scholarly journals Knowledge, attitude and practice about hospital acquired infection among health care personnel in a tertiary care hospital of Tripura

Author(s):  
Kaushik Nag ◽  
Anjan Datta ◽  
Nabarun Karmakar ◽  
Tamal Chakraborty

Background: Healthcare workers (HCWs) are at increased risk of hospital acquired infections transmitted from both blood-borne pathogens. This study was aimed to assess the knowledge, attitude and practice of health care professionals towards hospital acquired infections.Methods: A cross-sectional study was conducted among 191 on health care personnel (staff nurses, nursing student, lab technicians, OT assistants, ward girls, and sweepers) available on the day of survey of Tripura Medical College and Dr. BRAM Teaching Hospital, Hapania; data was collected using a self-administered questionnaire and analysed using Microsoft excel.Results: Majority (70.7%%) of the participants belonged to 18 to 25 years age group and were females (75.9%); mostly were Staff Nurses (35.1%) followed by nursing student (31.9%). The present study showed that, 87.4% healthcare personnel have some knowledge about Hospital Acquired Infection (HAI). According to study participants, most common hospital acquired infections was urinary tract infections (60.5%) and nurses were the most susceptible (34.6%) group to HAI. Among participants, 94.8% believed that working in hospital exposed them to infectious diseases and 60.2% were willing to change their working environment to avoid hospital acquired infection. Most of the study participants washed their hands after handling the patients (90.2%).Conclusions: Knowledge about Hospital Acquired Infection is present among health care personnel but there is still lack of adequate quality control practice to prevent Hospital Acquired Infection. Importance of prevention of Hospital Acquired Infection should be emphasized among health care personnel by intensive IEC activities.

2018 ◽  
Vol 10 (1) ◽  
pp. 347-350 ◽  
Author(s):  
ASM Anwarul Kabir ◽  
Farjana Akhter ◽  
Mahbuba Sharmin ◽  
Khaleda Akhter ◽  
Mosammat Beauty Begum ◽  
...  

Introduction : Hospital acquired Infections (HAIs) are called those infections that were not present at the time of patient’ hospitalization in a hospital and have been acquired after hospitalization. Nurses are an important part of the any healthcare team who play a unique role in the control of Hospital acquired infections. Objective : The aim of this study was to investigate the level of knowledge, attitudes, and practices of staff nurses about preventing the spread of hospital acquired infections (HAIs) at tertiary care Hospital of Dhaka city. Methods and Materials : This descriptive cross-sectional study was done among nurses having two years experience from two tertiary level hospitals in Dhaka city during January to June 2017. Self administered questionnaire containing different set of questions regarding knowledge, attitude and practice on HAI were used as a tool for data collection. Questionnaire was supplied to all staff nurses available at different in-patient wards of these two hospitals. Only 234 staff nurses who completed and returned the questionnaire were included in this study. Data were analyzed using Microsoft excel 2013 software. Result : Staff nurses were found to have good knowledge, moderately positive attitude but poor practice in prevention of hospital acquired infections. About 95% of the participants considered that prevention of HAIs were a valuable part of their role. About 65% of the staff nurses had received formal training regarding hand hygiene. The 100 % of participants felt that they would be less likely to transmit infection to the patients if they performed hand-hygiene. About 64% of them argued that hand hygiene agents were not readily available in current settings. Regarding practice, only 6% performed hand hygiene before patients contact and 27% of the staff nurses reported that they often forgot to perform hand hygiene. Conclusion : The finding of this study revealed a good knowledge of infection prevention among the majority of participants with relatively minimal level of practice. For strengthening the knowledge, attitude and practice towards HAIs, there is in need of developing regular training program and monitoring on performance feedback regarding hand hygiene is recommended. Northern International Medical College Journal Vol.10(1) Jul 2018: 347-350


Author(s):  
I. A. Imoudu ◽  
M. G. Zirami ◽  
A. B. Zamo ◽  
I. E. Idiodemise ◽  
L. M. Mahmood ◽  
...  

Background: Hand hygiene when done satisfactorily is one of the most effective ways of preventing hospital acquired infections. However elementary the process may seem, it is one that has been shown to significantly elude health care personnel (HCP). This study aimed at assessing the knowledge, attitude and practice of hand hygiene by HCP at the Federal Medical Centre (FMC) Azare, North-Eastern Nigeria. Methods: The study was a cross sectional survey of HCP who make direct contact with patients at four randomly selected units of FMC Azare. Using the purposive sampling technique, a structured questionnaire was administered on the respondents. The collected data was analyzed using the statistical package for social sciences (SPSS) version 20.0. Presentation of data was done with tables, in proportions and percentages. Results: Eighty-two (82) HCP were recruited into the study, 64 (78.0%) were males and 18 (22.0%) were females, giving a ratio of 3.6:1. Nurses made up 43.9%, health assistants 34.1% and doctors 22.0% of the total number. The respondents exhibited a good knowledge of hand hygiene (93.2%). Seventy- seven (93.9%) of the respondents showed a positive attitude while 6.1% had a negative attitude towards hand hygiene. All categories of respondents had good practice scores regarding hand hygiene. Conclusion: The knowledge, attitude and practice of hand hygiene of HCP at FMC Azare is optimal. However, continuous training on infection prevention and control with emphasis on hand hygiene and other strategies is recommended to allow for improvement in compliance to the concept of standard precautions.


Author(s):  
Anjan Datta ◽  
Kaushik Nag ◽  
Nabarun Karmakar ◽  
Tamal Chakraborty

Background: Injection is considered as one of the key procedures of drug delivery all over the world. Unsafe injection practices are very common in countries like India. This study was aimed to assess knowledge, attitude and practice of injection safety in a tertiary care hospital of Tripura.Methods: A cross-sectional study was conducted among 300 participants including staff nurses, operation theater (OT) assistants and laboratory technicians of Tripura Medical College and Dr. BRAM Teaching Hospital, Hapania; who were primarily involved in routine injection practices related to patient care from January 15th to February 14th 2018. Data was collected using a self-administered questionnaire and analyzed using SPSS version 16.0.Results: Majority (77%) of the participants in this study belonged to 18 to 25 years age group and were females (71.3%); mostly were nurses (88%), followed by OT assistants (6.3%) and laboratory technicians (5.7%) respectively. Good injection safety practices were reported by majority of the participants (67.3%). Higher mean age with knowledge of injection safety, nurses as compared to others and probational work experience than permanent were found to have significant association with safe injection practices of the participants.Conclusions: Even though study findings showed good practice related to injection safety among the health care personnel like similar other studies in this country, still improvement is required to fulfil the gap in knowledge and attitude of the health care providers to keep unsafe injection to the minimum level.


2018 ◽  
Vol 10 (3) ◽  
pp. 70 ◽  
Author(s):  
Ahmed Yar Mohammed Dawood Al Balushi ◽  
Muhammad Muqeet Ullah ◽  
Amal Ali Al Makhamri ◽  
Fatma Sulieman Al Alawi ◽  
Mansoor Khalid ◽  
...  

BACKGROUND: Due to existence of highly infectious materials, the biomedical waste can be a probable source for transmission of diseases as well as occupational hazards among health care workers if not adequately managed. Objective: To assess the knowledge, attitude and practices of biomedical waste management among health care personnel in a secondary hospital of Al Buraimi Governorate, Sultanate Oman.METHODOLOGY: A Cross sectional descriptive self-administered questionnaire based study was conducted among 207 subjects from 30th September 2015 to 30th March 2016 in Al-Buraimi hospital, Oman. Stratified random sampling comprised of four strata (100 nurses, 65 doctors, 22 housekeeping staff and 20 laboratory technicians).Chi-Square test was applied using SPSS version 21 with significance level ≤ 0.05. Confidentiality was maintained with ethical approval from research committee and informed formal consent was taken from the participants. RESULT: Overall response rate was 125 (60.3%) from total 207, mean age 36.14±8.9 and age ranges from 20 to 58 years with mean age (doctors 42.5, nurses 29.8, laboratory technician 29.2 and housekeeping staff 36). Female proportion of 82 (65.6%) was higher as compare to males 43 (34.4%). The study was analyzed on the basis of “satisfactory” and “unsatisfactory” scores using “cut-off point” tools. Nurses had better satisfactory knowledge (90.9%), attitude (94.5%) and practice (80%) scores as compare to other participants. The overall “satisfactory” knowledge, attitude and practice scores were found to be statistically insignificant (P=0.100, P=0.346, P=0.364 respectively). No significant relationship established between dichotomized variables of knowledge and practice (P = 0.264) as well as attitude and practice (P = 0.147).CONCLUSION: The “satisfactory” scores of knowledge, attitude and practice were found to be higher among nurses as compared to other participants, which may be due to intensive patient care and more involvement in biomedical waste management as well as greater responsibility allocated by hospital administration.


2016 ◽  
Vol 12 (3) ◽  
pp. 103-107 ◽  
Author(s):  
Ishwari Sharama Paudel ◽  
Vivek Ghosh ◽  
Purushottam Adhikari

Background & Objectives: Hospital-acquired infections (HAIs) are a common problem and challenge faced by hospitals in all countries around the world. Nurses are an important part of the healthcare team that plays a unique role in the control of HAIs. Compliance on the part of healthcare workers (HCWs) including nurses with standard precautions has been recognized as being an efficient means to prevent and control HAIs. The present study was conducted with objective of understanding the level of Knowledge, attitude and practice (KAP) regarding HAIs among nursing students in the Western Region of Nepal.Materials & Methods: This descriptive cross-sectional study was conducted among nursing students posted in different wards of two hospitals of Pokhara. A self administered questionnaire containing different set of questions regarding knowledge, attitude and practice on HAI were used for data collection.Results: Among the total participants in the study 97% of the participants considered that prevention of HAIs were a valuable part of nurses’ role but only 89% had received formal training regarding hand hygiene. The results show that 74% of the participants had good knowledge regarding HAIs. 82% of the participants felt that they would be less likely to transmit infection to the patient if they performed hand-hygiene. 66% of them identified that hand hygiene agents were not readily available in current settings. Regarding practice, only 6% performed hand hygiene before patient contact.Conclusion: The nursing students had good knowledge regarding HAIs that was reflected in their attitude and practice on hand hygiene for the prevention of HAIs. However there is the need of regular training and performance feedback regarding hand hygiene and the hospital environment should be hand-hygiene friendly with easily accessible to sinks and other facilities.


Author(s):  
Garima Dwivedi ◽  
Shiv Prakash ◽  
Gyan Prakash ◽  
Richa Singh ◽  
Deepak Anand ◽  
...  

Background: The World Health Organization (WHO) defines medical waste as waste generated by health care activities including a broad range of materials, from used needles and syringes to soiled dressings, body part, diagnostic samples, blood, pharmaceuticals, medical devices and radioactive material. Bio medical waste creates great risk of being injured or infected to medical professionals, if not handled properly. Objective of the study was to assess knowledge, attitude and practice regarding bio-medical management among health-care personnel in secondary care hospitals in Prayagraj district.Methods: A total 615 personnel were listed in urban and 363 in rural secondary care hospitals. Sample size was calculated to be 470. The study subjects were selected from each stratum randomly in proportion to the size of strata in order to complete the sample size from both urban and rural. This was a questionnaire based cross-sectional study.Results: Doctors, nurses and lab technician had satisfactory knowledge, practice and good attitude regarding biomedical waste management. It was observed that in urban hospitals 68.96% doctor, 66.01% nurses, 59.25% lab technicians and 55.12% sanitary staff had complete knowledge while in rural 62.85% doctors, 64.28% nurses, 46.4% lab technician and 42.85% sanitary staff had complete knowledge. Majority of healthcare personnel had positive attitude in both urban and rural hospitals. Regarding practice urban hospitals were doing satisfactory practice as compared to rural hospital.Conclusions: The study revealed that the attitude among health-care personnel was good while knowledge and practice were to the tune of satisfactory.


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