Document Type : Original Article



BACKGROUND: Although there is advancement in the health‑care system, the rates of
hospital‑acquired infections (HAIs) are still high. Poor hand hygiene (HH) among healthcare workers
(HCWs) is identified as one of the major causes of HAIs.
AIMS: The aim and objective of this study is to assess the awareness and attitude regarding hand
hygiene (HH) among HCWs in a superspecialty hospital in Ghaziabad, Uttar Pradesh, India.
SETTINGS AND DESIGN: A cross‑sectional, semi‑structured, questionnaire‑based study was carried
out in a superspecialty hospital, Uttar Pradesh, India. Questionnaires were distributed on the training
session of HH organized in the eve of World HH Day on May 5th, 2016.
SUBJECTS AND METHODS: A total 104 questionnaires were distributed among various HCWs.
Each questionnaire was composed of 14 questions to test the awareness and attitude regarding
HH. Awareness regarding HH among HCWs was graded as excellent (>80% correct response),
satisfactory (80%–50%), and unsatisfactory (<50%). Attitude was graded on the basis of their
response: excellent (strongly agree), satisfactory (agree), and unsatisfactory (other response).
RESULTS: Awareness was found to be unsatisfactory regarding the most frequent source of germs
in hospital setting (39.42%) and effective time of proper hand rub (42.30%). Lack of awareness
regarding adequate time of hand wash among doctors (85.71%) was an important issue.


1. Ekwere TA, Okafor IP. Hand hygiene knowledge and
practices among health care providers in a tertiary hospital,
South West, Nigeria. International Journal of Infection Control
2. Ariyaratne MS, Gunasekara TD, Weerasekara MM, Kotahachchi J,
Kudavidanage  BP, Fernando  SS. Knowledge, attitude and
practices of hand hygiene among final year medical and nursing
students at the university of Sri Jayewardenipura Sri Lankan.
J Infect Dis 2013;3:15‑25.
3. Allegranzi B,Pittet D.Roleofhandhygiene inhealthcare‑associated
infection prevention. J Hosp Infect 2009;73:305‑15.
4. Mathur P. Hand hygiene: Back to the basics of infection control.
Indian J Med Res 2011;134:611‑20.
5. Suchitra JB, Lakshmi Devi N. Impact of education on knowledge,
attitudes and practices among various categories of health care
workers on Nosocomial infections. Indian J Med Microbiol
6. Ansari  SK, Gupta  P, Jais M, Nangia  S, Gogoi  S, Satia  S, et al.
Assessment of knowledge attitude and practices regarding hand
hygiene amongst the health care workers in a tertiary care centre.
Int J Pharm Res Health Sci 2015;3:720‑6.
7. Nabavi M, Alavi‑Moghaddam M, Gachkar  L, Moeinian M.
Knowledge, attitudes, and practices study on hand hygiene
among imam Hossein hospital’s residents in 2013. Iran Red
Crescent Med J 2015;17:19606.
8. Maheshwari  V, Kaore NC, Ramnani  VK, Gupta  SK, Borle A,
Kaushal R, et al. A study to assess knowledge and attitude
regarding hand hygiene amongst residents and nursing staff
in a tertiary health care setting of Bhopal city. J Clin Diagn Res 2014;8:4‑7.