Hand hygiene, has been cited as one of the most effective means of infection prevention in operating theaters (Cookson, Teare, May, Gould, Jeanes, Jenner, Pallett, Schweiger & Stone, 2001; Pittet and Boyce, 2001). Having acknowledged its effectiveness, the current study intends to investigate the psychosocial variables that influence compliance to hand hygiene practices in operating theaters - covering predisposing, enabling and reinforcing factors .
For majority of SSIs, pathogens stem from the endogenous flora of patient's skin, mucous membranes, or hollow viscera. When mucous membranes or skin is incised, the exposed tissues are at risk for contamination with endogenous flora, which more commonly include aerobic gram-positive cocci. However, this may also be fecal flora; for instance, anaerobic bacteria and gram-negative aerobes, specifically when such incisions are made at the vicinity of the perineum or groin. On the other hand, when a gastrointestinal organ is operated on, gram-negative bacilli, gram-positive organisms, and anaerobes are typically yielded as SSI isolates (Cookson, 2002; Horton and Parker, 2001).
Exogenous sources of SSI pathogens include members of the surgical team and other personnel present during the proc ...