Masood Hussain Rao.
Knowledge, attitude and practice patterns of handwashing in major public sector hospitals of Karachi.
Pak J Med Res Jan ;45(4):87-92.

Aims: To determine the knowledge, attitude, and practice pattern of hand washing in medical professionals of some public sector hospitals and determine the variations in different groups and also check the availability of hand washing facilities at these sites. Methods: A questionnaire based study was conducted at 10 wards and 10 OPD`s of six major public sector hospitals of Karachi. From each unit, 5 staff members (2 doctors 3 paramedics) were selected A precoded proforma was used to collect the information. Results: A total of 386 individuals were interviewed and rest could not be accessed due to non availability. Of the total only 68.8% had sufficient knowledge about the benefits of hand washing while the facility was available at only 16.8% (16/96) units. Although 59% of those interviewed said that they were adopting the practice of hand washing but when observed only 8.9% doctors and staff were practicing it. Majority (62.7%) used the toilet soap for hand washing which they purchased themselves. Only 33.4% individuals thought that soap and water were adequate for disinfection whereas others (66.6%) did not think so. Attitude of 48.7% doctors and 66.2% paramedical staff was positive for adopting the hand washing practices provided the facility was available to them. Main reason for not washing hands was non availability of the facility and heavy rush of patients. Conclusion: To prevent nosocomial infection, the hospital management should provide hand-washing facilities at all sites where patients are examined. Seniors should make sure that they adhere to this practice and also keep a check on their juniors. Health education should be provided regularly through print and visual media and workshops.

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