“COMPARISON OF KNOWLEDGE AND ADHERENCE TO PRACTICES ABOUT HEALTH CARE ASSOCIATED INFECTIONS AMONG HEALTH CARE PROFESSIONALS IN GUJRAT& WAZIRABAD”

Main Article Content

Iqra Shahzadi
Aqna Malik
Sadia Munir
Mudassar Mazher
Ashfaq. Ul. Hassan
Muhammad Zafar Siddiq

Keywords

HAIs, HCPs, HCAIs, CDC

Abstract

Background: Hospital acquired infections (HAIs) also known as health-care associated infections (HCAIs) pose a significant public health concern worldwide. They might raise morbidity, mortality rates, and medical expenses. Patients are most likely to become infected while receiving medical care in hospitals. Little information available about impact of HAIs in developing countries. Objective: To assess the knowledge and adherence to practice about HAIs among HCPs. Methodology: A cross-sectional survey was conducted in public and private health sector including ABSH Gujrat, THQ Wazirabad, AL Raee Hospital and WIC from October 2023- January 2024. Prior approval was obtained from Institutional In charges of all mentioned hospitals. Hospital staff was briefed about the survey before questioning. Informed written consent was signed from staff.  A field-tested questionnaire was utilized to assess the knowledge and practices regarding nosocomial infections (HAIs). Students of Advanced Clinical Pharmacy II collected data via direct interview of HCPs under supervision of Clinical supervisor. Responses were recorded, spending 15-25 minutes on each HCP. Statistical analysis: One-way ANOVA was applied. Results: 44.7% were males and 55.3% females respectively. Majority of HCPs  113 (75.3%) depicted adequate level of knowledge and (95%) adherence to practice according to national guidelines. Conclusion: HCPs were well aware about HAIs. Depicted positive attitude towards infection control. Hospital experience was found to be one variable that impact the understanding of infection control procedures. In the practice of infection control, knowledge levels and adherence to practice guidelines of technicians, nurses and GPs was correlated.

Abstract 42 | pdf Downloads 19

References

Agarwal, M., & Punnamma, T. (2003). Prevalence of post-op. nosocomial infection in neuro-surgical patients and associated risk factors-A prospective study of 2441 patients. Nursing Journal of India, 94(9), 197.
2. Ahmed, M. I. (2012). Prevalence of nosocomial wound infection among postoperative patients and antibiotics patterns at teaching hospital in Sudan. North American journal of medical sciences, 4(1), 29.
3. Ali, S., Birhane, M., Bekele, S., Kibru, G., Teshager, L., Yilma, Y., Ahmed, Y., Fentahun, N., Assefa, H., & Gashaw, M. (2018). Healthcare associated infection and its risk factors among patients admitted to a tertiary hospital in Ethiopia: longitudinal study. Antimicrobial Resistance & Infection Control, 7(1), 1-9.
4. Aliyu, A. S., Badawi, A. H., Umar, N. Y., Abubakar, F., & Sani, B. B. W. (2020). Epidemiological study on hospital acquired infections and infection prevention and control among health care workers in Specialist Hospital Bauchi State, Nigeria. ARC J Public Health Commun Med, 5(3), 1-13.
5. Allegranzi, B., Nejad, S. B., Combescure, C., Graafmans, W., Attar, H., Donaldson, L., & Pittet, D. (2011). Burden of endemic health-care-associated infection in developing countries: systematic review and meta-analysis. The Lancet, 377(9761), 228-241.
6. Challenge, F. G. P. S. (2009). WHO Guidelines on Hand Hygiene in Health Care. Retrieved from: whqlibdoc who int/publications/009 pdf.
7. Damani, N. (2007). Simple measures save lives: an approach to infection control in countries with limited resources. Journal of Hospital Infection, 65, 151-154.
8. Ducel, G., Fabry, J., & Nicolle, L. (2002). Prevention of hospital acquired infections: a practical guide. Prevention of hospital acquired infections: a practical guide.(Ed. 2).
9. Edwards, R., Charani, E., Sevdalis, N., Alexandrou, B., Sibley, E., Mullett, D., Loveday, H. P., Drumright, L. N., & Holmes, A. (2012). Optimisation of infection prevention and control in acute health care by use of behaviour change: a systematic review. The Lancet infectious diseases, 12(4), 318-329.
10. Efstathiou, G., Papastavrou, E., Raftopoulos, V., & Merkouris, A. (2011). Factors influencing nurses' compliance with Standard Precautions in order to avoid occupational exposure to microorganisms: A focus group study. BMC nursing, 10(1), 1-12.
11. Ekwere, T. A., & Okafor, I. P. (2013). Hand hygiene knowledge and practices among healthcare providers in a tertiary hospital, south west, Nigeria. International Journal of Infection Control, 9(4).
12. Eng, T. Y., Eng, N. L., Jenkins, C. A., & Grota, P. G. (2021). “Did you wash your hands?”: a prospective study of patient empowerment to prompt hand washing by healthcare providers. Journal of Infection Prevention, 22(5), 195-202.
13. Erasmus, V., Brouwer, W., Van Beeck, E., Oenema, A., Daha, T., Richardus, J. H., Vos, M., & Brug, J. (2009). A qualitative exploration of reasons for poor hand hygiene among hospital workers lack of positive role models and of convincing evidence that hand hygiene prevents cross-infection. Infection Control & Hospital Epidemiology, 30(5), 415-419.
14. Ferguson, K. J., Waitzkin, H., Beekmann, S. E., & Doebbeling, B. N. (2004). Critical incidents of nonadherence with standard precautions guidelines among community hospital-based health care workers. J Gen Intern Med, 19(7), 726-731. https://doi.org/10.1111/j.1525-1497.2004.20424.x
15. Fortunka, K., Strzelecka, A., Król, G., Paprocka, P., Mańkowska, A., Lesiak, A., Karpeta, U., Okła, S., Spałek, J., & Kaliniak, S. (2024). Knowledge and Training Needs in Nosocomial Infection among Hospital Staff in the City of Kielce, Poland: A Cross-Sectional Study. Journal of Nursing Management, 2024.
16. Hassan, M. Z., Sazzad, H. M., Luby, S. P., Sturm-Ramirez, K., Bhuiyan, M. U., Rahman, M. Z., Islam, M. M., Ströher, U., Sultana, S., & Kafi, M. A. H. (2018). Nipah virus contamination of hospital surfaces during outbreaks, Bangladesh, 2013–2014. Emerging infectious diseases, 24(1), 15.
17. Horan, T. C., Andrus, M., & Dudeck, M. A. (2008). CDC/NHSN surveillance definition of health care–associated infection and criteria for specific types of infections in the acute care setting. American journal of infection control, 36(5), 309-332.
18. Islam, M. S., Luby, S. P., Sultana, R., Rimi, N. A., Zaman, R. U., Uddin, M., Nahar, N., Rahman, M., Hossain, M. J., & Gurley, E. S. (2014). Family caregivers in public tertiary care hospitals in Bangladesh: risks and opportunities for infection control. American journal of infection control, 42(3), 305-310.
19. Klevens, R. M., Edwards, J. R., Richards Jr, C. L., Horan, T. C., Gaynes, R. P., Pollock, D. A., & Cardo, D. M. (2007). Estimating health care-associated infections and deaths in US hospitals, 2002. Public health reports, 122(2), 160-166.
20. Lynch, P., Pittet, D., Borg, M. A., & Mehtar, S. (2007). Infection control in countries with limited resources. The Journal of hospital infection, 65, 148.
21. Maki, G., & Zervos, M. (2021). Health Care-Acquired Infections in Low- and Middle-Income Countries and the Role of Infection Prevention and Control. Infect Dis Clin North Am, 35(3), 827-839. https://doi.org/10.1016/j.idc.2021.04.014
22. McCredie, F., Council, C. C., McKenna, D., & House, C. (2020). R CAR. People.
23. Nejad, S. B., Allegranzi, B., Syed, S. B., Ellis, B., & Pittet, D. (2011). Health-care-associated infection in Africa: a systematic review. Bulletin of the World Health Organization, 89(10), 757-765.
24. Ogwang, M., Paramatti, D., Molteni, T., Ochola, E., Okello, T. R., Ortiz Salgado, J. C., Kayanja, A., Greco, C., Kizza, D., Gondoni, E., Okot, J., Praticò, L., Granata, V., Filia, A., Kellar Ayugi, H., & Greco, D. (2013). Prevalence of hospital-associated infections can be decreased effectively in developing countries. Journal of Hospital Infection, 84(2), 138-142. https://doi.org/https://doi.org/10.1016/j.jhin.2013.02.016
25. Pittet, D., & Donaldson, L. (2005). Clean care is safer care: a worldwide priority. The Lancet, 366(9493), 1246-1247.
26. Rosenthal, V. D., Al-Abdely, H. M., El-Kholy, A. A., AlKhawaja, S. A. A., Leblebicioglu, H., Mehta, Y., Rai, V., Hung, N. V., Kanj, S. S., & Salama, M. F. (2016). International Nosocomial Infection Control Consortium report, data summary of 50 countries for 2010-2015: Device-associated module. American journal of infection control, 44(12), 1495-1504.
27. Sastry, S., Masroor, N., Bearman, G., Hajjeh, R., Holmes, A., Memish, Z., Lassmann, B., Pittet, D., Macnab, F., & Kamau, R. (2017). The 17th International Congress on Infectious Diseases workshop on developing infection prevention and control resources for low-and middle-income countries. International Journal of Infectious Diseases, 57, 138-143.
28. Shahab, A., Shamsi, T. S., Afaq, E., Mustafa, O., Aman, D., Khan, O., Zaheer, A., Shaikh, S., Irfan, R., & Saleem, M. (2020). A Comparative Study: Knowledge and Practices amongst Post-Operative Patients Regarding Hospital Acquired Infections (HAI) between Private and Public Tertiary Care Setup in Pakistan. National Journal of Health Sciences, 5(2), 71-78.
29. Suetens, C., Latour, K., Kärki, T., Ricchizzi, E., Kinross, P., Moro, M. L., Jans, B., Hopkins, S., Hansen, S., & Lyytikäinen, O. (2018). Prevalence of healthcare-associated infections, estimated incidence and composite antimicrobial resistance index in acute care hospitals and long-term care facilities: results from two European point prevalence surveys, 2016 to 2017. Eurosurveillance, 23(46), 1800516.
30. Zaidi, N., Javed, N., Naz, S., & Mumtaz, A. (2016). Gaps in knowledge and practices about health care associated infections among health care workers at a tertiary care hospital. Journal of Islamabad Medical & Dental College (JIMDC), 5(2), 84-87.
31. Zaman, S. (2006). Beds in a Bangladeshi hospital. Medische Antropologie, 18(1), 193-204.

Most read articles by the same author(s)

1 2 > >>