Volume : 09, Issue : 09, September – 2022



Authors :

Sana Kanwal Mumtaz, Shabana Kosar, Tahira Shaheen

Abstract :

Introduction: Nurses among other healthcare providers work at the frontline to manage different concerns of patients. Therefore the want of basic knowledge and reflexes regarding personal hygiene, sterilization and infection control can undermine the wellbeing of the patients. This study is undertaken and aimed to assess the knowledge and practices of nurses regarding surgical scrubs. Methods: This cross-sectional survey-based study was conducted among 100 nurses enrolled through convenient sampling working in different units of Jinnah Hospital Lahore using a self-structured questionnaire during June 2021 to September 2021. The questions were drafted from the guidelines and protocols of the American Association of Surgical Technologists Standards of Practice for Surgical Attire, Surgical Scrub, Hand Hygiene, and Hand washing. Results: Most of nurses correctly identified the constituents of surgical scrub attire e.g. surgical gown (92.0%), shoe cover (97.0%), head cover (93.0%), and masks (99.0%). 84.0% of nurses knew about the prohibition of wearing the surgical scrub outside the operation room, 82.0% demonstrated the correct method of putting on the personal protective equipment, only 61.0% recalled the permissible areas of hospital for carrying surgical scrubs. It was observed that despite having sufficient knowledge regarding scrubbing technique there was an evident lack of adopting such practices in professional lives. 65.0% of the nurses responded that they did not seek any formal education on scrubbing. Inconvenience (79.0%) was listed as most common causative factor for the lack of compliance. Conclusion: Despite having adequate background knowledge regarding donning and doffing of surgical scrubs the majority of the nurses were unable to comply with the practices in their professional lives. It was also observed that around 2/3rd of the subjects did not attend any formal training or workshop regarding infection control. Through guideline directed protocols, regular ward teaching rounds and health directed seminars surgical scrub practices can be encouraged to combat the burden of nosocomial infections in developing world.
Keywords: Surgical Scrubs; Infection Control; Nurses; Knowledge and Practices

Cite This Article:

Please cite this article in press Sana Kanwal Mumtaz et al, Knowledge And Practices Of Nurses Regarding Surgical Scrubbing In Operation Rooms., Indo Am. J. P. Sci, 2022; 09(9).

Number of Downloads : 10


1. Marcel J-P, Alfa M, Baquero F, Etienne J, Goossens H, Harbarth S, Hryniewicz W, Jarvis W, Kaku M, Leclercq R (2008) Healthcare-associated infections: think globally, act locally. Clinical microbiology and infection 14:895–907
2. Stone PW, Braccia D, Larson E (2005) Systematic review of economic analyses of health care-associated infections. American journal of infection control 33:501–509
3. Zilberberg MD, Shorr AF (2012) Economic aspects of preventing health care–associated infections in the intensive care unit. Critical care clinics 28:89–97
4. Rosenthal VD, Guzman S, Migone O, Crnich CJ (2003) 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. American journal of infection control 31:475–480
5. Rosenthal VD, Maki DG, Mehta Y, Leblebicioglu H, Memish ZA, Al-Mousa HH, Balkhy H, Hu B, Alvarez-Moreno C, Medeiros EA (2014) International Nosocomial Infection Control Consortiu (INICC) report, data summary of 43 countries for 2007-2012. Device-associated module. American journal of infection control 42:942–956
6. Magill SS, Edwards JR, Bamberg W, Beldavs ZG, Dumyati G, Kainer MA, Lyn eld R, Maloney M, McAllister-Hollod L, Nadle J,Ray SM, Thompson DL, Wilson LE, Fridkin SK (2014) Multistate Point-Prevalence Survey of Health Care–Associated Infections. N Engl J Med 370:1198–1208 . https://doi.org/10.1056/NEJMoa1306801
7. Vincent J-L (2003) Nosocomial infections in adult intensive-care units. The lancet 361:2068–2077
8. Lazzari S, Allegranzi B, Concia E (2004) Making hospitals safer: the need for a global strategy for infection control in health care settings. World Hospitals and Health Services 40:32–39
9. Mitchell A, Spencer M, Edmiston Jr C (2015) Role of healthcare apparel and other healthcare textiles in the transmission of pathogens: a review of the literature. Journal of Hospital Infection 90:285–292
10. Banu A, Anand M, Nagi N (2012) White coats as a vehicle for bacterial dissemination. Journal of clinical and diagnostic research: JCDR 6:1381
11. Goyal S, Khot SC, Ramachandran V, Shah KP, Musher DM (2019) Bacterial contamination of medical providers’ white coats and surgical scrubs: A systematic review. American Journal of Infection Control 47:994–1001 .https://doi.org/10.1016/j.ajic.2019.01.012
12. Brooke BS, Arnaoutakis G, McDonnell NB, Black III JH (2010) Contemporary management of vascular complications associated with Ehlers-Danlos syndrome. Journal of vascular surgery 51:131–139
13. Grimes CE, Law RS, Borgstein ES, Mkandawire NC, Lavy CB (2012) Systematic review of met and unmet need of surgical disease in rural sub-Saharan Africa. World journal of surgery 36:8–23
14. Allegranzi B, Nejad SB, Combescure C, Graafmans W, Attar H, Donaldson L, Pittet D (2011) Burden of endemic health-careassociated infection in developing countries: systematic review and meta-analysis. The Lancet 377:228–241 .https://doi.org/10.1016/S0140-6736(10)61458-4
15. Humphreys H, Marshall RJ, Ricketts VE, Russell AJ, Reeves DS (1991) Theatre over-shoes do not reduce operating theatre oor bacterial counts. Journal of Hospital Infection 17:117–123
16. Garner JS, Committee HICPA (1996) Guideline for isolation precautions in hospitals. Infection Control & Hospital Epidemiology 17:54–80
17. Dancer SG, Duerden BI (2014) Changes to clinician attire have done more harm than good. The journal of the Royal College of Physicians of Edinburgh 44:293–298
18. Clarke SP, Rockett JL, Sloane DM, Aiken LH (2002) Organizational climate, sta ng, and safety equipment as predictors of needlestick injuries and near-misses in hospital nurses. American journal of infection control 30:207–216
19. D’Alessandro D, Agodi A, Auxilia F, Brusaferro S, Calligaris L, Ferrante M, Montagna MT, Mura I, Napoli C, Pasquarella C (2014) Prevention of healthcare associated infections: Medical and nursing students’ knowledge in Italy. Nurse education today 34:191–195
20. Larson E. Guidelines for handwashing. Am J Infect… – Google Scholar. https://scholar.google.com/scholarhl=en&as_sdt=0%2C5&q=+Larson+E.+Guidelines+for+handwashing.+Am+J+Infect+Control+1995%3B23%3A251e269.&btnG=. Accessed 3 Jun 2020
21. Standard_Surgical_Attire_Surgical_Scrub.pdf
22. Kotwal A, Taneja DK (2010) Health care workers and universal precautions: perceptions and determinants of non-compliance. Indian journal of community medicine: o cial publication of Indian Association of Preventive & Social Medicine 35:526
23. Kermode M, Jolley D, Langkham B, Thomas MS, Crofts N (2005) Occupational exposure to blood and risk of bloodborne virus infection among health care workers in rural north Indian health care settings. American journal of infection control 33:34–41
24. Zhang Z, Yamamoto T, Wu XN, Moji K, Cai GX, Kuroiwa C (2010) Educational intervention for preventing bloodborne infection among medical students in China. Journal of Hospital Infection 75:47–51 . https://doi.org/10.1016/j.jhin.2009.12.021
25. Hassan ZM (2018) Improving knowledge and compliance with infection control Standard Precautions among undergraduate nursing students in Jordan. American Journal of Infection Control 46:297–302 . https://doi.org/10.1016/j.ajic.2017.09.010
26. Souza-Borges FRF de, Ribeiro LA, Oliveira LCM de (2014) Occupational exposures to body uids and behaviors regarding their prevention and post-exposure among medical and nursing students at a Brazilian public university. Revista do Instituto de Medicina Tropical de São Paulo 56:157–163
27. Jacob GP (2009) Scrubs: What you don’t see is what you get. Cmaj 180:984–984
28. Legeay C, Thépot-Seegers V, Groh M, Pilmis B, Zahar J-R (2015) Medical students’ knowledge of infection control and prevention: Factors associated with better results and room for improvement. Ajic (american Journal of Infection Control) 43:1142–1143
29. Ward DJ (2011) The role of education in the prevention and control of infection: a review of the literature. Nurse Education Today 31:9–17