Observed handwashing with soap practices among cholera patients and accompanying household members in a hospital setting (CHoBI7 trial)

Fatema Zohura, Sazzadul Islam Bhuyian, Shirajum Monira, Farzana Begum, Shwapon K. Biswas, Tahmina Parvin, David Allen Sack, R. Bradley Sack, Elli Leontsini, K. M. Saif-Ur-Rahman, Mahamud Ur Rashid, Rumana Sharmin, Xiaotong Zhang, Munirul Alam, Christine Marie George

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Abstract

Household members of cholera patients are at a 100 times higher risk of cholera than the general population. Despite this risk, there are only a handful of studies that have investigated the handwashing practices among hospitalized diarrhea patients and their accompanying household members. To investigate handwashing practices in a hospital setting among this high-risk population, 444 hours of structured observation was conducted in a hospital in Dhaka, Bangladesh, among 148 cholera patients and their household members. Handwashing with soap practices were observed at the following key events: after toileting, after cleaning the anus of a child, after removing child feces, during food preparation, before eating, and before feeding. Spot-checks were also conducted to observe the presence of soap at bathroom areas. Overall, 4% (4/103) of key events involved handwashing with soap among cholera patients and household members during the structured observation period. This was 3% (1/37) among cholera patients and 5% (3/66) for household members. For toileting events, observed handwashing with soap was 7% (3/46) overall, 7% (1/14) for cholera patients, and 6% (2/32) for household members. For food-related events, overall observed handwashing with soap was 2% (2/93 overall), and 0% (0/34) and 3% (2/59) for cholera patients and household members, respectively. Soap was observed at only 7% (4/55) of handwashing stations used by patients and household members during spot-checks. Observed handwashing with soap at key times among patients and accompanying household members was very low. These findings highlight the urgent need for interventions to target this high-risk population.

Original languageEnglish (US)
Pages (from-to)1314-1318
Number of pages5
JournalAmerican Journal of Tropical Medicine and Hygiene
Volume95
Issue number6
DOIs
StatePublished - Dec 1 2016

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ASJC Scopus subject areas

  • Parasitology
  • Infectious Diseases
  • Virology

Cite this

Zohura, F., Bhuyian, S. I., Monira, S., Begum, F., Biswas, S. K., Parvin, T., Sack, D. A., Sack, R. B., Leontsini, E., Saif-Ur-Rahman, K. M., Rashid, M. U., Sharmin, R., Zhang, X., Alam, M., & George, C. M. (2016). Observed handwashing with soap practices among cholera patients and accompanying household members in a hospital setting (CHoBI7 trial). American Journal of Tropical Medicine and Hygiene, 95(6), 1314-1318. https://doi.org/10.4269/ajtmh.16-0379