Hygienic practices among consultant anesthetists in teaching hospitals of Sindh Pakistan: A cross-sectional survey

Gotam Kumar; Muhammad Arslan Zahid; Jai Parkash; Kainat Kainat; Kashif Ali Khowaja; Chander Kala; Huma Nasir

doi:10.53730/ijhs.v7nS1.14282

Authors

Gotam Kumar Registar The Indus Hospital
Muhammad Arslan Zahid Senior Registrar The Indus Hospital
Jai Parkash NCHD Our lady of Lourdes Hospital Droghed
Kainat Senior registrar King Faisal Medical Complex Taif, KSA
Kashif Ali Khowaja Sindh Institute of Urology and Transplantation
Chander Kala Resident Anesthesiology Aga khan University Hospital
Huma Nasir Resident Ziauddin Hospital Karachi

Keywords:

consultant anesthetists, hygiene, nosocomial infections, operation theatres, sanitation

Abstract

Background: Infection susceptibility during anesthesia administration and surgical procedures continues to be a primary cause of morbidity and mortality, despite the advent of prophylactic antibiotics and advanced technology. During surgery, nosocomial infections frequently result in sepsis, highlighting the importance of Operation Theatre (OT) sanitation. Objectives: To evaluate the hygienic practices of anesthesiologists operating in teaching hospitals in Sindh, Pakistan. Methods: Using cross-sectional design, six-month survey of consultant anesthetists in Sindh's numerous educational institutions was conducted. A thorough, self-administered questionnaire was used to collect data on aspects of sanitation practices including knowledge of infection control, existing practices, perceived obstacles, and adherence to guidelines. Utilizing a sequential sampling procedure, participants meeting specific eligibility criteria were selected to represent a wide range of demographics, socioeconomic statuses, and healthcare delivery contexts. Results: The study contributed to closing the disparity between global standards and actual practices, thereby aligning with the global initiative to improve anesthesia hygiene practices. A total of 83 consultants were approached, but 18 declined, culminating in the analysis of data from 65 participants. Their mean age was 49.27+11.17 years. Participants were predominantly employed in private institutions (n=43) and had an average of 13.97 (SD=10.24) years of experience (p> 0.05).

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References

Association of Anaesthetists of Great Britain and Ireland. Infection control in anaesthesia. Anaesthesia. 2008 Sep;63(9):1027-36.

Bali RK. Operating Room Protocols and Infection Control. Oral and Maxillofacial Surgery for the Clinician. 2020 Jun 24:173–94.

Basu S, Andrews J, Kishore S, Panjabi R, Stuckler D. Comparative performance of private and public healthcare systems in low- and middle-income countries: a systematic review. PLoS Med. 2012;9(6):e1001244.

Cheung KL, ten Klooster PM, Smit C, et al. The impact of non-response bias due to sampling in public health studies: A comparison of voluntary versus mandatory recruitment in a Dutch national survey on adolescent health. BMC Public Health. 2017; 17:276.

Ehlenbach WJ, Curtis JR. Noninvasive ventilation for patients near the end of life: what do we know and what do we need to know? Crit Care Med. 2008 Mar;36(3):1003-4.

Glowicz J, Landon E, Sickbert-Bennett E, Aiello A, DeKay K, Hoffmann K, Ellingson K. SHEA/IDSA/APIC Practice Recommendation: Strategies to prevent healthcare-associated infections through hand hygiene: 2022 Update. Infection Control Hospital Epidemiol. 2023;44(3):355-376.

Hasse B, Hannan MM, Keller PM, Maurer FP, Sommerstein R, Mertz D, et al. International Society of Cardiovascular Infectious Diseases Guidelines for the Diagnosis, Treatment and Prevention of Disseminated Mycobacterium chimaera Infection Following Cardiac Surgery with Cardiopulmonary Bypass. J Hospital Infect. 2020;104(2):214-235.

Hirschmann MT, Hart A, Henckel J, Sadoghi P, Seil R, Mouton C. COVID-19 coronavirus: recommended personal protective equipment for the orthopaedic and trauma surgeon. Knee Surg Sports Traumatol Arthrosc. 2020 Jun;28(6):1690-1698.

Krediet AC, Kalkman CJ, Bonten MJ, Gigengack AC, Barach P. Hand-hygiene practices in the operating theatre: an observational study. Br J Anaesth. 2011 Oct;107(4):553-8.

Kruk ME, Gage AD, Arsenault C, Jordan K, Leslie HH, Roder-DeWan S, Adeyi O, Barker P, Daelmans B, Doubova SV, English M, García-Elorrio E, Guanais F, Gureje O, Hirschhorn LR, Jiang L, Kelley E, Lemango ET, Liljestrand J, Malata A, Marchant T, Matsoso MP, Meara JG, Mohanan M, Ndiaye Y, Norheim OF, Reddy KS, Rowe AK, Salomon JA, Thapa G, Twum-Danso NAY, Pate M. High-quality health systems in the Sustainable Development Goals era: time for a revolution. Lancet Glob Health. 2018 Nov;6(11):e1196-e1252.

Lee M, Kang BA, You M. Knowledge, attitudes, and practices (KAP) toward COVID-19: a cross-sectional study in South Korea. BMC Public Health. 2021; 21:295.

Loveday HP, Wilson JA, Pratt RJ, Golsorkhi M, Tingle A, Bak A, Browne J, Prieto J, Wilcox M, UK Department of Health. epic3: national evidence-based guidelines for preventing healthcare-associated infections in NHS hospitals in England. J Hosp Infect. 2014 Jan;86 Suppl 1:S1-70.

Mazor KM, Clauser BE, Field T, Yood RA, Gurwitz JH. A demonstration of the impact of response bias on the results of patient satisfaction surveys. Health Serv Res. 2002 Oct;37(5):1403-17.

Mikulicz J. Das Operinen in sterilisirten Zwirnhandschuhen und mit Mundbinde. Centralblatt Fur Chirurgie 1897; 26: 714. 11 Rogers KB. Face masks: which, when, where and why? J Hospital Infec. 1981;2:1–4.

Nuhu S, Mpambije CJ, Ngussa K. Challenges in health service delivery under public-private partnership in Tanzania: stakeholders’ views from Dar es Salaam region. BMC Health Serv Res. 2020; 20:765.

Sartelli M, Bartoli S, Borghi F, Busani S, Carsetti A, Catena F, Cillara N, Coccolini F, Cortegiani A, Cortese F, Fabbri E, Foghetti D, Forfori F, Giarratano A, Labricciosa FM, Marini P, Mastroianni C, Pan A, Pasero D, Scatizzi M, Viaggi B, Moro ML. Implementation Strategies for Preventing Healthcare-Associated Infections across the Surgical Pathway: An Italian Multisociety Document. Antibiotics. 2023;12(3):521.

Seaton P, Jones TL, Cant R, Cooper S, Kelly MA, McKenna L, Ng L, Bogossian F. Exploring the extent to which simulation-based education addresses contemporary patient safety priorities: A scoping review, Collegian. 2019;26(1):194-203.

Sharma A, Fernandez PG, Rowlands JP, Koff MD, Loftus RW. Perioperative Infection Transmission: the Role of the Anesthesia Provider in Infection Control and Healthcare-Associated Infections. Curr Anesthesiol Rep. 2020;10(3):233-241.

Smith BA. Anesthesia as a Risk for Health Care Acquired Infections. Perioperative Nursing Clinics. 2010 Dec;5(4):427–41.

Verbeek JH, Rajamaki B, Ijaz S, Sauni R, Toomey E, Blackwood B, Tikka C, Ruotsalainen JH, Kilinc Balci FS. Personal protective equipment for preventing highly infectious diseases due to exposure to contaminated body fluids in healthcare staff. Cochrane Database Syst Rev. 2020 Apr 15;4(4):CD011621.