title: A survey of patterns of physician hygiene in ophthalmology clinic patient encounters.
abstract: OBJECTIVE
  This study examined physician hygiene patterns in the eye clinic of a major medical center to assess compliance with recommended practice patterns to avoid nosocomial infection during patient encounters.
  
  
  METHODS
  One hundred ophthalmology resident-patient encounters were observed anonymously by the authors. Examining physicians were evaluated in handwashing between patients, cleaning and disinfecting of tonometer tips after each use, and recapping of diagnostic drop bottles after each use.
  
  
  RESULTS
  Physicians washed their hands 74% of the time between patient encounters. The surfaces of tonometer tips were disinfected with an alcohol pad 100% of the time. Diagnostic drop bottles were recapped 57% of the time after each use.
  
  
  CONCLUSIONS
  There is ample clinical evidence in the ophthalmic literature that practitioners' hands and tonometer tips can be vectors for transmission of nosocomial infection and that vigorous handwashing and disinfection of instruments can decrease the rates of transmission. Sometimes, however, physicians neglect to follow these simple and effective steps. We suggest posting visual educational materials in examination rooms as a reminder to ophthalmology residents and clinic personnel to adhere to these precautions, benefiting doctors and patients.
authors.affiliation: Department of Ophthalmology, New York University, New York, New York, USA. alaizman@aol.com
authors.forename: Alexander
authors.initials: A
authors.lastname: Aizman
authors.forename: Joshua D
authors.initials: JD
authors.lastname: Stein
authors.forename: Susan M
authors.initials: SM
authors.lastname: Stenson
mesh_terms: D000554:Ambulatory Care Facilities; D003428:Cross Infection / Q000517:prevention & control*; D006235:Hand Disinfection; D006282:Health Personnel / Q000706:statistics & numerical data*; D006306:Health Surveys; D006801:Humans; D017053:Infection Control / Q000379:methods*; D007396:Internship and Residency / Q000706:statistics & numerical data; D009885:Ophthalmology / Q000706:statistics & numerical data*; D010817:Physician-Patient Relations