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Abstract ospital acquired infections are serious health problems in hospitals all over the world. They result in an enormous burden of excess morbidity and mortality rates, and health care costs, and Hand Hygiene considered the easiest and simplest way of minimizing the hospital acquired infection. The study was conducted in forty beds intensive care unit to measure the healthcare workers knowledge and attitude towards hand hygiene and their adherence to hand hygiene practice followed by providing a training program to all health care workers about the hand hygiene and infection prevention followed by reevaluation of their knowledge and attitude and observing their compliance to hand hygiene. Evaluation of health care workers compliance to hand hygiene practice inside the ICU and providing a training program for them and re-evaluating the compliance after the training we found that the overall compliance was 42.6% before the training then 57.4% after providing the training program. Also we measured the Health care workers knowledge about hand hygiene before and after the training program and found that the mean knowledge score was 15.1 before the training program and then it was 16.5 after the training program. During the study period we measured the monthly consumption of alcohol based hand rub and comparing the consumption with the WHO recommended minimum monthly consumption and found the consumption is increasing by providing training and staffs become more aware about the importance of hand hygiene. The direct impact of hand hygiene compliance is to minimize the health care associated infections and during this study we measured the MRSA infection inside the ICU and found the rate is decreasing after starting the proper awareness about the hand hygiene importance. |