Interrelation between Handwashing and the Severity of COVID-19: A non-representative cross-sectional study
DOI:
https://doi.org/10.18196/mmjkk.v22i2.14248Keywords:
knowledge, attitude, behavior, HWUS, severity of COVID-19Abstract
Corona Virus Disease 2019 (COVID-19) pandemic remains a global issue, including in Indonesia. Handwashing using soap can reduce the viral load of the SARS-CoV-2 virus and prevent coinfection, which can worsen symptoms in COVID-19 patients. This study aims to determine the relationship between knowledge, attitudes, and handwashing behavior to the severity of COVID-19. Research using a cross-sectional and retrospective approach was conducted from July to December 2020 in Bengkulu Province. About 107 respondents had been confirmed positive for Covid-19 with the rt-PCR test, aged 17-60 years, and were willing to participate. Knowledge, attitudes, and behaviors were assessed using validated questionnaires and data on the severity of disease obtained from epidemiological forms. The collected data were then analyzed using chi-square statistical tests. 107 respondents had already filled in the questionnaires. The Chi-square test showed no significant association between knowledge (p 0.081), attitude (p 0.216), and behavior (p 0.136) of handwashing to the severity of COVID-19. A good level of knowledge, attitudes and behaviors about handwashing using soap did not adequately affect the severity of covid-19 patients. The good level of knowledge, attitude, and practice of HWUS were not significant enough to affect the severity of the COVID-19 disease.References
World Health Organization. Weekly epidemiological update. 2020 [cited 2020 Nov 19]. Available from: https://www.who.int/publications/m/item/weekly-epidemiological-update---10-november-2020.
Zheng, Z., Peng, F., Xu, B., Zhao, J., Liu, H., Peng, J., et al. Risk factors of critical & mortal COVID-19 cases: A systematic literature review and meta-analysis. The Journal of infection. 2020. 81(2): e16–e25. https://doi.org/10.1016/j.jinf.2020.04.021
WHO. WHO Director-General’s remarks at the Media Briefing on 2019-nCoV on 11 February 2020. https://www.who.int/dg/speeches/detail/who-director-general-s-remarks-at-the-media-briefing-on-2019-ncov-on-11-february-2020. Accessed 20 May 2020
Langford BJ, So M, Raybardhan S, Leung V, Westwood D, MacFadden DR, Soucy JPR. Bacterial co-infection and secondary infection in patients with COVID-19: a living rapid review and meta-analysis. Clinical microbiology and infection: the official publication of the European Society of Clinical Microbiology and Infectious Diseases, 2020; 26(12): 1622–1629. https://doi.org/10.1016/j.cmi.2020.07.016.
Htun, Y. M., Win, T. T., Aung, A., Latt, T. Z., Phyo, Y. N., Tun, T. M., Htun, N. S., Tun, K. M., & Htun, K. A. Initial presenting symptoms, comorbidities and severity of COVID-19 patients during the second wave of the epidemic in Myanmar. Tropical Medicine and Health, 2021; 49(1). https://doi.org/10.1186/s41182-021-00353-9
COVID-19. Infection Prevention and Control During Health Care When Coronavirus Disease (COVID-19) is Suspected or Confirmed. https://www.who.int/publications/i/item/WHO-2019-nCoV-IPC-2020.4. Accessed 3 Jul 2020.
WHO., 2009. WHO Guidelines on Hand Hygiene in Health Care: First Global Patient Safety Challenge Clean Care Is Safer Care. Geneva: World Health Organization. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK144046/
Rabie, T., Curtis, V. Handwashing and risk of respiratory infections: a quantitative systematic review. Tropical Medicine & International Health : TM & IH, 2006a; 11(3): 258–267. https://doi.org/10.1111/j.1365-3156.2006.01568.x
UNICEF. Everything You Need to Know About Washing your Hands to Protect Against Coronavirus (COVID-19)|UNICEF. https://www.unicef.org/coronavirus/everything-you-need-know-about-washing-your-hands-protect-against-coronavirus-covid-19. Accessed 28 May 2020.
Alzyood M, Jackson D, Aveyard H, Brooke J. COVID-19 reinforces the importance of handwashing. Journal of clinical nursing, 2020; 29(15-16): 2760–2761. https://doi.org/10.1111/jocn.15313.
Dinas Kesehatan Provinsi Bengkulu, 2018. Perkembangan Kasus Diare Provinsi Bengkulu. https://covid19.bengkuluprov.go.id/Databengkulu/filepdf/234
Satgas COVID-19. Analisis Data COVID-19 Indonesia 17 October 2021. 2021.
Hand Hygiene and Infection Control Survey Pre- And peri-H1N1-2009. Pandemic: Knowledge and Perceptions of Final Year Medical Students in Singapore: PubMed. https://pubmed.ncbi.nlm.nih.gov/21808958/. Accessed 2 Jul 2020.
Lau LL, Hung N, Go DJ, Ferma J, Choi M, Dodd W, Wei X. Knowledge, attitudes and practices of COVID-19 among income-poor households in the Philippines: A cross-sectional study. J. Glob. Health 2020; 10, 011007. https://doi.org/10.7189/jogh.10.011007
World Health Organization (WHO). Guide to Local Production: WHO-Recommended Handrub Formulations (WHO, 2010).
Wong, J. S. W. & Lee, J. K. F. The common missed handwashing instances and areas after 15 years of hand-hygiene education. J. Environ. Public Health 2019, 5928924. https://doi.org/10.1155/2019/5928924
Kemenkes RI. Pedoman Pencegahan dan Pengendalian Covid-19. Vol. 20, Kementrian Kesehatan RI. 2020. 1–214 p.
Perrotta F, Corbi G, Mazzeo G, Boccia M, Aronne L, D’Agnano V, et al. COVID-19 and the elderly: insights into pathogenesis and clinical decision-making. Aging Clin Exp Res. 2020;32(8):1599–608. https://doi.org/10.1007/s40520-020-01631-y
Brodin P. Immune determinants of COVID-19 disease presentation and severity. Nat Med [Internet]. 2021;27(1):28–33. Available from: https://doi.org/10.1038/s41591-020-01202-8
Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Yi, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020. 395: 497-506 https://doi.org/10.1016/S0140-6736(20)30183-5
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