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Revista de la Facultad de Medicina Humana

versión impresa ISSN 1814-5469versión On-line ISSN 2308-0531

Rev. Fac. Med. Hum. vol.20 no.1 Lima ene./mar. 2020 


Intrahospital infections in the medical student

Joan A. Loayza-Castro1  2 

Josué R. Sánchez-Cruz1 

Athenas P. Ortiz-Melgar1 

1Scientific Society of Medical Students of the Ricardo Palma University (SOCEMURP), Lima-Peru.

2International Federation of Medical Students Associations Peru (IFMSA Peru), Lima-Peru.

Mr. Editor

Healthcare-associated diseases are a problem that not only involves the patients who enter the service, but also staff and students who carry out their internships in the different institutions.

Hospital-acquired infections are defined as: "Localized or systemic diseases that result from an adverse reaction resulting from exposure to an infectious agent or its toxins, without evidence that the infection was present or in the incubation period at the time of care"1. The lack of knowledge on the part of health science staff and students who are in contact with patients, as well as the implementation of health practices without taking into account biosecurity measures are the main reasons for contracting a nosocomial infection.

One of the main sources of nosocomial contamination is the hands. The World Organization of Health (WHO) indicates that handwashing must be carried out at five stages of patient care: a) before touching the patient, b) before performing aseptic task, c) after risk of exposure to body fluids, (d) after touching the patient and (e) after contact with the environment of the patient2. In Peru, it has been found that 70% of health staff do not comply with the adherence to hand washing, moreover, a study found that, in a third-level care hospital in Lima, 91.9% of stethoscopes are contaminated and doctors have little information about the importance of cleaning these. Another study found that 95% of mobile phones in a third level hospital showed bacterial growth, mostly Staphylococcus aureus, followed by Streptococcus spp, enterobacteriaceae and Pseudomona aeruginosa3.

Regarding the knowledge and attitudes of the medical intern towards biosecurity measures, In a study conducted in the city of Arequipa, it was found that 40% of interns who have a high knowledge about biosecurity measures have an inadequate attitude towards this. 36.40% of interns has a low knowledge and inadequate attitude towards the management of contaminated waste4. There is scientific evidence about this problem that is developing at a global level, in which our country is not oblivious to this reality and is increasing its prevalence.

As medical students and with the support of the doctors, nurses and health staff, we came to the conclusion that it is necessary to implement workshops, courses, talks and training that are in direction to not only good biosafety knowledge, but also to our attitudes towards this important issue, as well as regulations to ensure the safety of medicine students that are in contact with patients on a daily during the development of their practices; with this we leave an open letter to take into account the issue of biosafety as a topic for future research publications.


1. Guevara A. Tedesco-Maiullari R. Conocimiento sobre infecciones asociadas a la atención de la salud en estudiantes de bionalásis. Acta Bioquim Clin Latinoam. 2019; 53(!): 53 - 61 [ Links ]

2. Polacco M, Shinkunas L, Perencevich E, Kaldjian L, Reisinger H. See one, do one, teach one: Hand hygiene attitudes among medical students, interns, and faculty. American Journal of Infection Control. 2015;43(2):159-161 [ Links ]

3. Peña Uriarte X. Vera Escudero C. Vera Escudero V. Cumplimiento de higiene de manos, celulares y estetoscopios en personal médico, internos y externos en las rondas médicas del servicio de medicina interna, enfermedades infecciosas y tropicales, emergencia y cuidados intensivos generales en un hospital de tercer nivel de Lima - Perú. Tesis para la obtención de Título Profesional de Medico Cirujano, Facultad de Medicina de la Universidad Peruana Cayetano Heredia, 2019. [ Links ]

4. Huaracallo Laura MP. Relación entre conocimientos y actitudes sobre medidas de bioseguridad en internos de medicina de Hospital estatal de Arequipa, 2019. Tesis para optar el Titulo Profesional de Médico Cirujano, Facultad de Medicina de la Universidad Nacional de San Agustín de Arequipa, 2019. [ Links ]

Financing: Self financing

Received: September 24, 2019; Accepted: December 16, 2019

Correspondence: Joan A. Loayza-Castro Address: Av. Benavides 5440, Surco. Lima, Perú. Telephone: 946 558 954

Author contribution: The authors participated in the genesis of the idea, gathering information, writing and final version of the original article

Conflict of interest: The authors have no conflict of interest to declare in the publication of this article

Creative Commons License Este es un artículo publicado en acceso abierto bajo una licencia Creative Commons