Assessment of medical workers’ adherence to hygiene and hand antiseptics in pre-pandemic and pandemic periods
- Authors: Smirnova S.S.1,2, Malkova E.V.1, Egorov I.A.1, Zhuikov N.N.1, Mishchenko V.A.1, Vialykh I.V.1, Smirnova V.A.3, Bolshakova A.N.3, Semenov A.V.4,2,5
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Affiliations:
- Federal Research Institute of Viral Infections «Virom» of Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being
- Ural State Medical University
- Regional Children’s Clinical Hospital
- Rights Protection and Human Well-Being
- Institute of Natural Sciences and Mathematics, Ural Federal University named after the First President of Russia B.N. Yeltsin
- Issue: Vol 13, No 4 (2023)
- Pages: 39-49
- Section: Original Investigations
- URL: https://journals.eco-vector.com/2226-6976/article/view/625517
- DOI: https://doi.org/10.18565/epidem.2023.13.4.39-49
- ID: 625517
Cite item
Abstract
Objective. Evaluation of the medical workers adherence to hygiene and hand antisepsis in the pre-pandemic and pandemic periods and identification of the factors influencing the formation of a negative attitude towards this technology.
Materials and methods. An anonymous survey of medical workers was conducted in 2012 (73 people) and 2021 (100 people), with a simultaneous study of the level of bacterial (2012) and viral-bacterial (2021) hand contamination. Epidemiological (descriptive-evaluative and analytical), molecular biological (RT-PCR), bacteriological and statistical methods were used.
Results. Medical workers’ knowledge levels were comparable across study periods. However, during the pandemic, medical workers’ ideas about the stages of hygienic antiseptics have changed. The total level of adherence to hand antisepsis in the pre-pandemic period was 63.1%, in the pandemic period – 72.6%. It was noted that the frequency of contamination of hands and the outer surface of gloves remained at a high level (in 2012 – 22.0%, in 2021 – 28.3%) and was represented by a wide range of viral and bacterial microflora (Staphylococcus aureus, Enterococcus spp., Klebsiella spp., Pantoea agglomerans, Pseudomonas aeruginosa and SARS-CoV-2). In a number of cases, the presence of viral-bacterial associations on hands (gloves) was detected.
Conclusion. Despite the predominantly positive attitude towards hand antisepsis, an increase in the proportion of ambiguous assessments was noted. The overall level of knowledge about situations requiring hand antiseptic has increased. But the results of laboratory studies of washes from the hands and outer surfaces of gloves of medical personnel demonstrated a high level of viral and bacterial contamination, which contributes to the creation of conditions for the circulation of viral and bacterial pathogens in a medical organization.
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About the authors
Svetlana S. Smirnova
Federal Research Institute of Viral Infections «Virom» of Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being; Ural State Medical University
Author for correspondence.
Email: smirnova_ss@niivirom.ru
ORCID iD: 0000-0002-9749-4611
Сand. Med. Sci., Leading Researcher, Head, Ural-Siberian Scientific and Methodological Center for the Prevention of Healthcare-Acquired Infection, Federal Research Institute of Viral Infections «Virom», Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being; Associate Professor, Department of Epidemiology, Social Hygiene and Organization, State Sanitary and Epidemiological Service, Ural State Medical University
Russian Federation, Yekaterinburg; YekaterinburgElena V. Malkova
Federal Research Institute of Viral Infections «Virom» of Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being
Email: malkova_ev@niivirom.ru.ru
ORCID iD: 0000-0002-6647-9531
Head, Laboratory for Testing Disinfectants and Equipment, Epidemiologist, Ural-Siberian Scientific and Methodological Center for the Prevention of Healthcare-Acquired Infections
Russian Federation, YekaterinburgIvan A. Egorov
Federal Research Institute of Viral Infections «Virom» of Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being
Email: egorov_ia@niivirom.ru
ORCID iD: 0000-0002-7153-2827
Junior Researcher, Ural-Siberian Scientific and Methodological Center for the Prevention of Infections Associated with the Provision of Medical Care
Russian Federation, YekaterinburgNikolai N. Zhuikov
Federal Research Institute of Viral Infections «Virom» of Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being
Email: zhuikov_nn@niivirom.ru
ORCID iD: 0000-0002-7018-7582
Researcher, Ural-Siberian Scientific and Methodological Center for the of Infections Associated with the Provision of Medical Care
Russian Federation, YekaterinburgVladimir A. Mishchenko
Federal Research Institute of Viral Infections «Virom» of Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being
Email: mischenko_va@niivirom.ru
ORCID iD: 0000-0003-4280-283X
Laboratory of Transmissible Viral Infections and Tick-Borne Encephalitis
Russian Federation, YekaterinburgIvan V. Vialykh
Federal Research Institute of Viral Infections «Virom» of Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being
Email: vjalyh_iv@niivirom.ru
ORCID iD: 0000-0002-3123-8359
Сand. Med. Sci., Leading Researcher, Head, Laboratory of Transmissible Viral Infections and Tick-Borne Encephalitis
Russian Federation, YekaterinburgVeronika A. Smirnova
Regional Children’s Clinical Hospital
Email: smirnovava@mis66.ru
ORCID iD: 0000-0002-9657-4257
Head, Epidemiological Department
Russian Federation, YekaterinburgAngelina N. Bolshakova
Regional Children’s Clinical Hospital
Email: anbolshakova73@gmail.com
ORCID iD: 0000-0001-7678-6984
Epidemiologist
Russian Federation, YekaterinburgAleksandr V. Semenov
Rights Protection and Human Well-Being; Ural State Medical University; Institute of Natural Sciences and Mathematics, Ural Federal University named after the First President of Russia B.N. Yeltsin
Email: semenov_av@niivirom.ru
ORCID iD: 0000-0003-3223-8219
ВD., Director, Federal Research Institute of Viral Infections «Virom», Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being; Professor, Department of Experimental Biology and Biotechnology, Institute of Natural Sciences and Mathematics, Ural Federal University named after the First President of Russia B.N. Yeltsin
Russian Federation, Yekaterinburg; Yekaterinburg; YekaterinburgReferences
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