Personally, I think a problem exists at Umberto I regarding hand hygiene simply because it is hard to find dispensers to wash your hands. For visitors it is a real problem. And what about you? 

Unfortunately I can't say ''mani pulite'' at the Policlinico. Infact it's often impossible to find soap and toilet paper in the toilets of the hospital. Furthermore these things are difficult to find both in the hospital and in our classrooms. Unlucky I'm not surprise by the data in the tabe.

sadly, i think that in the Policlinico, and also in many other hospitals in Italy, there is a problem with this type of hygienic practice. In fact sometimes it's hard to find soap in the toilets, for the staff and for visitors and patients, and even harder it's to find alcool disinfectant solution dispensers in the wards and in the hospital's hall. So i can't say Mani pulite. I wonder if this is an organisational problem or a economic resources matter, but I think that this hygienic activity could be an important way to improve healthcare in Italy .

Even if is often impossible for students or patients' visitors find soap in their proper bathroom, in my experience I have always found soap and also alcool based gel in warms and corridors. However people are often shame to ask doctors to wash their hands before visiting their loves. At the same times, in my opinion, doctors should feel as duty respect this fundamental and basic rule.

We have been medical students  almost two years now, and the times we found soap in the bathroom are so few, you could count them on the fingers of one hand, so we cannot say "mani pulite". Personally we find this unaccetable.

But, for example,yesterday we went to the neurosurgery intensive care ward and we noticed the availability of  alcohol-based gel dispensers,that the health care providers and visitors have the obligation to use. But we cannot be sure that this happens in all the wards,we hope so. We think that the faculty of medicine must be concerned about many aspects of hygiene from the soap in the bathrooms to the use of the white coats outside the hospital. We hope that sooner or later these simple expedients will be followed by everyone.

 Alessandra Putti e Fadia Salman

We have been medical students  almost two years now, and the times we found soap in the bathroom are so few, you could count them on the fingers of one hand, so we cannot say "mani pulite". Personally we find this unaccetable.

But, for example,yesterday we went to the neurosurgery intensive care ward and we noticed the availability of  alcohol-based gel dispensers,that the health care providers and visitors have the obligation to use. But we cannot be sure that this happens in all the wards,we hope so. We think that the faculty of medicine must be concerned about many aspects of hygiene from the soap in the bathrooms to the use of the white coats outside the hospital. We hope that sooner or later these simple expedients will be followed by everyone.

I can' t say "mani pulite" at the Policlino becuase just few people cares about this small but important action. I think we can link this problem to the misinformation in the hospital and sometimes because of lack of hygiene products.

I personally think our Policlinico couldn't be farther from the idea of "Mani pulite"...and to say there is a lack of hygene and hand sanitizers would be an understatement. Both doctors and nurses don't seem to take into account the general rule of cleansing their hands before examining a patient or touching tools. The problem should be tackled at its root by simply teaching from the early days of medical school how hygene is of the utmost importance to help prevent the spreading of potentially deadly diseases, which could be avoided just with a quick gesture. Furthermore, not only do healthcare providers often neglect sanitizing, but it is also difficult for patients to find soap dispensers that actually contain soap (they're almost always empty). Hospitals should face this problem and upgrade their hygenical standars, so as to reach European levels.

Both the faculty of medicine and hospital authorities should consider that the issue of patients being constantly exposed to visitors and medical staff could cause the spread of diseases of all kinds. Therefore they should be urged to take immediate action and improve hygienic standard.

Looking at the data in the table I am not surprised but I can also say that there are hospital in our country which provide alcohol and soap dispensers and to whom our hospital should look after.

Unfortunately we can't say "mani pulite" at the policlinico because is very hard found a soap dispenser. Infact the visitors can't wash their hands before or after visiting someone. In Italy this is a problem for many hospital. There should be more strict rules about hygiene in hospital.

Unluckly is't not so simple to find a soap dispenser in the Umberto I pavilions, so I can't say mani pulite at the policlinico. In quality of student of the faculty of medicine, I notified that more and more people are conscious of the italian hospitals situation and supply to resolve this problem carrying personal hands gel from their home. This is the principal cause because I'm not surprised of the data in the table, even if I didn't think that Italy was in the last position, after other countries less igienyc for costums and traditions.

If we consider the very low frequency with which you find soap and toilet paper in the bathrooms of University classrooms or alcohol disinfectant solution dispensers in the wards and in the Hospital's hall, yes, unfortunately we cannot say “Mani Pulite" at the Umberto I.
Recently one of my colleague and I made an eight-hour shift at the Emergency Room and we had a lot of inconvenience to wash or disinfected our hands, because of the lack of of soap and disinfectant gel nearby where we were.
This is not incredible in a Hospital?
I think it is a bit shameful.

In my experience started about two years ago at the Policlinico, it's very hard to find a bathroom properly equipped with soap or hand gel. This problem affects not only doctors and nurses, but also all those people who daily attend at the hospital like patients, visitors or employees. Also, due to the large size of the structure, hands hygiene has become one of the main risk factors for infections. For these reasons I think that first of all it's necessary to daily monitor and supply the bathrooms with soap, and then to correctly inform doctors and nurses, so that they can give the good example.

Unfortunately , no. Considering the few cases I have found soap or hand sanitizer in the restrooms of Policlinico , the data is not surprising at all . No medical staff or patients are to be blamed if the ones who are responsible do not provide these simple means. Although many of us carry with ourselves hand gel, if is shameful for one of the greatest hospitals in Italia to lack a basic thing as hygiene . 

To say "mani pulite" to the Polyclinic, is really a utopia. The problem is at the root, we could avoid transmitting many infections if only we made a very simple gesture, like the one to wash our hands, but all this is made impossible by the lack of hand sanitizers in the structure; In fact, for people to find in the corridors of the sanitizing dispensers is impossible. It should therefore encourage healthcare workers to create distributors that allow people to wash their hands, and ensure that these structures are clearly visible and numerous. All this is necessary and should take place to prevent many infections.

In my opinion, I think that it is too difficult for everyone in our hospital to find soap in bathrooms or alcohol based gel in patients rooms. This lack of hygiene means spreading of germs and infections and causes huge problems every day both for patients and for the hospital staff. As far as the faculty of medicine in concerned, i think that every student, before becoming a doctor, should be trained about prevention techniques and should understand how a simple act like washing their hands could change the patient's healing process. 

Unfortunately this is a common problem in the most of hospitals in Italy so I am not surprised at all by the data which appears in the table. 

I can't say "mani pulite" at the Policlinico Umberto I. In the classroom's toilet I rarely find soap or toilet paper,

for what I have seen finding soap or toilet paper is very difficult in the wards' toilets of the hospital too. I think the lack of 

hygienical measures is a serious probem.

i can't say "mani pulite" at Policlinico, often in our classroom and sometimes in certain room in the hospital we can find a lack of soap or toilet papers. 

we can address to a bad organization but also to  little economics funds which most of the times are used for other aspects and elements . However in this way the problem of hygiene is underrated.

Personally, i can say that finding soap or alcohol based cleansers is difficult in Policlinico and the dispensers are few for so many people, such as doctors, nurses, visitors and patients. Moreover, the faculty of Medicine is concerned with this problem because also the bathrooms near the classrooms are not well-equipped; in my opinion, hand hygiene should be one of the first teachings because it must become an automatic mechanism. For all these reasons, i am not surprised by the Italian data in the table which compares hand cleansing alcohol rubs in Europe.

it is really hard to find soap or gel to wash hands in the hospital bathrooms or hallways. i often use my gel and invite my collegues to do the same. i think it's important that we medical students are attentive to issues and are committed to improve this situation, for ourselves and for patients

In my opinion, unfortunately, i can't say '' mani pulite'' at Policlinico Umberto I. There should be more strict rules about hospital behaviour. I think it's impossible to find a clean bathroom with soap or hand gel as it's impossible to see an Health Care provider without the typical lab coat, normally used to visit the patient, walking around the hospital and visiting common places and then come back inside the structure. I think the real problem is not only the lack of economic funds but also the lack of health education. 

Looking at the data, i am not surprised.

In my personal experience, I'm not surprised by the serious lack of hand sanitizers consumption in Italy.

In my opinion, it's very difficult to say "mani pulite" at the Policlinico. Finding soap dispensers seems more like a treasure hunt: it's a bad situation not only for patients and visitors, but also for students and health care providers. This is a serious problem, because there's a high risk of taking infections for everybody.
The data doesn't surprise me, because we can find a similar situation also in other hospitals all around Italy.

From my own experience, there is a big problem at the policlinico Umberto I relating the hand hygiene. It's not easy for visitors or students to find a clean bathroom and in most of cases the soap's containers are in fact empty. To avoid this lack, I have to bring my own alcohol-based hand sanitizer, but I recognise that not everyone could have one.  
As for doctor and nurses, all the times I went into a ward as medical student I personally met competent people who always made me wash my hands before entering in the patient's rooms. I even remember that the first time I had varnish on my nails and the doctor warned me not to put it on during the next visits, because it can be vehicle of virus and bacteria.  
I am concerned but not surprise about the Italian situation about hand cleansing alcohol rubs. I think it could be a good idea to introduce visual cues on hand hygiene compliance also in our hospitals.

Definitely I can't say mani pulite at the Policlinico and this is due to a lack both of soap dispensers or alcohol based hand sanitizers and knowledge about hand hygiene. For this reason it's very difficult to wash hands especially for the public, because dispensers are often empty but also for students attending special classes within the hospital departments, because the doctors do not often give them something to wash their hands. Health care providers should perfectly know everything about hand hygiene and both doctors and nurses should collaborate to spread these informations among other health care providers who do not give much importance to hand hygiene and help the development of nosocomial infections. Sapienza's faculty of Medicine could also be concerned about this topic promoting courses about general hygiene or seminaries about the important role of hand hygiene in preventing infections in hospitals. Looking at the data about hand cleansing alcohol rubs, the situation about Italy does not surprise me a lot because tv news often tell about the increasment of hospital infections deaths. 

Surely I can not say " mani pulite" at the Policlinico. Most of the visitors  toilets are not provided of soap dispenser and even if they are, the dispender is quite always empty.So I think is very difficult as a visitor to wash hands and have a correct hand hygiene . As a student , I had the possibility  to enter in some patient rooms and I saw alcohol based sanitizers just in those wards that maybe  need more strict hygiene measures like the intensive care ward, anyway no doctors told us to wash our hands before touching the patient or any object of the room that we could contaminate, and overall we all know about the risk of the nosocomial infections . If it's hard to wash your hands in the hospital, finding soap in the faculty is quite impossible but since we study in a medicine faculty it would be important , from the very first years to educate us, by lessons or some seminaries, about the importance of the hygiene and most of all the hands hygiene to prevent the infection spread. 

I'm not surprised about the Italy situation described by the data that compares hand cleansing alcohol rubs in Europe. I hope will reach soon, at least, the same results of the other european countries.

As far as it concerns me, i would say Umberto I has a huge problem!

No soap in bathrooms, very small amount of dispensers are spread around each floor etc etc..

We should try to change the existing colture.. because the compromise of today is norm of tomorrow!

I can't say "many pulite" at the Policlinico because I never  found soap in the hospital. I think is important inform the doctors, nursers and health care about the basic services of prevention.

I can't say "mani pulite" at Umberto I. This basic hygienic rule seems to be secondary, there!! It is difficult to respect this rule because there is no soap in the bathrooms!!! Visitors don't wash their hands in Policlinico because they don't find soap and they don't use alcohol-based gel dispensers,either. And doctors? I hope they wash their hands before and after visiting their patients!!! But sometimes they forget that!

It's a problem that concernes the faculty of medicine: each medical student studies that washing his hands is the first important rule to respect in order to prevent the spread of infections. The data in the table confirm that Policlinico and the whole of Italy have to become better in the domain of hand hygiene, in order to equal other European countries.

Sadly I can't say "mani pulite" in Policlinico and the figures on the table confirmes what happens in reality. It's very hard to find soup or other disinfectants not only in the hospital but also in most of the structures added to the hospital.The problem doesn't concern only founding soup but also paper towels. It's necessary to improve this aspect because most of infections are caused by germs taken by visitors to patients but also by the health staff. We need absolutely soap or other igienic products in the toilettes together with paper towels and also vending machines about soup or other disinfectants allocated around all the hospital.

 wash my hands in the hospital is very difficult,because  in our Policlinico there are not enough gel dispensers and handbasins provided with soap for the health care professionals and patients’ visitors. i'm not surprised by the data in the tabs.                              Italian hospitals, should be more interested and concerned about people health and about the methods to preserve it. 

Regrettably I  can’t  say “mani pulite at policlinico” because it’s very rare to find a toilet near classrooms filled with soap and toilet paper . Also in the hospital, there aren’t dispensers where you can wash your hands.  I am not surprised about Italy’s data but I am really concerned with this situation and Policlinico too should be.

Unfortunately I can't say "mani pulite" at Policlinico Umberto I. 
Often it is really hard to find soap or alcohol based cleaners to wash hands in the hospital bathrooms or hallways. Likewise it is extremely difficult to find them in the rest of the faculty.
I'm not surprised by the data in the tabs and I think that Italian hospitals should improve seriously the situation adopting more rigorous rules about hygiene in these public structures.

Unfortunately, hand hygiene is really hard to maintain at the policlinico, because soap and paper are almost always absent in public restrooms, both in ones of the classrooms and in ones of the hospital, and alcohol-based hand cleanser dispensers ... i've never seen one.

Then it is obvious that for visitors, but even for health care providers, having clean hands is really hard, and our faculty should be very concerned about it.

The data reported in the table are embarassing.
I am always less surprised by seeing Italy compared to backward countries, these are our conditions: no soap in the toilets and pigeons in the hallways. 

Personally, I think that is impossible to say "mani pulite" at Policlinico, because in my experience I have noticed that it is very difficult finding soap and blotting paper or alcohol-based gel dispensers. 

So I think that patients, doctors, students and visitors alike are not sufficiently encouraged to apply this basic and simply hygienic technique.

Unfortunately I can’t say “many pulite” at the Policlinico because the hygienical conditions are not the best.

It’s fundamental that in a big hospital such as Policlinico, the hygiene is the first thing that must be respected in order to work and nurse in a proper way.

When I walk around the Policlinico, I rarely find soap and toilet paiper in the bathroom.

Furthermore, I usually find dirty sink and toilet.

This is dangerous for the patients, who can get worse because of the terrible bathrooms conditions.

I'm not surprised about Italy data, and I hope that we'll improve in a better way.

As far as it concerns me, I can not say " mani pulite" at the Policlinico. In my experience I have noticed that it is very difficult finding soap or alcohol-based gel dispensers in the hospital. This is a problem firstly for patients but also for doctors, nurses and Health Care providers who couldn't be able to wash their hands before touching patients in case of emergency. There should be more strict rules about hygiene in hospital. I'm not surprised about Italy data.

I think that the expression “mani pulite” can’t be completely linked with Umberto I since it isn’t easy to wash our hands in the wards or after an assessment. Doctors or nurses often forget the normal rules of hand hygiene becoming the first cause of many bacterial or nosocomial infections in the hospital. The lack of following this simple rule reflects medical students’ beahviour and for this reason the faculty should be concerned.

Well, based on my personal experience we absolutely cannot say "mani pulite" at Policlinico. I mean, it's more usual not to find soap than the contrary. I really have never seen public alcohol-based gel dispensers, not in hallways and neither in the toilets. So it is not as easy as we may think (even if it actually should be that easy) to be able to wash properly our hands. The map we have here in this forum can confirm my theory about it! We are one f the few country that still hasn't make a change about it even if everyone knows the situation (it would be clear to everyone just hanging around the departments or chatting with students or doctors). I think that we should be concerned about it, not just for the infections' risk but also (and most of all) for the  concept behind it, that consists on the impatience and apathy of Italians in general about what could make this country bigger and brighter.

No, unfortunately I can't say "mani pulite" at the Polyclinic "Umberto I" nor in many other hospitals in my town. It is so hard to find soap or alchool based gels to wash our hands and it is even harder to find paper to avoid touching knobs and handles. This problem is undeniable, especially  in the lergest sanitary structures, in which the risk of acquiring nosocomial infections is higher due to the large number of inmates, visitors, students and healthcare professionals. 

In my hometown (Trapani- Sicily) is a small provincial hospital. It is really small compared to the polyclinic. nevertheless in front of each room there is the ingenizzante hand gel. I wonder why, in a hospital so much bigger and with so many patients, in 2016 still is not possible to be "cutting edge." Yet our professor of microbiology they have talked so much about the many infections that are repeated cyclically in this center. Infertility is not a strong point, that's for sure. I hope we can improve as soon as possible and for us students, for those who work, in particular for those who are ill.

Personally, I think it's difficult say "mani pulite" at Policlinico Umberto I. Often missing soap in the bathrooms and even alcohol soap dispensers. This in certainly an important problem for health care providers, visitors and also students. Not only the faculty of medicine should be concerned, but everyone because the discomfort and the risk of infection are real. 

I can't say 'mani pulite' because unfortunately, the Policlinico, most of the time doesn't enough the necessary materials hygiene for patients e people. . Since Policlinico is one of the biggest and most important hospitals in the city and since it is visited every day by hundreds of patients and students, it is essential to provide each restroom of the with soap and encourage visitors, patients, health care providers and medical students to wash their hands as often as possible. Although there are few soap dispenser and other resources there are doctors who use them before and after touching patients while others do not this. .So in my opinion to say "Mani pulite" at the Policlinico depends not only on the availability of soap dispenser or alcohol-based solutions but also on the number of doctors, nurses and other health workers who make proper use. First of all we must start from a good education of health care providers about hygiene to prevent serious infections.

I went a few times in the departments of the Umberto 1 hospital, so I do not know if the doctors, patients and their visitors easily manage to keep their hands clean. But classrooms where we, medical students, follow the lessons are also in the hospital, and it is really hard to keep your hands sanitized because they often lack the soap in the bathrooms. Often the emergency room is full of people, but I've never seen soap despencer. So I think that I can't say "mani pulite" at the Policlinico Umberto 1!

It is very difficult to comply with hygiene rules in the Polyclinic;

Hygiene rules are rarely respected at the hospital: this is mainly due to the lack of soap in the tolets and the attitude of the patients and visitors not to wash their hands.

Sure. We learn so much about the importance of cleaning hands but, pratically, it does not happen.

Yes. I'm impressed. 

Honestly until now I haven't had so much experience into an actual ward at the Policlinico, but the only time I had to measure a patient's blood pressure for an exam, I wasn't asked by anyone to wash my hands, despite the fact I obviously had to touch the patient to do it. I don't recall seeing any gel dispenser in the ward either. I also attended some lesson in the Policlinico's classrooms and I'm sure there wasn't any soap in the bathroom's dispenser, which, moreover, was a visitors/patients/students shared bathroom, a circumstance that, in my opinion, makes the situation even more worrying. So I think it's pretty evident that there's a hands cleaning problem at the Policlinico.

There's no need to say that the table's data doesn't surprise me in the slightest. I think the problem is actually both practical and cultural. Practical 'cause there isn't actually the soap to clean your hands with. Cultural 'cause there isn't enough information about the importance of hands cleaning and there aren't any rules to promote its implementation. So I think that if we want to change things we should take action on both sides, 'cause solving only one of these two problems wouldn't change anything at all.

I attended Policlinico Umberto I just for some days, so I could see only a part of the enormous Hospital. The first thing that has caught my attention was the toilets’ hygiene status. In fact toilets were dirty, they missed soap, alcohol based cleaners, paper and what people should find in a public toilet. Despite this, the condition of private spaces, reserved to doctors and nurses, offered the possibility to wash hands and not only putting them under the water. Luckily the health staff cares about hygiene because people who work in Hospital understand the importance of being sanitized, clean, disinfected before visiting a patient. Relatives and friends that come to have a look and assist their dear people should have the same possibility to demonstrate respect. Can we ask to those paying attention when they wash their hands if there isn’t any soap in toilets? Students and parents can mourn this bad condition but complaints aren’t enough because the status of hygiene in Umberto I is not changing.

In my opinion we can not possibly talk about "mani pulite" in Policlinico. Doctors and nurses do not respect the rules of hygiene in the hospital walking outdoors with their uniforms. In the building the tools are not found to comply with the rules of hygiene, we speak of a clean environment, the presence of soaps in the bathrooms and sterile facilities.

The lack of soap and alcohol based cleansers is a pretty embarrassing problem. The Policlinico "Umberto I" is one of the biggest hospitals in Rome and it should guarantee the safety of patients, health care providers and visitors. That is clearly impossible without an appropriate way to wash our hands. We should be safeguarded and protected and that is why washing hands is a real problem for all of those people that enter the Policlinico, that are part of its staff or study in its classrooms. Considering the proposition from above, I (we) can't say "mani pulite" at the Policlinico.

According with my personal experience when I need to wash my hands I often do not find the necessary dispensers within the hospital. I can guess that this problem is not concerning only me, but also the entire medical staff and students inside the Policlinico. In every department there is this grievous lack. In my opinion the presence of soup dispenser is absolutely necessary to the manteinance of a good degree of hygiene inside not only in the crowded places of the hospital, but above all in environments that have to be necessary sterile. Maybe a major awareness through the patients and the relating visitors could be useful because actually when they can use the soap they do not use it.

Every day, Policlinico hospital receives hundreds of people for different reasons but, as the experience teaches me, they don't have enough occasions to wash their hands neither with soap nor with alcohol-based. This means that patients whose immune response is inadequate, are exposed to a high number of infections.

Personally, I think that this risk could be largely avoided by spreading the importance of washing hands before and after the visit. This message could be instill not only between patients and visitors but also between health care providers, nurses and doctors that, working in the hospital, can catch on their skin every kind of potential pathogens and transmit it.

As far as I am concerned, I strongly believe that an adequate hygienic regime can guarantee to avoid the onset of post-surgical complication or generally speaking infections.

This is my little experience at the Policlinico. When in January I visited my little cousin in pediatric ward I saw very clean restrooms; moreover inside each room of that baby patients there was alcohol-based hand sanitizer dispenser that guarantees an accurate hand hygiene to the visitors. In my opinion washing your hands is something that just makes sense.

There are two years that I attend the Polyclinic. At the beginning of this experience I would say that it was not possible to say "man pulite" at the Polyclinic. But starting to attend the department and generally more the Polyclinic, the problem is not mainly for doctors. I noticed that they have alcohol-based gels, they are probably less exposed to infection problems. The real problem is for patients and kin of patients. Guests in the Polyclinic haven't soap dispensers on the walls or directions to find them or just in the bathroom. So they can safely infect some of their dear ones. The simplest solution is to make possible for everyone to wash their hands and make people aware of the importance of this simple act.

According to my personal experience, it is not uncommon to wash your hands in the Polyclinic Umberto I departments (at least those I have visited with my eyes), because all the healthcare staff are available hand alcohol rub dispensers in all rooms for all doctors, nurses and care providers; less accessible these systems are to the public (especially in public lanes), and often there are no soaps in the bathrooms. This should also affect the faculty of medicine for better training and more protection for our students, because often in the bathrooms of the university I have found the already mentioned shortcomings.
Looking at the table below, the data I highlight does not surprise me. Probably the Polyclinic Umberto I and other Italian hospitals have been sensitized to this problem and have adequate countermeasures; despite this obviously most hospitals are little aware of this problem

Unfortunately, at Policlinico there are few devices that permit to wash hands in patient’s rooms.  We cannot say “mani pulite” because finding soap or alcool is too difficult in order to prevent many nosocomial infections for patiens and their relatives too. If some simple actions such as clean surfaces and hands carefully can reduce this type of problem, we need to pay attention and bring our own gels until the hospital doesn’t  solve the problem.

It’s difficult to say "clean hands" to the Policlinico because it’s a very large hospital but with a small amount of materials. Many times they try to fill this gap with posters that sensitize and remind relatives of patients to wash their hands and even doctors try to follow a protocol. In my opinion is important to be educated on the problem of dirty hands because many diseases can be stopped by careful washing of hands.

I think cleaning hands at Policlinico is difficult, especially for patiens, visitors to patients and students. Doctors and nurses have the possibility to wash their hands, but others people can't do this because of the lack of soap or alcohol-based gel dispensers. And I see this problem concern other italian hospitals, too. I studied for a period in Portugal and I noticed that it was very easily to find alcohol-based gel dispensers, they were in each floor and room of the hospital. So, I am not surprised to see that data about Italy.

Speaking about "mani pulite" at Umberto I, in my opinion, the situation should be improved increasing dispensers presents in much more public areas of the hospital in order to facilitate the use by every subject, i.e. health care providers, patients and their relatives.

The faculty of medicine must empower students spreading the culture of hand wash and hygiene. 

I believe not, and the main reason is the lack of soap and alcohol-based sanitizer in wards and toilets. For the public is even more difficult to wash their hands, given that their toilets  is more messed up than the ones for healthcare personal only. The Umberto I should start to think about a solution because hygiene is fundamental in a big hospital as it is at home, if not more given the amount of nosocomial infections a patient can contract. Of course, if we speak about special departments such as Neurosurgery, Haematology or Intensive Care, the hygiene standards are way higher; you cannot enter without permission and without being sanitized (that includes washing your hands). 

In the areas I visited I noticed no dispensers at all and nobody invited me to clean my hands. Even considering I went there just twice and I met just a couple of patients nobody in the group I was part of, adopted any hygenical precautions (at least as far as I saw).

Considering what I wrote above, datas in the ECDC graphic don't surprise me.

Referring to the importance of nosocomial infections I suppose faculty of medicine should be deeply concerned. As far as I tested some teachers provided us correct information during the lessons but every concern seems to desappear once you get to the Umberto I. 

In my opinion main responsability is to be referred to the Umberto I management; surely clearer and more visible informations (and more dispensers too), both for visitors and health care providers, would be helpfull in reducing the risk of infections. 

Washing your hands at Umberto I isn't that easy... Many toilets do not dispose of soap or hand sanitizers. This is a problem, therefore I truely believe it must be solved as quickly as possible, starting by acknowledging the fact.

Unfortunately, lack of soap or alcohol-based sanitizer at Umberto I make it difficult to wash your hands every time you need it. To avoid infections health care providers should make patients and parents aware of the importance of washing their hands properly. Moreover,  patients and parents should play an active role in reminding doctors and nurses to wash their hands just before visiting them in order to prevent infections in the hospital.

After an experience of three years, I can affirm that in "Policlinico Umberto I" there aren't gel dispensers in the rooms and common spaces. For this reason there are some incorrect behaviors: healthcare personnel, patients and familiars cannot wash their hands. This could be dangerous for them because they could contract infections. 

I don't think that washing your hands at Policlinico Umberto I is easy, because you can't easily find alcohol-based gel dispensers or soap in the bathrooms, which I find very bad for everyone in the hospital, but mostly for patients who often have a compromised immunitary sistem. I really think that the faculty of medicine should be concerned, as well as the direction of the hospital. That said, the Italy's data doesn't surprise me, because I think that our sanitary sistem is lacking in many aspects.

I've been to the hospital only twice and I have not noticed soap dispensers or alcohol-based sanitizers.

No one has ever even asked doctors, nurses and health care providers to wash their hands or I have seen them take hygienic precautions.

Certainly the medical faculty should be concerned about this by referring to the possibility of transmitting nosocomial infections.

So, seeing the data expressed in the table, this does not surprise me.

I don't think it is correct to say "mani pulite" at the Policlinico Umberto I. This   afirmation is due to the observation of lack of soap and alchool-based hand gel dispensers in many parts of the hospital. This Hygienic deficiency -as some of my collegues wrote - is evident also in some toilets for visitors.

I don't think it is corresponding actually to a generalized lack of hygiene; I believe Policlinico is a high level Hospital. It seems to me instead this health  care protocol is just understimated. Of course these simple, but very important observances should be completely respected.

I think we can't say "mani pulite" at the Policlinico. Infact, it is difficult to find soap dispensers in the corridors and also soap and paper are missing in many washrooms.

Unfortunately, I can't 'mani pulire' at Policlinico because of the lack of alcohol-based detergent dispensers or bathrooms stocked with soap

We surely cannot say 'mani pulite' in Policlinico, in fact there's an important lack of many of the main rules for the correct hygiene in a public structure: one of the main lack is the difficulty to find a soap dispenser in most of the hospital wards, a thing that force doctors and students to carry an alcohol sanitizer from home. Besides it, another big problem in policlinico is the custom of the medical staff to get out from the hospital wearing on medical gown in areas which are not surely sanitized.

Is not so easy find Alcohol based hand sanitizers dispenser in the common locals at the policlinico; as well as there's shortage of visual cues and posters to promote hand hygene compliance. In any case i think that the problem is in a superior, privios step.

It's not so easy say mani pulite at the Policlinico. In my experience many times I did not found soap in the toilet, and I think that the same problem has been for visitors, who came in the ospital for visiting their relatives without washing their hands and, after the visit, go out from the hospital without washing their hands. during the APP (the pratical activities for students) not often we washed our hands with alchol gel or soap, expecially in the  ambulatory. but instead in surgical areas (for example vascular surgery) or more critic areas ( infectious disease), the doctors also taught us how to wash our hands. so I suppose that this could be also a cultural problem. Now, during this covid19 pandemic, I think that all the people, not only doctors, nurses or health care providers, are becoming more aware about this problem and I want to be optimistic for a not far future where we'll say mani pulite at the Policlinico.

Unfortunately I can't say "mani pulite " at the Policlinico. It's very difficult to find soap or alcoolic gel in or out of the rooms, for patiens, visitors and students too. Besides, if there are dispensers, they often aren't provided or steadly changed becoming self-defeating.   

During the covid emergency, many dispensers of cleaning rub solution have been placed in rooms and along the corridors. All can use them: patients, visitors and health care providers. Before the covid emergency, there was no attention to this problem. So, the data doesn’t surprise me.

Unfortunately I should agree with my classmates , thats not easy to have a standard hygiene in the environment deprive of soaps and hand sanitizers , so my answer is no we cant say mani pulite in umberto 1