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Updated: Apr 11, 2026

A Method to Test the Efficacy of Handwashing for the Removal of Emerging Infectious Pathogens
Published on: June 7, 2017
Video Surveillance Audit of Hand-washing Practices in a Neonatal Intensive Care Unit
Rutvi Shah1, Dipen V Patel, Kushal Shah
1Department of Pediatrics, Pramukhswami Medical College; and #Central Research Services, Charutar Arogya Mandal; Karamsad, Anand, Gujarat, India. Correspondence to: Prof Somashekhar Nimbalkar, Department of Pediatrics, Pramukhswami Medical College, Karamsad, Anand, Gujarat 388 325, India. somu_somu@yahoo.com.
Objective:
To audit hand-washing practices by video-surveillance.
Methods:
Six main steps (step 2 to step 7) of World Health Organizations hand hygiene technique with soap and water were used for evaluation. Handwashing was categorized as excellent, acceptable and unacceptable.
Results:
Of 1081 recordings, 403 (37.3%) were excellent, 521 (48.2%) were acceptable and 157 (14.5%) were unacceptable handwash. Unacceptable handwashing was more prevalent in the night in comparison to daytime (17.5% vs 12.5%). Thirteen people washed their face after washing their hands.
Conclusions:
Innovative interventions are required to improve handwashing during night shifts.
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