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Background: Surgical attire is an important component of maintaining a sterile operating room environment, however lack of adherence to their appropriate usage can lead to increased hospital-acquired infections.
Purpose of the Study: This study aims to describe the current knowledge and practice of medical students regarding surgical attire.
Methods: A total number of 216 medical students with exposure to clinical rotations were administered a questionnaire based on knowledge from the medical school student handbook and American Association of Surgical Technologists Standards of Practice for Surgical Attire, Surgical Scrub, Hand Hygiene, and Handwashing. The data was analyzed using SPSS v23.0. Categorical variables were reported as frequency and percentages and were assessed by the chi-square/ Fisher exact test.
Results: Most students correctly identified the components of surgical scrubs including scrub suit (95.5%), shoe covers (95.4%), headcover (94.9%), and masks (93.9%). 82.7% of students were aware of the policy of wearing surgical scrubs off-campus, 78.7% knew the correct method of using the protective over gowns, only 52.8% knew permissible areas for wearing surgical scrubs. Students’ adequate knowledge did not translate into their practices. 57.1% of the students reported not having received any formal education on scrub use. Inconvenience (66.9%), was cited as the most common cause of scrub re-use and unsafe practices.
Principal Conclusion: Medical students have sufficient knowledge regarding surgical scrubs which does not translate into their practices. The majority of the students report as not having received any formal training regarding surgical scrub usage.
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Marcel J-P, Alfa M, Baquero F, et al. Healthcare-associated infections: think globally, act locally. Clin Microbiol Infect. 2008;14(10):895–907.
Stone PW, Braccia D, Larson E. Systematic review of economic analyses of health care-associated infections. Am J Infect Control. 2005;33(9):501–9.
Zilberberg MD, Shorr AF. Economic aspects of preventing health care–associated infections in the intensive care unit. Crit Care Clin. 2012;28(1):89–97.
Rosenthal VD, Guzman S, Migone O, et al. The attributable cost, length of hospital stay, and mortality of central line-associated bloodstream infection in intensive care departments in Argentina: a prospective, matched analysis. Am J Infect Control. 2003;31(8):475–80.
Rosenthal VD, Maki DG, Mehta Y, et al. International Nosocomial Infection Control Consortiu (INICC) report, data summary of 43 countries for 2007-2012. Device-associated module. Am J Infect Control. 2014;42(9):942–56.
Vincent J-L. Nosocomial infections in adult intensive-care units. The lancet. 2003;361(9374):2068–77.
Lazzari S, Allegranzi B, Concia E. Making hospitals safer: the need for a global strategy for infection control in health care settings. World Hosp Health Serv. 2004;40(2):32–9.
Allegranzi B, Nejad SB, Combescure C, Graafmans W, Attar H, Donaldson L, et al. Burden of endemic health-care-associated infection in developing countries: systematic review and meta-analysis. The Lancet. 2011 Jan 15;377(9761):228–41.
AORN eGuidelines+ [Internet]. [cited 2021 Apr 1]. Available from: https://aornguidelines.org/
Surgical Attire and the Operating Room: Role in Infection Pr... : JBJS [Internet]. [cited 2021 Apr 1]. Available from: https://journals.lww.com/jbjsjournal/FullText/2014/09030/Surgical_Attire_and_the_Operating_Room__Role_in.11.aspx?casa_token=CC3d66dMSOQAAAAA:KqmT9gZU1fYU-tFG6kN1LjM3DtYeCT7Fabsya-srD3TFLLopYvq8Far4woiKRMdSOyPRvohELeVBGRetxk3XMxqN
Belkin NL. Surgical scrubs–where we were, where we are going. Todays Surg Nurse. 1998;20(2):28–34.
Guidelines for prevention of hospital acquired infections [Internet]. [cited 2020 Apr 5]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3963198/
Scott E, Goodyear N, Nicoloro JM, et al. Laundering habits of student nurses and correlation with the presence of Staphylococcus aureus on nursing scrub tops pre-and postlaundering. Am J Infect Control. 2015;43(9):1006–8.
Mitchell A, Spencer M, Edmiston Jr C. Role of healthcare apparel and other healthcare textiles in the transmission of pathogens: a review of the literature. J Hosp Infect. 2015;90(4):285–92.
Garner JS, Committee HICPA. Guideline for isolation precautions in hospitals. Infect Control Hosp Epidemiol. 1996;17(1):54–80.
Dancer SG, Duerden BI. Changes to clinician attire have done more harm than good. J R Coll Physicians Edinb. 2014;44(4):293–8.
Clarke SP, Rockett JL, Sloane DM, et al. Organizational climate, staffing, and safety equipment as predictors of needlestick injuries and near-misses in hospital nurses. Am J Infect Control. 2002;30(4):207–16.
Knowledge, attitude, and practices regarding infection control measures among medical students. - Abstract - Europe PMC [Internet]. [cited 2020 Jun 4]. Available from: https://europepmc.org/article/med/30317303
Kotwal A, Taneja DK. Health care workers and universal precautions: perceptions and determinants of non-compliance. Indian J Community Med Off Publ Indian Assoc Prev Soc Med. 2010;35(4):526.
Kermode M, Jolley D, Langkham B, et al. Occupational exposure to blood and risk of bloodborne virus infection among health care workers in rural north Indian health care settings. Am J Infect Control. 2005;33(1):34–41.
Zhang Z, Yamamoto T, Wu XN, et al. Educational intervention for preventing bloodborne infection among medical students in China. J Hosp Infect. 2010;75(1):47–51.
Hassan ZM. Improving knowledge and compliance with infection control Standard Precautions among undergraduate nursing students in Jordan. Am J Infect Control. 2018 Mar 1;46(3):297–302.
Banu A, Anand M, Nagi N. White coats as a vehicle for bacterial dissemination. J Clin Diagn Res JCDR. 2012;6(8):1381.
Souza-Borges FRF de, Ribeiro LA, Oliveira LCM de. Occupational exposures to body fluids and behaviors regarding their prevention and post-exposure among medical and nursing students at a Brazilian public university. Rev Inst Med Trop São Paulo. 2014;56(2):157–63.
Legeay C, Thépot-Seegers V, Groh M, et al. Medical students’ knowledge of infection control and prevention: Factors associated with better results and room for improvement. Ajic Am J Infect Control. 2015;43(10):1142–3.
Ward DJ. The role of education in the prevention and control of infection: a review of the literature. Nurse Educ Today. 2011;31(1):9–17.