Handshake habit amongst medical practitioners, need to abandon and embrace an alternative: analytical study in view of COVID-19 pandemic
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20202498Keywords:
Handshake, COVID-19 pandemic, Social distancing, Microbe transferAbstract
Background: Doctors are often ignorant of safeguarding their own health. The present COVID-19 pandemic has necessitated maintenance of social distancing. Handshake is one of the forms of greeting and physical contact to show empathy to patient, however it carries risk of transfer of microbes. The need of the hour is to find a suitable alternative to handshake. Aims was to study the knowledge, attitude and practice of medical doctors in an Indian tertiary care hospital towards hand shake.
Methods: Study targeted 500 medical practitioners in a tertiary care hospital by presenting them with a google based questionnaire form. The questions were based on the practice of handshake amongst medical practitioners and the preferred alternatives. Statistical analysis used: Descriptive and analytic statistics.
Results: Despite 100% respondents being aware about guidelines to avoid non-essential physical contact, 37.3% respondents shook hands. Out of the 85 respondents who had a handshake only 57.6% (n=49) washed hands after handshake. Namaste or Aadab followed by wave gesture are the most acceptable alternatives to handshake for medical practitioners.
Conclusions: According to the study a large number of medical practitioners find it difficult to completely quit handshakes, mostly because of habit even in this pandemic emergency. Namaste or Aadab or hand waving are the best alternatives to handshake. A long term change of habit to a universally acceptable “wave” gesture needs to be developed to prevent possible community transmission of infectious diseases.
References
Thomas, Chris, 2009. Handshake- Priest and two soldiers, 500BC. Pergamon Museum Berlin (SK1708). Picasa Web Albums. 2011.
Who.int. 2020. Novel Coronavirus (2019-Nov) Situation Reports. Available at: https://www.who. int/emergencies/diseases/novel-coronavirus-2019/situation-reports/. Accessed on 4 January 2020.
Hamburger M Jr. Transfer of beta hemolytic streptococci by shaking hands. Am J Med. 1947;2(1):23-5.
Ghareeb PA, Bourlai T, DuttonW, McClellan WT. Reducing pathogen transmission in a hospital setting: handshake versus fist bump: a pilot study. J Hosp Infect. 2013;85(4):321-3.
Sax H, Uçkay I, Richet H, Allegranzi B, Pittet D. Determinants of good adherence to hand hygiene among healthcare workers who have extensive exposure to hand hygiene campaigns. Infect Control Hospital Epidemiol. 2007;28(11):1267-74.
Fred HL. Banning the handshake from healthcare settings is not the solution to poor hand hygiene. Texas Heart Inst J. 2015;42(6):510.
Ansari SK, Gupta P, Jais M, Nangia S, Gogoi S, Satia S, et al. Assessment of the knowledge, attitude and practices regarding hand hygiene amongst the healthcare workers in a tertiary health care centre. Int J Pharm Res Health Sci. 2015;3(3):720-6.
BBC News. 2020. Coronavirus: Indian Greeting Namaste Goes Global. Available at: https://www.bbc.com/news/av/world-asia-india-51854798/coronavirus-indian-greeting-namaste-goes-global.
Haessler S, Bhagavan A, Kleppel R. Getting doctors to clean their hands: lead the followers. BMJ Qual Safety. 2012;21:499-502.
Omuemu VO, Ogboghodo EO, Opene RA, Oriarewo P, Onibere O. Hand hygiene practices among doctors in a tertiary health facility in southern Nigeria. J Med Trop. 2013;15:96-101.
Mela S, Whitworth DE. The fist bump: A more hygienic alternative to the handshake. Am J Infect Control. 2014;42(8):916-7.
Sklansky M, Nadkarni N, Ramirez-Avila L. Banning the handshake from the health care setting. JAMA. 2014;311(24):2477-8.
Makoul, G, Zick, A, Green, M. An evidence-based perspective on greetings in medical encounters. Arch Intern Med. 2007;167:1172-6.
Hurst AL, Child J, Pearce K, Palmer C, Todd JK, Parker SK. Handshake stewardship: a highly effective rounding-based antimicrobial optimization service. Pediatr Infect Dis J. 2016;35:1104-10.
Parga JJ, Valadez M, Chang RR, SarinGulian A, Holdbrooks H, Sklansky MS. Handshake-free zone in a neonatal intensive care unit: Initial feasibility study. Am J Infect Control. 2017;45:787-92.
