Evidence map›Paper›PMID 40255805›Full record

ArticleCureus2025

Improving Quality and Compliance of Surgical Hand Scrubbing Practices: A Clinical Audit.

Abubakr Muhammed, Mohmed Hussien Ahmed Mohmed, Ali Bashir Mohammed Ahmed, Mohamed Elfatih Osman Ali Abdelrahman, Romisaa Elamin, Musaab Ahmed Ali Fadul, Ibrahim Adil Hamadelniel Alhadi, Omer Abdellatif Ali Abdalla, Hind Abdelmoneim Mahjob Hajosman, Almoezldenalla Mahjub and 10 more

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors.

Abubakr MuhammedDepartment of Surgery, University of Gezira, Madani, SDN.
Mohmed Hussien Ahmed MohmedDepartment of Medicine, University of Gezira, Madani, SDN.
Ali Bashir Mohammed AhmedNeurosurgery, Prince Othman Digna Teaching Hospital, Port Sudan, SDN.
Mohamed Elfatih Osman Ali AbdelrahmanInternal Medicine, Prince Othman Digna Teaching Hospital, Port Sudan, SDN.
Romisaa ElaminGeneral Surgery, Prince Othman Digna Teaching Hospital, Port Sudan, SDN.
Musaab Ahmed Ali FadulGeneral Surgery, Prince Othman Digna Teaching Hospital, Port Sudan, SDN.
Ibrahim Adil Hamadelniel AlhadiGeneral Surgery, Prince Othman Digna Teaching Hospital, Port Sudan, SDN.
Omer Abdellatif Ali AbdallaGeneral Surgery, Prince Othman Digna Teaching Hospital, Port Sudan, SDN.
Hind Abdelmoneim Mahjob HajosmanGeneral Surgery, Prince Othman Digna Teaching Hospital, Port Sudan, SDN.
Almoezldenalla MahjubGeneral Surgery, Prince Othman Digna Teaching Hospital, Port Sudan, SDN.
Abdulaziz Alsamani Abdullah OmarOrthopaedic Surgery, Prince Othman Digna Teaching Hospital, Port Sudan, SDN.
Mohey Aldien Ahmed Elamin ElnourGeneral Surgery, Prince Othman Digna Teaching Hospital, Port Sudan, SDN.
Mohamed Abdullah Jaffer AbdelrahmanGeneral Surgery, Prince Othman Digna Teaching Hospital, Port Sudan, SDN.
Eilaf Eltayeb Abdalla AbdelgadirGeneral Surgery, Prince Othman Digna Teaching Hospital, Port Sudan, SDN.
Hussein Abu Obaida Abdelhadi HusseinGeneral Surgery, Prince Othman Digna Teaching Hospital, Port Sudan, SDN.
Seddig Alkazem Mohammed AlkheirGeneral Surgery, Prince Othman Digna Teaching Hospital, Port Sudan, SDN.
Mohamed Kamalaldein Hamad MohamednourGeneral Surgery, Prince Othman Digna Teaching Hospital, Port Sudan, SDN.
Mozaffar Sirelkhatim Elzain AbdallaAnaesthesia, Prince Othman Digna Teaching Hospital, Port Sudan, SDN.
Mustafa H MohamedInternal Medicine, Prince Othman Digna Teaching Hospital, Port Sudan, SDN.
Faris Jamalaldeen Mohammed HamedOrthopaedic Surgery, Al-Neelain University, Khartoum, SDN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Surgical site infections (SSIs) are a critical concern in healthcare, particularly in developing countries, where they are among the most prevalent and challenging hospital-acquired infections. Adherence to proper hand hygiene practices is essential to prevent SSIs. However, compliance among surgical teams remains suboptimal due to factors such as time constraints, lack of training, and resource limitations. This study evaluates and enhances adherence to surgical hand scrubbing protocols at Osman Degna Teaching Hospital using World Health Organization (WHO) guidelines. Methods An observational cross-sectional audit was conducted in two cycles between August and October 2024, with 54 observations per cycle. Baseline adherence was assessed in the first cycle. Targeted interventions, including video demonstrations, hands-on training, and feedback, were implemented before the second cycle. Data were collected using a structured checklist and analyzed quantitatively to compare compliance rates and qualitatively to identify barriers to adherence. Results Compliance with hand scrubbing protocols improved significantly from 63.1% in the first cycle to 94.3% in the second. The most notable improvement (51.5%) was observed in rotational rubbing with clasped fingers. Other areas, including scrubbing palms and rinsing hands, showed substantial increases (30.3-42%). These findings highlight the effectiveness of structured training and feedback in enhancing adherence. Conclusion Targeted educational interventions significantly improved compliance with surgical hand scrubbing protocols, contributing to better infection control practices. While these improvements demonstrate the potential of training programs, continued efforts and long-term strategies are necessary to sustain progress and further reduce the risk of SSIs.

Indexed as

audit cyclecompliancehand hygieneinfection controlsurgical site infectionswho guidelines

Identifiers

PMID40255805
PMCPMC12007441

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.