scholarly journals Assessment of knowledge and practice toward infection control and prevention standards among intern doctors in Saudi Arabia

Author(s):  
Ahmad M. Albarrag ◽  
Abdulmajeed A. Aloraini ◽  
Abdulaziz I. Alhussain ◽  
Faris I. Alwarhi ◽  
Abdullah I. Altashlan ◽  
...  

Background: Patients and healthcare workers are susceptible to health care associated infections if they are not compliant with infection prevention and control standards. There are no previous studies regarding the assessment of knowledge and practice of intern doctors toward infection prevention and control precautions in Saudi Arabia.Methods: A cross-sectional study that was carried-out on 259 intern doctors at the main hospitals of Riyadh city in Saudi Arabia. A self-administered questionnaire was distributed to the participants after validation during their clinical rounds and their morning meetings of their departments. Data were analysed using SPSS version 21.0.  Results: Out of 259 participants, the overall mean score for knowledge assessment was 79.4±7.52. For hand hygiene mean score was 23.53±2.66 out of 30, personal protective equipment mean score was 20.63±2.49 out of 25. A significant low level of knowledge regarding needle stick injury with a score of 19.18±2.50 out of 30. Regarding, knowledge towards isolation precautions, around 50% reported adequate knowledge regarding isolation precautions. Meanwhile, 78 (30.1%) denied receiving any form of training or orientation in infection control.  Conclusions: There is a moderate level of knowledge and satisfactory level of practice among intern doctors in Riyadh. However, there was some misconceptions regarding needle stick injury and isolation precaution. Implementing infection control education and training programs is recommended before starting clinical practice.

Author(s):  
Hala A Amer ◽  
Ibrahim A Alowidah ◽  
Chasteffi Bugtai ◽  
Barbara M. Soule ◽  
Ziad A Memish

Abstract Background: King Saud Medical City (KSMC) is a quaternary care center based in the center of the capital city, Riyadh, Kingdom of Saudi Arabia (KSA) and is one of the key Ministry of Health (MoH) facilities dedicated to the care of COVID-19 patients in the central region. Methods: A comprehensive surge plan was promptly launched in mid-March 2020 to address the pandemic and then expanded in a phase-wise approach. Supporting the capacity of the infection prevention and control department (IPCD) was one of the main pillars of KSMC surge plan. Task force Infection Control teams have been formulated to tackle the different aspects of pandemic containment processes. The challenges and measures undertaken by the IPC team have been described. Conclusion: Realizing the more prominent role of infection prevention and control staff as frontline responders to public health emergencies like COVID-19, a solid infection prevention and control system at the healthcare setting supported by qualified and sufficient manpower, a well-developed multidisciplinary team approach, electronic infrastructure and efficient supply utilization is required for effective crisis management.


2022 ◽  
Vol 71 (6) ◽  
pp. 2236-41
Author(s):  
Maha Pervaz Iqbal ◽  
Kerry Uebel ◽  
Md. Saiful Islam ◽  
Victoria Jabbour ◽  
Dr. Victoria Jabbour ◽  
...  

Objective: To assess the knowledge and practice of medical students regarding standard precautions in an Australian undergraduate medical programme. Study Design: Cross sectional study. Place and Duration of Study: University of New South Wales, Australia, duration of study was six-years. Methodology: Fifty medical students who were involved in clinical practice, were invited to complete a comprehensive questionnaire on standard precautions. Results: The majority of participants agreed that hand hygiene was the most important factor in infection control. Only 32 (16%) knew to use a full personal protective equipment for Ebola. Regarding sharps disposal, 46 (92%) students always disposed used needles in the recommended bin, 27 (54%) indicated they sometimes recapped used needle while 25 (20%) sometimes bent used needles. Conclusion: This study showed that there is a gap between knowledge and practice of medical students regarding hand hygiene and other infection control measures. There is a need for standardized and regular student training in the use of standard precautions in infection prevention and control.


2021 ◽  
pp. 54-58
Author(s):  
Jecinta Thabah ◽  
Unmona Borgohain Saikia ◽  
Reshma Begum

According to WHO the outbreak of coronavirus disease (COVID- 19) that was rst reported from Wuhan , China, on 31st Dec 2019. As we are aware , Covid- 19 is widely spreading across the country rising beyond 4000 positive cases in a day of the rst wave. In India according to R. Gangakhedar , the head of the epidemiology division at ICMR, said at the press conference on April 20th , 2020 of 80 out of 100 conrmed COVID-19 cases were asymptomatic. It is the responsibility of the staff to ensure that they constantly maintain a high standard of infection control practice. SOP in infection control means the standard infection control precautions must be used by all nurses , in all care settings, at all time, for all patients whether infection is known to be present or not but to ensure the safety of those of being cared for , as well as the staffs and the visitors. OBJECTIVE1. To assess the knowledge of SOP on infection prevention and control of COVID- 19 among nurses . 2. To evaluate the practice of SOP on infection prevention and control of COVID-19 among nurses. 3. To nd the correlation between the knowledge and practice of SOP on infection prevention and control among nurses . 4. To nd out the association between the knowledge and practice with selected demographic variables ( age, qualication, gender, education, experience, type of ICU, training attended ) among nurses. METHODS AND MATERIALS- the research approach adopted for the study was quantitative approach. A descriptive research design was used in this study to accomplish the objectives using non-probability purposive sampling technique for obtaining adequate sample for the study. Study was undertaken on 60 ICU nurses in selected hospitals of Kamrup (M) Assam. Participants were selected on the basis of those who fullled the inclusion criteria. The tool used for the study was structured knowledge questionnaire was used to assess the knowledge, and observation checklist was used to evaluate the practice of SOP on infection prevention and control of COVID-19 D RESULTS- ata analysis was done by calculating mean, standard deviation and chi square. In knowledge, the study revealed that out of 60 respondents , majority 38 (63 %) had moderately adequate knowledge, 14(23%) had inadequate knowledge and 8(14%) had adequate knowledge of Standard Operating Procedure on infection prevention and control of COVID-19. In practice , the study revealed that out of 60 respondents , majority 51(85%) had moderately adequate practice and 9 (15%) had adequate practice of Standard Operating Procedure on infection prevention and control of COVID-19.The corelationship between knowledge and practice were 0.331 which was moderately positive correlation. There was signicant association of knowledge with total years of working experience among nurses working in CTVS, ICCU and post-COVID- 19 ICU and none of the demographic variables had shown statistically signicant association with level of practice of Standard Operating Procedure on infection prevention and control of COVID-19 among nurses . - After analyzing the collected data CONCLUSION .This study gives the area to improve in knowledge of the nurses and practice of ICU nurses regarding SOP on infection prevention and control of COVID-19. Therefore, continual education to the nurses does go long way in increasing their knowledge and practice to prevent infection which can help in controlling the rate of Hospital acquired infections .


2020 ◽  
Vol 41 (S1) ◽  
pp. s299-s300
Author(s):  
Hala Amer ◽  
Ahmed Alenizi

Background: In 2018, the Ministry of Health (MOH) in Saudi Arabia launched the Infection Control Excellence Center (ICEC) program among healthcare governmental institutions to create an exceptionally high concentration of expertise and resources within the infection prevention and control discipline to afford the best patient outcomes possible. King Saud Medical City (KSMC), one of the main healthcare institutions in Riyadh, was selected to be among the 10 facilities participating in ICEC 2019 competition. It is expected to qualify the facility to lead the Kingdom infection prevention and control as well as sharing expertise at regional and international levels. Methods: The infection control team at KSMCA used a business model canvas to present the project vision, resources, partners, values, and revenue streams (Fig. 1). All project stakeholders were engaged, including core infection control team, various hospital departments as internal partners, along with the MOH team as external partners. The ICEC program was presented at the KSMC executive council to earn leadership support. The following assessment areas were included in the presentation: (1) quality assurance and patient care through sustain basic infection control standards and improve key performance indicators (KPIs); (2) enhance the development and structure of the infection control team; (3) pursue innovative ideas in infection control practices. Overall, 17 projects arranged into 4 programs have been proposed (Fig. 2). Results: The institution successfully passed the eligibility criteria assessment in the first quarter of 2019. Infection control KPIs have been corporatized with KSMC strategic KPIs that support infection control improvement initiatives. The infection control team continues to grow in function and capacity. Also, 4 additional were awarded CIC certification in 2019 to reach total of 11 CICs, which represent 30% of the team (including 1 recertification). A dashboard designed by the project management office facilitates follow-up with the proposed projects in progress. Completion levels ranging between 30% and 100% have been achieved among these projects. A final evaluation was conducted in December 2019, including a field visit by the MOH ICEC team as well as a written MCQs exams and interviews with the core infection control team. Communication among the stakeholders and leadership involvement were considered among the assessment criteria. Conclusions: The ICEC supports and motivates investment in human capital and encourages innovative, cost-effective solutions in infection control field in Saudi Arabia. It is also aligned with Saudi Arabia healthcare transformation and the 2030 vision through integrated programs in healthcare facilities.Funding: NoneDisclosures: None


2017 ◽  
Vol 4 (suppl_1) ◽  
pp. S407-S407
Author(s):  
Kate Tyner ◽  
Regina Nailon ◽  
Sue Beach ◽  
Margaret Drake ◽  
Teresa Fitzgerald ◽  
...  

Abstract Background Little is known about hand hygiene (HH) policies and practices in long-term care facilities (LTCF). Hence, we decided to study the frequency of HH-related infection control (IC) gaps and the factors associated with it. Methods The Nebraska (NE) Infection Control Assessment and Promotion Program (ICAP) in collaboration with NE Department of Health and Human Services conducted in-person surveys and on-site observations to assess infection prevention and control programs (IPCP) in 30 LTCF from 11/2015 to 3/2017. The Centers for Disease Control and Prevention (CDC) Infection Prevention and Control Assessment tool for LTCF was used for on-site interviews and the Centers for Medicare and Medicaid (CMS) Hospital IC Worksheet was used for observations. Gap frequencies were calculated for questions (6 on CDC survey and 8 on CMS worksheet) representing best practice recommendations (BPR). The factors studied for the association with the gaps included LTCF bed size (BS), hospital affiliation (HA), having trained infection preventionists (IP), and weekly hours (WH)/ 100 bed spent by IP on IPCP. Fisher’s exact test and Mann Whitney test were used for statistical analyses. Results HH-related IC gap frequencies from on-site interviews are displayed in Figure 1. Only 6 (20%) LTCF reported having all 6 BPR in place and 10 (33%) having 5 BPR. LTCF with fewer gaps (5 to 6 BPR in place) appear more likely to have HA as compared with the LTCF with more gaps but the difference didn’t reach statistical significance (37.5% vs. 7.1%, P = 0.09). When analyzed separately for each gap, it was found that LTCF with HA are more likely to have a policy on preferential use of alcohol based hand rubs than the ones without HA. (85.7%, vs. 26.1% P = 0.008). Several IC gaps were also identified during observations (Figure 2) with one of them being overall HH compliance of <80%. LTCF that have over 90% HH compliance are more likely to have higher median IP WH/100 beds dedicated towards IPCP as compared with the LTCFs with less than 90% compliance (16.4 vs. 4.4, P < 0.05). Conclusion Many HH-related IC gaps still exist in LTCF and require mitigation. Mitigation strategies may include encouraging LTCF to collaborate with IP at local acute care hospitals for guidance on IC activities and to increase dedicated IP times towards IPCP in LTCF. Disclosures All authors: No reported disclosures.


Author(s):  
Dalia M. Mohsen ◽  
Rawhia Dogham ◽  
Asmaa Saber Ghaly

Background: Percutaneous exposure to contaminated needle sticks and other sharps is a danger not only to health care workers but also to nursing and paramedical students that increases the morbidity and mortality from infections with blood borne pathogens. Knowledge concerning the general precautions is vital for the prevention of such accidents. This study aimed to describe the knowledge and practice of infection prevention and control guidelines among health care students regarding needle stick and sharp objects injuries. Methods: A descriptive, cross sectional research design was used. Health care students were selected using convenience sampling which included 90 students. Data was collected using a self-reporting structured online questionnaire and administered to a number of health care students including nursing and Clinical laboratory specialists. Results: It was found that about half (49%, 52%) of the students had fair knowledge and fair practice regarding needle stick injuries and infection control guidelines respectively. The majority of the students (76.7%) had positive attitudes towards Needle stick injuries and infection control guidelines. Conclusion: This study concluded that knowledge and practice of health care students about the risk associated with needle-stick and sharp objects injuries and use of preventive measures was fair. Special concerns should be given to the role of post exposure prophylaxis, the recapping of needles and the importance and mechanism of reporting NSIs. Standing operating procedures should be conveyed regarding needle-stick and sharp objects injuries in all the health facilities.


2021 ◽  
Vol 15 (1) ◽  
pp. 64-70
Author(s):  
Ali AlAhdal ◽  
Haila Al-Huraishi ◽  
Ahmad Almalag ◽  
Adel Alrusayes ◽  
Saud M Orfali

Objective: Novel newly discovered coronavirus, also known as severe acute respiratory syndrome coronavirus-2, is a recently emerging virus that has been rapidly spreading globally since December 2019. Due to the vicinity inoro-dental treatment and aerosol production, people inside the dental office are at high risk of being infected with severe acute respiratory syndrome coronavirus-2. This guideline aims to protect the dental health-care workers during their plans to re-open and increasingly continue their routine services until further notice from their governing body. Methods: A panel of experts in dentistry and infection prevention and control reviewed the local and global research and guidelines related to infection prevention and control during coronavirus disease-2019, along with the re-opening guidance provided by different entities. Results: Such a document might either be adopted or adapted to any regional and international organization that wishes to use a revised professional guideline in infection prevention and control dental services. Conclusion: A careful re-opening plan should be developed and implemented, including strict infection control measures before resuming the dental practice.


Author(s):  
Marwa Ahmed Abdelwahab ◽  
Eman Abdel Raheem Labah ◽  
Laila Mahmoud Sayed ◽  
Mohamed Mokhtar Elbedwey ◽  
Heba Mohamed Gabr

Objective: Infection is a leading cause of hospitalization and the second most common cause of mortality among hemodialysis (HD) patients. The aim of this study is to assess the impact of infection prevention and control education program on improving healthcare workers knowledge, attitude and practices and reducing incidence of infection in the hemodialysis unit. Methodology: All patients and healthcare workers in the unit within the study period were included. This study was conducted through 3 phases; Phase I: base line survey for assessment of infection prevention and control knowledge, attitude and practices among healthcare workers, Phase II: Intervention that included infection control standardized education program followed by post education survey. Phase III: Implementation of infection control program was done associated with assessment of blood born viruses (HCV, HBV & HIV) and monitoring patients for fever and/or local signs of inflammation at catheter exit or at skin around shunt to be subjected to blood culture. Results: Health care workers knowledge, attitude and practices of infection prevention and control before intervention were unsatisfactory followed by significant improvement reflecting the effectiveness of such interventions. Regarding incidence of infection there were three cases of blood stream infections; two of them were multidrug resistant organisms (MDROs) and no reported cases of seroconverion for HIV, HCV or HBV during study period.  Conclusion: Lack of knowledge about infection prevention and control practices in hemodialysis unit could be significantly improved by standardized education program which results in reducing incidence of infections in such units.


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