Factors related to the incorrect use of hospital uniforms by medical students
DOI:
https://doi.org/10.29166/rfcmq.v50i1.2903Keywords:
knowledge, attitude, hygiene, students, personal protective equipmentAbstract
Introduction: Health worker’s clothing, including medical students, is often contaminated by pathogens causing high-mortality infections and long hospital stay. Hence, wearing medical attire outside the hospital setting is a breach of the current hospitals’ biosafety standards.
Objective: To determine the prevalence of incorrect use of hospital uniforms and to establish its relationship with the degree of knowledge of medical students about biosafety regulations and their self-perception when using them outside the hospital.
Methods: Observational, analytical-cross-sectional study in medical students to identify the prevalence of incorrect use of hospital uniforms and factors related to this practice through a CAPs survey.
Results: 79.89% of the participants wore medical uniforms outside pratice hours and outside the hospital, even though they were aware that this is a breach of biosafety regulations. 31.2% of the participants liked the fact that by wearing their uniform outside the hospital they were recognized as health personnel.
Discussion: Ecuador does not have precise data about the rigorous application of biosecurity measures in hospitals. The regularization of the use of hospital uniforms outside the hospital should be a priority for health systems, due to the increase in infectious diseases transmitted by contact.
Conclusions: Medical students are aware of the infectious potential of hospital uniforms, but their use in out-of-hospital environments is still a frequent practice.
Downloads
Metrics
References
Somocurcio JA. Conocimiento de las medidas de bioseguridad en personal de salud. Horiz Médico[Internet]. 2017. [cited 2024 Dec 20];17(4):53–57. Available from: http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S1727-558X2017000400009&lng=es
Loveday HP, Wilson JA, Pratt RJ, Golsorkhi M, Tingle A, Bak A, et al. epic3: national evidence-based guidelines for preventing healthcare-associated infections in nhs hospitals in England. J Hosp Infect [Internet]. 2014. [cited 2024 Dec 20];86 :S1-70. Available from: https://doi.org/10.1016/S0195-6701(13)60012-2. PMID: 24330862; PMCID: PMC7114876
Rizvi N, Shahzad H, Fraz KOB, Siddiqui A. Knowledge-Practice Gap Regarding Surgical Scrubs among Medical Students: A Cross-Sectional Survey. J Prev Infec Contr [Internet].2021. [cited 2024 Dec 20];9:008 . Available from: https://doi.org/10.21203/rs.3.rs-266086/v1
Reddy SC, Valderrama AL, Kuhar DT. Improving the Use of Personal Protective Equipment: Applying Lessons Learned. Clin Infect Dis[Internet]. 2019 . [cited 2024 Dec 20];69(3):S165–70. Available from: https://doi.org/10.1093/cid/ciz619
Du ZY, Zhang MX, Shi MH, Zhou HQ, Yu Y. Bacterial contamination of medical uniforms: A cross-sectional study from Suzhou city, China. J Pak Med Assoc. 2017;67(11):1740–2.
García M. Estudio de caracterización de accidentes biológicos en estudiantes de pregrado de la Facultad de Ciencias de la Salud. Universidad Libre. Seccional Cali. Enfermería Glob [Internet].2016. [cited 2024 Dec 20];15(2):199. Available from: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1695-61412016000200008&lng=es
Bearman G, Bryant K, Leekha S, Mayer J, Munoz-Price LS, Murthy R, et al. Healthcare Personnel Attire in Non-Operating-Room Settings. Infect Control Hosp Epidemiol. 2014 Feb;35(2):107–21.
Gilbert GL, Kerridge I. Hospital infection control: old problem – evolving challenges. Intern Med J[Internet]. 2020. [cited 2024 Dec 20] ;50(1):105–7. Available from: https://doi.org/10.1111/imj.14686
Jayarajah U, Athapathu AS, Jayawardane BAAJ, Prasanth S, Seneviratne SN. Hygiene practices during clinical training: Knowledge, attitudes and practice among a cohort of South Asian Medical students. BMC Med Educ [Internet]. 2019. [cited 2024 Dec 20];19(1):157. Available from: https://bmcmededuc.biomedcentral.com/articles/10.1186/s12909-019-1582-2
Tapia-Tapia JC, Ponce OJ, Málaga G. ¿Por qué debemos regular el uso de prendas y uniformes de los profesionales de la salud? Rev Medica Hered[Internet]. 2014. [cited 2024 Dec 20];25(3):178. Available from:http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S1018-130X2014000300013&lng=es
Sunley K, Gallagher R, Reidy P, Dunn H. Essential practice for infection prevention and control: RCN guidance for nursing staff. Br J Healthc Assist [Internet]. 2017. [cited 2024 Dec 20];11(12):586–93. Available from: https://www.rcn.org.uk/professional-development/publications/pub-005940
John A, Tomas ME, Hari A, Wilson BM, Donskey CJ. Do medical students receive training in correct use of personal protective equipment? Med Educ Online [Internet]. 2017. [cited 2024 Dec 20];22(1):1264125. Available from: https://doi.org/10.1080/10872981.2017.1264125
John A, Tomas ME, Cadnum JL, Mana TSC, Jencson A, Shaikh A, et al. Are health care personnel trained in correct use of personal protective equipment? Am J Infect Control[Internet]. 2016. [cited 2024 Dec 20];44(7):840–2. Available from: https://doi.org/10.1016/j.ajic.2016.03.031
Travers J, Leong CS, FitzGerald SF. White coats as reservoirs of pathogens: would student doctors prefer to discard them and how do they impact their confidence?. J Hosp Infect [Internet]. 2018. [cited 2024 Dec 20] ;100(3):e151-e152. Available from: https://doi.org/10.1016/j.jhin.2018.06.014. Epub 2018 Jun 21
Hashimoto M, Tsuchiya T, Nishiyama M. Impact of the student doctor ceremony and receiving a white coat before clinical clerkship among medical students. Dokkyo J Med Sci [Internet]. 2019. [cited 2024 Dec 20];46(2):39–43. Available from: ile:///C:/Users/Administrador/Downloads/DJMS-46-2-2.pdf
Ministerio de Salud Pública. Bioseguridad para los establecimientos de salud. Manual. Primera edición. Quito: Dirección Nacional de Calidad [Internet]. 2016. [cited 2024 Dec 20] .Available from: http://www.acess.gob.ec/wp-content/uploads/2022/Documentos/GUIAS_Y_MANUALES/MANUAL%20DE%20BIOSEGURIDAD%20PARA%20LOS%20ESTABLECIMIENTOS%20DE%20SALUD%202016.pdf
Qaday J, Sariko M, Mwakyoma A, Kifaro E, Mosha D, Tarimo R, et al. Bacterial Contamination of Medical Doctors and Students White Coats at Kilimanjaro Christian Medical Centre, Moshi, Tanzania. Int J Bacteriol [Internet]. 2015. [cited 2024 Dec 20]; 2015:1–5. Available from: https://doi.org/10.1155/2015/507890
Ministerio de Salud Pública. Acuerdo Ministerial No 00038-2021. Ministerio de Salud Pública; Ecuador: [Internet]. 2021. Available from: https://www.salud.gob.ec/wp-content/uploads/2022/02/AM-00038-2021-23-Dic-Reforma-Reglamento-observacionales.pdf
Wilson JA, Loveday HP, Hoffman PN, Pratt RJ. Uniform: an evidence review of the microbiological significance of uniforms and uniform policy in the prevention and control of healthcare-associated infections. Report to the Department of Health (England). J Hosp Infect. 2007; 66(4):301–7.
Ruiz de Somocurcio Bertocchi JA. Conocimiento de las medidas de bioseguridad en personal de salud. Horiz Médico [Internet]. 2017. [cited 2024 Dec 20];17(4):53–7. Available from: http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S1727-558X2017000400009&lng=es. http://dx.doi.org/10.24265/horizmed.2017.v17n4.09
Wiener-Well Y, Galuty M, Rudensky B, Schlesinger Y, Attias D, Yinnon AM. Nursing and physician attire as possible source of nosocomial infections. Am J Infect Control [Internet]. 2011. [cited 2024 Dec 20]; 39(7):555–9. Available from: https://doi.org/10.1016/j.ajic.2010.12.016
Kumar G, A. (2022). An appeal to health care professionals- do not wear the same sterile scrubs in hospital and on streets. Hospice & Palliative Medicine International Journal, 5(3), 43. https://doi.org/10.15406/HPMIJ.2022.05.00207
Department of Health Social Services and Public Safety (DHSSPS). Regional Dress code and Recommendations on Staff Changing Facilities for Northern Ireland [Internet]. 2008. [cited 2024 Dec 20]. Available from: http://www.dhsspsni.gov.uk/dresscodepolicy.pdf
Wiener-Well Y, Galuty M, Rudensky B, Schlesinger Y, Attias D, Yinnon AM. Nursing and physician attire as possible source of nosocomial infections. Am J Infect Control[Internet]. 2011. [cited 2024 Dec 20];39(7):555–9. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0196655311001179
Mitchell A, Spencer M, Edmiston C. Role of healthcare apparel and other healthcare textiles in the transmission of pathogens: A review of the literature. Journal of Hospital Infection [Internet]. 2015. [cited 2024 Dec 20].285–92. Available from: http://dx.doi.org/10.1016/j.jhin.2015.02.017
Vij A, Williamson A, Gupta Knowledge and Practice of Nursing Staff towards Infection Control Measures in the Palestinian Hospitals S. Journal of the Academy of Hospital [Internet]. 2015. [cited 2024 Dec 20] ;6(4). Available from: https://www.researchgate.net/publication/280831247_Knowledge_and_Practice_of_Nursing_Staff_towards_Infection_Control_Measures_in_the_Palestinian_Hospitals
Valdez EH, González MA, Tur BN, Pérez MP, Abreu YF, Rojas NA. Intervención educativa para incrementar los conocimientos sobre bioseguridad en el personal de enfermería de una institución hospitalaria. Rev Cubana Enferm [Internet]. 2006. [cited 2024 Dec 20];22(2). Available from: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-03192006000200008
Rodríguez Heredia OI, Aguilera Batueca AC, Barbé Agramonte A, Delgado Rodríguez N. Intervención educativa sobre bioseguridad en trabajadores de la Salud. Arch méd Camaguey [Internet]. 2010. [cited 2024 Dec 20];14(4):0–0. Available from: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1025-02552010000400012
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Diego Orozco Delgado, Álvaro Orozco

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.






