Title: A Study on Prevalence of Hand Flora of School Going Children from Eastern Part of India

Authors: Binay Kumar Singh, Siyavar Sharan, Haribansh Kumar Singh, Rohit Kumar, Nitesh Kumar Jaiswal

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i7.33

Abstract

Contaminated hands play a major role in transmission of diarrheal and acute respiratory illness. However, both the illness is self-limiting, but can be fatal in some of the cases if not treated properly on time. Normally human skin support the growth of commensal microbial flora, which helps to prevent the growth of pathogenic organism directly and indirectly mechanism. Many studies have suggested that hand washing before meal will reduce the risk of transmission of disease through fecal-oral route. Present study was laboratory based observational study, which were conducted in department of microbiology, PMCH, Dhanbad. Hand swab of school going children were collected just before the lunch. Swabs were inoculated in nutrient broth and subculture were done on blood agar and MacConkey agar. A total of 200 hands wabs were collected, which includes 100 male and 100 female children. It was observed that 41.5% of samples were positive for pathogenic organism. Most common pathogen, which were isolated was Staphylococcus aureus seen in 36% of children followed by Escherichia coli, Pseudomonas aeruginosa, Enterococcus faecalis, and Klebsiella species, which were seen in 17%, 14%, 13% and 8% respectively. Whereas among the commensal organism gram positive bacilli were isolated in 29% of samples followed by Staphylococcus epidermidis (24%), Staphylococcus saprophyticus (17%), Micrococcus species (12%), Enterococcus species (7%). Hand of male children were more contaminated compare to female children. It was found the hand of the most of the school going children was contaminated. Importance of hand washing and proper sanitation must be taught to school going children as well as community. School must ensure the availability of soap and water in school.

Keywords: Hand swabs, Children, Pathogen and Commensal.

References

  1. Huttly SR, Morris SS, Pisani V. Prevention of diarrhoea in young children in developing countries. Bull World Health Organ. 1997;75:163-74.
  2. Curtis V, Cairncross S. Effect of washing hands with soap on diarrhoea risk in the community: A systematic review. Lancet Infect Dis. 2003;3:275-81.
  3. Cairncross S. Editorial: Hand washing with soap – A new way to prevent ARIs?. Trop Med Int Health. 2003;8:677-9.
  4. Jefferson T, Del MC, Dooley L, Ferroni E, Ansary LA, Bawazeer GA, et al. Physical interventions to interrupt or reduce the spread of respiratory viruses: Systematic review. BMJ. 2009;339:b3675.
  5. Best M, Neuhauser D. IgnazSemmelweis and the birth of infection control. QualSaf Health Care. 2004;13:233-4.
  6. Katarina C, Bryan AS, and George JM. Skin Micro flora and Bacterial Infections of the Skin. JID Symposium Proceedings. 2001 December;6(3).
  7. Stone SP. Hand Hygiene- the case for evidence- based education. Journal of the Royal Society of Medicine. 2001;94 (46):278-81.
  8. Roy SK, Amarchand R, Shrikanth J, Majumdar KK. A Study on Prevalence of Bacteria in the Hands of Children and Their Perception on Hand Washing in Two Schools of Bangalore and Kolkata. Indian Journal of Public Health. 2011;55(4):293-7.
  9. Carrie AJ, Campbell JE, Maxwell SL. Hand Contamination and Transfer after Use of Contaminated Bulk- Soap Refillable Dispensers. Applied and Environmental Mycrobiology. 2011;77(9):2898-2904.
  10. Rubanprem KS, Aruna S, Sasikala M. Effectiveness of hand hygiene teaching on knowledge and compliance of hand washing among the students at a selected school in Mugalivakkam village, Kancheepuram District. Journal of Nursing and Health Science. 2014 Jul-Aug;3(4):56-60.
  11. Tambekar DH, Shirsat SD. Handwashing: A cornerstone to prevent the transmission of Diarrhoeal Infection. Asian J Med Sci. 2009;1:100-3.
  12. Gyanendra G, Sanjeev DR, Dipendra RP,Yankpam IS, Binita A, Manoj P. Prevalence of Aerobic Bacteria in the Hands of School-Going Children of Rural Areas of Eastern Part of Nepal. MJSBH. 2015 Jul-Dec;14(2):47-52.

Corresponding Author

Dr Siyavar Sharan

Associate Professor, Dept of Microbiology,

Patliputra Medical College & Hospital, Dhanbad, Jharkhand

Email: This email address is being protected from spambots. You need JavaScript enabled to view it. & Mob No: +91 8210182898