P Age 525 ISSN
Total Page:16
File Type:pdf, Size:1020Kb
ISSN- O: 2458 - 868X, ISSN –P: 2458 - 8687 International Journal of Medical Science and Innovative Research (IJMSIR) IJMSIR : A Medical Publication Hub Available Online at: www.ijmsir.com Volume – 2, Issue –5, September- October - 2017, Page No. : 525 - 532 A Survey of Knowledge of Antiseptic and Disinfectant Use Among Interns in a Tertiary Care Hospital. 1Dr Adit Atul Deshmukh, Junior Resident, Department of Pharmacology, B.J. Government Medical College and Sassoon General Hospital, Pune 2Dr Sangeeta Sanjay Dabhade, Associate Professor, Department of Pharmacology, B.J. Government Medical College and Sassoon General Hospital, Pune 3Dr Balasaheb Baburao Ghongane, Professor and Head, Department of Pharmacology, B.J. Government Medical College and Sassoon General Hospital, Pune Correspondence Author: Dr Sangeeta Sanjay Dabhade, Associate Professor, Department of Pharmacology, B.J. Government Medical College and Sassoon General Hospital, Pune. Acknowledgements – Dr Smita Anand Tiwari (Assistant Professor, Department of Pharmacology, B.J. Government Medical College and Sassoon general Hospital, Pune) for her great help in the collection of data. Conflicts of Interest: Nil. Sources of Funding – None Abstract (minimum) of the interns knew about the agents used for Objective - To find the knowledge of the interns about the fumigation of Operation theatres. The maximum score use of antiseptics and disinfectants. was 75% which was scored by two interns. Methods - This questionnaire-based cross-sectional study Conclusion – Medical interns is a stratum of Health care was conducted in a tertiary-care government hospital workers which has a direct contact with patients during among medial interns. Questionnaire consisted of 20 their daily job. That’s why unless proper precautions are multiple choice single response type questions and it taken; there are high chances of the causation and spread evaluated the domains like definitions, knowledge about of Hospital-acquired infections among the hospitalized the uses, time required by the antiseptics to kill the germs, patients by these interns. To avoid this, the interns should special precautions while handling antiseptics and have a proper knowledge of the infection control disinfectants, and storage conditions. These 20 questions practices. Our study, therefore, emphasizes the need of were scored and expressed in grading from excellent to conducting frequent training programmes, workshops and unsatisfactory. courses to equip the interns with the knowledge and Results – A total of 215 interns were included in the awareness about the Hospital-acquired infections and ways study. None of the interns could score more than 75% to prevent them. marks (“Excellent”). 26.0%, 69.8% and 4.2% interns Keywords: Knowledge, Antiseptics; Disinfectants, scored the grades “Good”, “Satisfactory” and Interns. “Unsatisfactory”, respectively. The questions which were Section 1: Introduction answered correctly by 97.7% (maximum) of interns There is an impending fear that the world is nearing the checked the basic knowledge of definitions of the words end of “antibiotic era” due to the growing concern of 525 Antiseptic and Disinfectant. However only 4.2% resistant pathogens. Hence, there is an emphasized need of Page Corresponding Author: Dr Sangeeta Sanjay Dabhade, Volume - 2 Issue - 5, Page No. 525 - 532 Dr Adit Atul Deshmukh, et al. International Journal of Medical Sciences and Innovative Research (IJMSIR) infection control practices among health-care workers; Concentration and quantity of disinfectant, Contact time along with search for newer molecules. Hospitals are the and temperature, etc.[6] potential source of the risk of acquiring an infection Among the different healthcare workers, medical interns during the healthcare delivery. Hospital-acquired form a stratum which is directly in contact with the infections (HAIs) are associated with increased patients during their duties. Therefore they are likely to attributable mortality, length of stay in the hospital, and transfer the infections from one patient to the other. So, healthcare costs incurred by patients and healthcare for implementation of all the preventive measures to facilities. Hospital-acquired infections are a growing decrease the risk of infection hazards and maintain safety problem at every level of the healthcare system. World of the patients, adequate knowledge of the interns about Health Organization (WHO) estimated that it affects infection control measures and policies are essential.[7] hundreds of millions of people worldwide and it is a major Section 2: Purpose of the Study global issue for patient safety.[1] In India, the rate of HAIs Medical Interns have a direct contact with the patients is 41% according to one study.[2] during their duty. And because of this, there are high An estimated 20% to 40% of HAIs have been attributed to chances of spread of Nosocomial infections among cross infection via the hands of health care personnel. hospitalized patients by the interns. Disinfection and Contamination of the hands of health care workers could Sterilization measures help to reduce the nosocomial in turn result from either direct patient contact or infection rate. indirectly from touching contaminated environmental Therefore this study was planned to assess the knowledge surfaces.[3] Disinfection and sterilization are essential for of use of antiseptics and disinfectants among the medical medical and surgical instruments to ensure that they do interns of a tertiary care government hospital. not cause such HAIs. Section 3: Objective - To find the knowledge of the Antiseptics and Disinfectants are the chemical agents used interns about the use of antiseptics and disinfectants. for the control of microorganisms in the skin or other Section 4: Materials and Methods – living tissue, without appreciably affecting them This is a questionnaire-based cross-sectional study. It was (Antiseptic) or for the destruction of microorganisms in conducted in a tertiary-care government hospital. Prior inanimate objects (Disinfectant). They are a crucial part of approval from Institutional Ethics Committee was taken. infection control practices.[4] Initially a pilot study was conducted among 10 interns and Antiseptics and Disinfectants are commonly used in depending on the performance of the interns in this study hospitals. Various types of antiseptics and disinfectants the questionnaire was validated after alteration in some of used in hospitals are phenol, glutaraldehyde, the questions. The main study was conducted using this formaldehyde, sodium hypochlorite, Benzalkonium validated questionnaire. A total of 215 interns were chloride, povidone iodine etc.[5] included in the study. Written informed consent was Effectiveness of Disinfectant depends on many factors obtained from the interns who were willing to participate. like Type of contaminating microorganism, Degree of The questionnaire was given to all 215 interns after taking contamination, Chemical nature of disinfectant, their consent as all were willing to participate. The questionnaire consisted of 17 Multiple Choice Questions 526 526 526 526 526 Page Page Page © 2016 IJMSIR, All Rights Reserved PagePage Dr Adit Atul Deshmukh, et al. International Journal of Medical Sciences and Innovative Research (IJMSIR) (MCQs) having four options for each question, 2 True and 60.5% interns had the knowledge that Glutaraldehyde is a False type questions and 1 question having 5 options with high level disinfectant (Question 17). How many grams of only one correct answer to be marked. Saniquad is present in how many millilitres of water in 2% Questions covered various aspects like Definitions, uses of w/v solution of Benzalkonium Chloride (i.e Saniquad) was various compounds like Phenol, Potassium permanganate, known to 59.5% interns (Question 10). 50.7% interns had Iodophores, Cresol, Chlorosan solution. Some questions the knowledge regarding the agent used for checked the knowledge of interns about the compounds decontamination after spillage of body fluids like blood like Chloroxylenol, Glutaraldehyde, about the time (Question 16). Uses of Cresol (Question 7) were known to required for alcohol based swabs and alcohol based hand 49.3% interns. 44.2% and 38.1% interns had the correct wash to kill the microbes. knowledge about the uses of Potassium Permanganate and Knowledge about the agents used for fumigation of Iodophores, respectively (Questions 5 and 6). Some Operation theatres and for post-fumigation neutralization important aspects about the use of Glutaraldehyde, such as was assessed by two questions. Other questions tested the what should be done before using Glutaraldehyde knowledge about some important aspects like (Question 14), special precautions to be taken while Concentration of agents, Decontamination of body fluids, handling Glutaraldehyde (Question 18) and the duration Levels of disinfectants, agents requiring protection from within which the Activated solution of Glutaraldehyde Sunlight. One question was based on the Hand hygiene should be used (Question 20) were known to 10.7%, methods applicable in different situations. 43.3% and 39.1% interns, respectively. 39.1% interns Each correct answer was given one mark and wrong were aware about the type of hand hygiene method to be answer or un- attempted question received zero marks. used in different situations (Question 9). The same Marks obtained by each intern were calculated along with percentage of interns had knowledge about the percentage