the Clinical Laboratories of a Tertiary Health Facility in a Lassa Fever Endemic Country. Am. J. Lab. Med. 2018, 3(2), 25-29. doi: 10.11648/j.ajlm.20180302.11

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    AMA Style

    Olusegun Adesola Busari, Opeyemi James Oje, Babajide Adeleke, Olusogo Ebenezer Busari, Olusegun Emanuel Gabriel, et al. Hand Hygiene Facilities in the Clinical Laboratories of a Tertiary Health Facility in a Lassa Fever Endemic Country. Am J Lab Med. 2018;3(2):25-29. doi: 10.11648/j.ajlm.20180302.11

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  • @article{10.11648/j.ajlm.20180302.11,
      author = {Olusegun Adesola Busari and Opeyemi James Oje and Babajide Adeleke and Olusogo Ebenezer Busari and Olusegun Emanuel Gabriel and Segun Matthew Agboola and Adebara Idowu Oluseyi},
      title = {Hand Hygiene Facilities in the Clinical Laboratories of a Tertiary Health Facility in a Lassa Fever Endemic Country},
      journal = {American Journal of Laboratory Medicine},
      volume = {3},
      number = {2},
      pages = {25-29},
      doi = {10.11648/j.ajlm.20180302.11},
      url = {https://doi.org/10.11648/j.ajlm.20180302.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajlm.20180302.11},
      abstract = {Hand hygiene is a general term referring to any action of hand cleansing. It basically includes hand washing and hand rubbing. It is considered the most important simple measure for preventing the spread of pathogens generally and particularly in health-care setting. The objective of the survey was to evaluate the availability and accessibility of hand hygiene facilities in the clinical laboratories of a tertiary health facility in south west Nigeria. A previously used survey checklist assessing the condition of sink and other hand hygiene facilities in a health care setting was further modified and employed for data collection. Descriptive data analysis was done by calculating the frequencies. There were sixteen sinks in the laboratories where the survey was conducted. All the sixteen sinks were accessible to the users and were physically intact. Four (25%) of the sinks had damaged draining pipes. Half of the sinks had hand-held faucet. There was no sink with automated faucet. None of the faucets had water flowing when turned on at the time of the survey. Also, none had water flowed through it in the past 72 hours prior the survey according to users’ interview. Soap was available in only 6 (37.5%) of the sinks and there was no hand rub/ hand disinfectant or hand drying materials available. The survey has shown that there was a gross lack of hand hygiene facilities in the clinical laboratories of the tertiary health facility. There is an urgent need for critical stakeholders in the health sector to give policy and financial priority to provision of adequate modern hand hygiene facilities in all health care settings.},
     year = {2018}
    }
    

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  • TY  - JOUR
    T1  - Hand Hygiene Facilities in the Clinical Laboratories of a Tertiary Health Facility in a Lassa Fever Endemic Country
    AU  - Olusegun Adesola Busari
    AU  - Opeyemi James Oje
    AU  - Babajide Adeleke
    AU  - Olusogo Ebenezer Busari
    AU  - Olusegun Emanuel Gabriel
    AU  - Segun Matthew Agboola
    AU  - Adebara Idowu Oluseyi
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    T2  - American Journal of Laboratory Medicine
    JF  - American Journal of Laboratory Medicine
    JO  - American Journal of Laboratory Medicine
    SP  - 25
    EP  - 29
    PB  - Science Publishing Group
    SN  - 2575-386X
    UR  - https://doi.org/10.11648/j.ajlm.20180302.11
    AB  - Hand hygiene is a general term referring to any action of hand cleansing. It basically includes hand washing and hand rubbing. It is considered the most important simple measure for preventing the spread of pathogens generally and particularly in health-care setting. The objective of the survey was to evaluate the availability and accessibility of hand hygiene facilities in the clinical laboratories of a tertiary health facility in south west Nigeria. A previously used survey checklist assessing the condition of sink and other hand hygiene facilities in a health care setting was further modified and employed for data collection. Descriptive data analysis was done by calculating the frequencies. There were sixteen sinks in the laboratories where the survey was conducted. All the sixteen sinks were accessible to the users and were physically intact. Four (25%) of the sinks had damaged draining pipes. Half of the sinks had hand-held faucet. There was no sink with automated faucet. None of the faucets had water flowing when turned on at the time of the survey. Also, none had water flowed through it in the past 72 hours prior the survey according to users’ interview. Soap was available in only 6 (37.5%) of the sinks and there was no hand rub/ hand disinfectant or hand drying materials available. The survey has shown that there was a gross lack of hand hygiene facilities in the clinical laboratories of the tertiary health facility. There is an urgent need for critical stakeholders in the health sector to give policy and financial priority to provision of adequate modern hand hygiene facilities in all health care settings.
    VL  - 3
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    ER  - 

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Author Information
  • College of Medicine and Health Sciences, Afe Babalola University, Ado-Ekiti, Nigeria

  • Department of Food Technology, Federal Polytechnic, Ado-Ekiti, Nigeria

  • Department of Chemical Pathology, Federal Teaching Hospital, Ido-Ekiti, Nigeria

  • College of Medicine and Health Sciences, Afe Babalola University, Ado-Ekiti, Nigeria

  • Department of Family Medicine, Federal Teaching Hospital, Ido-Ekiti, Nigeria

  • Department of Family Medicine, Federal Teaching Hospital, Ido-Ekiti, Nigeria

  • Department of Obstetrics and Gynaecology, Federal Teaching Hospital, Ido-Ekiti, Nigeria

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