Injection Practices in Romania Progress and Challenges

2004 ◽  
Vol 25 (1) ◽  
pp. 30-35 ◽  
Author(s):  
Catherine Dentinger ◽  
Lili Pasat ◽  
Mircea Popa ◽  
Yvan J. F. Hutin ◽  
Eric E. Mast

AbstractObjective:To identify breaks in infection control practices that might put Romanians at risk for transmission of hepatitis B virus (HBV) from injections.Methods:A standardized questionnaire was administered to a systematic sample of the 1,906 nurses in Valcea District, Romania, to collect information on their knowledge, attitudes, and practices regarding injection administration and universal precautions.Results:Of the 180 nurses interviewed, 91% (95% confidence interval [CI95], 86% to 95%) reported having attended training for universal precautions; 58% (CI95, 49% to 67%) accurately reported that HBV remains infectious for at least 1 week in the environment; and 4% (CI95, 2% to 8%) knew that HBV is transmitted more efficiently than HrV through percutaneous exposures. No nurses reported reusing syringes or needles on different patients, but 4 (2%; CI95, 1% to 6%) would reuse a syringe and 3 (2%; CI95, 0% to 5%) would reuse a needle on the same patient in an emergency. Fifty-three percent (CI95, 44% to 61%) of nurses reported having a dedicated area for the preparation of injectable medications separate from where blood-contaminated items were handled. Shortages of infection control supplies were common.Conclusions:Although nurses in Valcea do not report reusing injection equipment without sterilization, other unsafe practices occur that may facilitate HBV transmission through injections, including preparing injectable medications in areas potentially contaminated with blood. Inadequate knowledge of blood-borne pathogen transmission and shortages of infection control supplies may contribute to these unsafe practices. Addressing these deficits could improve injection safety in Romania.

Biomédica ◽  
2020 ◽  
Vol 40 (Supl. 2) ◽  
pp. 159-165
Author(s):  
Jorge Alberto Cortés ◽  
Pilar Espitia ◽  
Yuliet Liliana Rosero-Lasso

Introduction: Healthcare personnel plays an important role in the prevention of acute respiratory infections in hospital settings.Objective: Our aim was to establish the level of knowledge about respiratory virus infections and the attitudes and practices among healthcare workers, leaders of infection control committees in hospitals of Bogotá, Colombia.Materials and methods: We used a self-administered questionnaire of 28 items during the monthly meeting sponsored by the local health authority. “Yes or no” and “true or false” questions were applied to measure knowledge. Attitudes and practices were measured with a Likert-type scale according to the agreement degree.Results: We surveyed 70 healthcare workers. Respondents demonstrated a good level of knowledge as 80% of them answered correctly more than five questions. A total of 54.4% showed a low degree of agreement when asked if their institutions have the policy to stay home when they are sick with respiratory symptoms and 67.1% never or rarely remain at home under such conditions.Conclusion: Healthcare worker leaders of infection control committees in Bogotá’s ospitals have adequate knowledge about the prevention of seasonal respiratory viruses. There is a need for implementing urgent sick leave policies as a measure to prevent the spread of potential coronavirus infections in hospitals.


2020 ◽  
pp. 153567602090260
Author(s):  
Abhishek Mehta ◽  
Manish Kr. Diwakar

Introduction: Laboratory technicians are routinely exposed to occupational health hazards that can be a serious threat to their health. To safeguard themselves against laboratory-acquired infections, they must be aware of universal work precautions. A targeted educational intervention to increase awareness about universal precautions was designed to result in behavioral changes in attitudes and practices to help reduce the incidence of laboratory-acquired infections. This study was planned to assess the preexisting levels of knowledge, attitudes, and practices of laboratory technicians regarding universal work precautions at a tertiary care hospital in central India and to evaluate the effectiveness of educational interventions on the same. Method: The 40 lab technicians participating in the study were subjected to educational interventions in the form of training on universal precautions. Pretest and posttest evaluations using questionnaires were conducted to evaluate the learning gain. Pretest and posttest responses to each question were compared using the Pearson chi-square test. The subjects’ mean pretest and posttest scores were compared using paired t tests, and the significance level was set at .05. Results: There was remarkably significant improvement in knowledge, attitudes, and practices of laboratory technicians regarding universal work precautions after the educational intervention/training sessions. Conclusion: On the basis of the findings, it was suggested that such training sessions should be conducted regularly for laboratory technicians to help in better retention of knowledge and to instill a positive attitude toward universal precautions.


2002 ◽  
Vol 8 (2-3) ◽  
pp. 416-421
Author(s):  
M. Askarian ◽  
A. A. Ghavanini

To assess the knowledge, attitudes and practices of anaesthesia personnel regarding infection control in hospitals, a questionnaire was distributed to anaesthesiology personnel of different educational levels in the hospitals of southern Islamic Republic of Iran. Chi-squared significance, Fisher exact and Spearman rho correlation coefficient tests were used to analyse the responses. The results suggest that measures to prevent infection transmission during anaesthesia are inadequate in our hospitals. The implementation of adequate measures to control infection was significantly associated with respondents’ beliefs as to whether anaesthesia can cause infection in anaesthesia personnel and/or patients. Increasing the knowledge base of anaesthesia personnel and raising their awareness as to the risk of infection are necessary to improve infection control procedures by anaesthesia personnel.


2020 ◽  
Vol 40 (3) ◽  
pp. 37-47
Author(s):  
Öznur Gürlek Kısacık ◽  
Münevver Sönmez ◽  
Tuğba Coşğun

Background Various factors affect the use of physical restraints in the intensive care unit, with nurses’ knowledge and attitudes being the strongest determinants. Objective To determine Turkish intensive care unit nurses’ knowledge, attitudes, and practices regarding physical restraints and factors influencing them. Methods This cross-sectional, correlational study was conducted in the intensive care units of state and university hospitals. A total of 191 nurses provided information on their sociodemographic and professional characteristics and completed a questionnaire on their knowledge, attitudes, and practices regarding physical restraints. Results Statistically significant differences were found between average knowledge scores according to type of intensive care unit, weekly working hours, work shift, and frequency of using physical restraints, with the highest scores found in nurses who worked in the surgical unit, worked 40 hours a week, worked only during the day, and used physical restraints every day. Significant differences were found between average attitude scores according to type of intensive care unit, with the highest scores found in nurses who worked in the cardiology unit. Significant differences were found between average practice scores according to level of education and use of physical restraints without a physician’s order, with the highest scores found in nurses with undergraduate and postgraduate degrees and those who did not use physical restraints without a physician’s order. Conclusions This study revealed inadequate knowledge about physical restraints and some unsafe practices among participants. Evidence-based guidelines and laws regarding physical restraints are needed, as well as regular training programs for involved personnel.


2020 ◽  
pp. 232020682097225
Author(s):  
Rhythm Bains ◽  
Aseem P. Tikku ◽  
Vivek Kumar Bains ◽  
Promila Verma

Aim: To assess the knowledge, attitude, and practices of the patients regarding cross-infection in dental clinics in view of COVID-19, and its economic implications. Materials and Methods: The present study is a cross-sectional online survey done using Google Forms tool which was shared amongst 501 participants via e-mail and various social media platforms. It consisted of 42 structured questions regarding sociodemographics (seven questions), knowledge of COVID-19 (seven questions), practices regarding COVID-19 preventive methods (five questions), knowledge regarding cross-infection in dental clinics (nine questions), attitudes toward infection in dental clinics, and increased cost of treatment due to added disinfection protocols (14 questions). All the associations were tested using the chi-square test and with the P-value set at <.05. The significance level was taken as α = 0.05; therefore, a difference or association with P-value <.05 was considered statistically significant. The linear regression model was used to relate demographics with the knowledge attitude practices items, and Pearson’s correlation coefficient was used to evaluate the correlation between knowledge, attitudes, and practices. Results: A total of 478 responses were assessed. 92.2% of the respondents had high knowledge regarding COVID-19, and only 48.1% had a high knowledge score regarding infection control in dental clinics. The respondents exhibited high scores for practice related to COVID-19 (83.9%) and attitude toward infection control in dental clinics (91.9%). Using the Pearson’s correlation coefficient, knowledge attitude practices variables showed a significant correlation amongst each other ( P < .001). Only 60% responded that extra infection control protocols will increase the treatment charges, and approximately 30% responded that they will not pay or were not sure of paying the extra charges. The proportion of respondents who were agreeing about paying the increase cost were independent of age ( P = .226), gender ( P = .328), education ( P = .085), and profession ( P = .121). Conclusion: A significant percentage of patients today have a lot of knowledge of COVID-19. Also, they have higher expectations than before from their dental health care providers regarding infection control.


2007 ◽  
Vol 28 (2) ◽  
pp. 241-244 ◽  
Author(s):  
Mehrdad Askarian ◽  
Ziad A. Memish ◽  
Ashraf A. Khan

Our goal was to assess the knowledge, attitudes, and practices regarding infection control and standard precautions among a group of nursing and midwifery instructors and students in Iran. A survey questionnaire was completed by 273 nursing and midwifery instructors and students at Shiraz University Medical Sciences during the period from May to November 2002. Two hundred thirty-one (90.9%) of the participants reported that they needed additional infection control education, especially on standard isolation precautions. There was a linear positive correlation between knowledge, practice, and attitude scores for the group of nursing, auxiliary nursing, and midwifery instructors, as well as their students (P < .05). Our study shows that there is an urgent need for evaluating education on infection control practices and standard precautions in general, as well as for structured infection control programs among nursing and midwifery staff.


2017 ◽  
Vol 45 (9) ◽  
pp. 1018-1023 ◽  
Author(s):  
Rachel A. Kossover-Smith ◽  
Katelyn Coutts ◽  
Kelly M. Hatfield ◽  
Ronda Cochran ◽  
Hana Akselrod ◽  
...  

2021 ◽  
Author(s):  
najod Alshathri

Abstract Background: Infections acquired in healthcare facilities have become an increasingly challenging issue worldwide. The prevention of infectious diseases is a critical issue since healthcare workers develop acquired infections while providing services to patients. However, infection prevention and control are challenging, especially in healthcare facilities. Thus, this study aimed to determine the level of knowledge, attitudes, and practices among healthcare workers in King Khaled Eye Specialist Hospital (KKESH). Methodology: A cross-sectional survey was conducted at KKESH, total of 285 healthcare workers, including physicians, nurses, optometrists, radiographers, and ophthalmic assistants were investigated. A close-ended, self-administered questionnaire was used to assess knowledge, attitudes, and practices toward infection control prevention measures. Data analysis was performed using SPSS version 20. Chi-squared was computed to identify associations between factors within the knowledge, attitudes, and practices of infection prevention.Results: The study showed that 81% of respondents had good knowledge, 82% had a positive attitude, and only 59% had safe infection prevention practices. Doctors were more knowledgeable than other staff, and nurses showed a high level of positive attitude and safe practices. There was a statistically significant correlation between age, occupation, education, and years of experience with infection prevention practices among healthcare providers (P<0.05). The availability of infection prevention guidelines was associated with excellent knowledge, a positive attitude, and safe practices.Conclusion: The findings of this study revealed that most healthcare workers had adequate knowledge and displayed a positive attitude, but practices toward infection control were not sufficient. Therefore, regular training, that contain educational programs, should be supported to maintain the highest level of practice.


2020 ◽  
Author(s):  
Li-Hsun Peng ◽  
Ming-Han Bai

BACKGROUND In 2019, with the COVID-19 pandemic sweeping across the globe, public health systems worldwide faced severe challenges. Amid the pandemic, one simulation game, <i>Plague Inc.,</i> has received substantial attention. This game has indirectly drawn greater public attention to public health issues by simulating pathogen transmission and disease symptoms. OBJECTIVE Against this backdrop, this research investigates whether the gameful experience of <i>Plague Inc.</i> has indirectly affected public knowledge, attitudes, and practices (KAP) regarding COVID-19. METHODS An online survey was conducted through social networking services in Taiwan from May 6-28, 2020. RESULTS A total of 486 subjects participated in this study, of which 276 (56.8%) had played <i>Plague Inc.</i> This study had several findings. First, participants who had played <i>Plague Inc.</i> demonstrated higher levels of knowledge (<i>P</i>=.03, median 7, IQR 7-8) and attitudes (<i>P</i>=.007, median 8, IQR 7-8) than participants who had not played <i>Plague Inc.</i> (knowledge: median 7, IQR 6-8; attitude: median 7, IQR 6-8). Second, there was a significant correlation between creative thinking (ρ=.127, <i>P</i>=.04) and dominance (ρ=.122, <i>P</i>=.04) in attitude. Finally, there was a significant correlation between creative thinking (ρ=.126, <i>P</i>&lt;.001) and dominance (ρ=.119, <i>P</i>=.049) in practice. CONCLUSIONS Serious games highlighting the theme of pathogen transmission may enhance public knowledge and attitudes regarding COVID-19. Furthermore, the creative thinking and dominance involved in gameful experiences may act as critical factors in public attitudes and practices regarding COVID-19. These findings should be further verified through experimental research in the future.


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