Vårdpersonalens hygienrutiner i samband med patientarbetet på en vårdcentral på landsbygden i västra Indien : En observationsstudie

Sammanfattning: Hand hygiene compliance is one of the most important factors to prevent healtcare associated infections (HAI), which can cause unnessesary suffering, prelonged insitutional care, invalidity and higher mortality rate. It has been shown that despite regulations for hygiene compliances in healthcare, these are used unadequately. HAI affects 5-10 % of all patients in industrailized countries, in development countries the number is estimated to be up to 20 times higher. The aim of this study was to illustrate healthcareworkers hygiene compliances in patient care at a rural healthcarecentre in western India. Participant observation was used as a method, fieldnotes was taken for qualitative analysis. As a result of the analysis five fields emerged; use of handdesinfection and handwashing, complaince of gloves, the healthcareworkers clothing, use of jewlery and other hygienic aspects, which made the result. This study reveals that handhygiene complaince was poorly used by all informants, gloves was used only by one of the informants, and then only when bandaging wounds. The techniques used for both handwashing, handdesinfection and puttning on gloves was unadequate and therefor did not fullfil their purpose. Even though, the healthcare workers showed that they were aware of and thougt about hygiene in many ways.