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Hygiene practices during clinical training: knowledge, attitudes and practice among a cohort of South Asian Medical students

机译：临床培训期间的卫生习惯：一群南亚医科学生的知识，态度和做法

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Proper hygienic practices are important in preventing nosocomial infection. This study aimed to determine knowledge, attitudes and practices (KAP) on hand, attire and equipment hygiene during clinical training among medical students at a State Medical Institution in Sri Lanka. This cross-sectional study was conducted among 3rd, 4th and final (5th) year medical students of the Faculty of Medicine, University of Colombo, who had undergone at least 6?months of clinical training. KAP on hand hygiene (HH), attire hygiene (AH) and equipment hygiene (EH) were assessed using a pre-tested, self-administered questionnaire with a Likert-type scale. KAP scores were graded as follows: good ≥75; moderate:74.9–50; unsatisfactory:49.9–25; poor:?25%. KAP based on duration of training and gender were compared using independent samples t-tests. Three hundred thirty-three students participated (mean age 24?±?1.1?years, male: female?=?1: 1.2). Combined KAP scores on hand and attire hygiene were moderate (HH:73%, AH:65%) while equipment hygiene was unsatisfactory (EH:47%). Senior students (5th year) had higher combined KAP and knowledge (K) on hand hygiene (HH KAP 75% vs. 72%, p?=?0.01; K:72% vs. 67%, p?=?0.001) and equipment hygiene (EH KAP 50% vs. 44%, p?=?0.001; K:47% vs. 35%, p?=?0.001) compared to junior students (3rd/ 4th years). However, they had lower KAP and P scores on attire hygiene (AH KAP 63% vs. 67%, p?=?0.006; P:60% vs. 67%, p?=?0.004). Female students had better AH compared to male students (KAP:67% vs. 64% p?=?0.01; K 71% vs. 66%, p?=?0.048; P:66% vs. 62%, p?=?0.05). Overall, hand hygiene was moderate among medical students and improved with progression of training. Attire hygiene was also graded as moderate but to a lesser extent compared to hand hygiene, lower in males, and declined over time, indicating need for better reinforcement of attire hygiene practices with progression of clinical training. Equipment hygiene was unsatisfactory among most medical students and thus needs to be highlighted as a potential area to be improved during clinical training. This study suggests that knowledge, attitudes and practices on equipment and attire hygiene among medical students was less satisfactory and needs to receive greater emphasis during medical clinical training.
机译：正确的卫生习惯对预防医院感染很重要。这项研究旨在确定在斯里兰卡国家医疗机构的医学生进行临床培训期间手头知识，态度和行为（KAP），服装和设备卫生状况。这项横断面研究是在科伦坡大学医学院的3年级，4年级和最后5年级的医学生中进行的，他们接受了至少6个月的临床培训。使用预先测试的自我管理问卷（李克特型量表）评估了KAP的手卫生（HH），服装卫生（AH）和设备卫生（EH）。 KAP评分分为：良好≥75;中等：74.9–50;差：49.9–25;较差：<25％。使用独立样本t检验比较了基于培训持续时间和性别的KAP。 333名学生参加（平均年龄24？±1.1年，男：女== 1：1.2）。手部和服装卫生的综合KAP得分为中等（HH：73％，AH：65％），而设备卫生则不令人满意（EH：47％）。高年级学生（第5年）具有更高的综合KAP和手卫生知识（K）（HH KAP 75％对72％，p <= 0.01）; K：72％对67％，p <= 0.001）和与初中生（3年级/ 4年级）相比，设备卫生（EH KAP为50％对44％，p <= 0.001; K：47％对35％，p = 0.001）。但是，他们在服装卫生方面的KAP和P得分较低（AH KAP 63％比67％，p = 0.006; P：60％比67％，p = 0.004）。女学生的AH较男学生好（KAP：67％vs.64％p？=？0.01; K 71％vs. 66％，p？=？0.048; P：66％vs. 62％，p？= 0.05）。总体而言，医学生的手部卫生状况中等，并且随着训练的进行而改善。服装卫生也被评定为中等水平，但与手部卫生相比等级较低，男性较低，并且随着时间的推移而下降，这表明需要随着临床培训的进行而更好地加强服装卫生习惯。在大多数医学生中，设备卫生状况不尽人意，因此需要强调，这是在临床培训期间有待改进的潜在领域。这项研究表明，医学生对设备和服装卫生的知识，态度和做法不太令人满意，需要在医学临床培训期间给予更多的重视。

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