Introduction
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Prevention of surgical site infections (SSI) is one of the perioperative team’s top priorities. The term “SSI” refers to an infection that occurs as a result of microorganisms spreading to the patient’s wound after an operation [1,2]. It is the most prevalent kind of nosocomial infection in people who have had surgery [1,3]. Infections are the most frequent adverse effects following a hospital stay, affecting 5-10% of hospitalized patients in developed countries. Even though practicing good hand hygiene is a pretty basic habit, only about 40% of healthcare professionals follow it [4-7]. The “Time strokes method” refers to the vigorous scrubbing of the nail beds on the palm resulting in foam [8]. A significant adjustment advocated for hand hygiene practice has been the substitution of waterless alcohol-based substances for conventional handwashing [9,10]. When non-medicated chemicals are replaced with alcohol-based hand wash containing ethanol and isopropyl alcohol, the incidence of contamination declines because the microorganisms present on the operator’s hands are killed. Effective monitoring and reporting of hospital-acquired infections (HAIs) is critical for evaluating control mechanisms within healthcare systems and implementing the necessary changes. However, such monitoring can be costly, posing an enormous problem to healthcare systems around the world, particularly in impoverished countries [11].
Putting on gloves before surgery and taking them off during surgery constitutes some of the most common ways for a surgeon to infect oneself and the disinfected operative area. There are two ways to depict donning sterile surgical gloves i.e., open and closed gloving technique. The scrub person’s hands should remain inside the sleeves and not touch the cuffs when using the closed-glove technique. The scrubbing person’s hands slip all through the sleeves and beyond the cuffs when using the open-glove technique. Previous research has shown that the interface between the glove cuff and the gown is where contamination occurs most frequently [12-14]. Scrubbing, barrier garments, gloving, drapes, and tool sterilization are all essential aseptic measures for maintaining the sterile field’s integrity. However, due to the hurried nature of the operating room (OR), the limited amount of training time, and the lack of skilled medical personnel dental students find it tough to develop these skills. As in minor surgical procedures of oral surgery, two techniques are most important while treating patients: hand hygiene and surgical gloving. Before we start a surgical procedure, we should follow all hand hygiene steps according to WHO guidelines [3,15]. WHO stated that instead of concentrating merely on the type of hand hygiene items, healthcare personnel should be encouraged to practice good hand hygiene by concentrating on certain elements that are currently known to have a major impact on behavior. The plan should be diverse, multimodal, and involve implementation support from senior executives and the promotion of education [7,9,16-19]. Following all the steps of gloving is of utmost importance to prevent the spread of infection while doing minor procedures such as exodontia, arch bar placement, third molar surgery, etc. This procedure is important to follow as this will help to prevent post-operative infection in patients. This surgical audit intends to evaluate the procedures like hand scrubbing and donning gloves in young dental surgeons in the Oral and Maxillofacial Surgery Department.
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