scholarly journals Knowledge and Compliance Toward Standard Precaution Among Health Care Workers at Bahria International Hospital Lahore, Pakistan

2020 ◽  
Vol 7 (1) ◽  
pp. 17-20
Author(s):  
Humira Ather ◽  
Asaf Khan ◽  
Saima Shabnum

Introduction: Standard precaution is a way to stop the spread of hospital acquired infection which may be in the form of blood, secretions, body waste, body fluids and mucous membrane that may contain contagious infectious agents. Healthcare workers are the persons who have the moral obligation to care for sick persons and improve their regaining health and attain excellent worth of treatment care. Therefore, health care providers should have proper knowledge and good practice to strictly adhere to standard precaution control infection. Aim: To determine the knowledge and compliance toward standard precaution among health care workers in Bahria international Hospital Lahore. Methodology: a descriptive cross sectional study design were used for this study with sample size of 180 participants which were randomly selected from the target population. Results: The association between knowledge and practice was assessed through chi square test with p value=0.05, after apply this test the p value found .000 which is significant association between knowledge and practice. Whereas regression test shows value of adjusted R² showing 60% (F=.141, p <.001) of variance caused by independent variable (knowledge) in dependent variable (practice). Hence, it is proved that there is a significant positive relationship between knowledge and practice. Conclusion: The current study concluded that adhering to standard precaution is very important for all health care workers to control hospital acquired infection. Study finding also show that majority of the healthcare workers have good knowledge regarding standard precautions but they have unsatisfactory compliance to prevent and control infection. Int. J. Soc. Sc. Manage. 7(1): 17-20

2021 ◽  
Author(s):  
Aboobacker Mohamed Rafi ◽  
Maglin Monica Lisa Joseph Tomy ◽  
Ronnie Thomas ◽  
Chithra Valsan ◽  
U G Unnikrishnan ◽  
...  

AbstractBackgroundKerala was the first state to have the confirmed case of COVID-19 in the country and it was first confirmed in Thrissur district on 30 January2020.Our institute being in the heart of the city had to take adequate measures to mitigate the spread and treat the required patients by keeping its staff safe & Healthy. The hallmark of COVID 19 infection is high infectivity, pre-symptomatic transmission and asymptomatic prevalence which could result in high cumulative numbers of infections, hospitalizations, and deaths. Kerala was the first state to confirm community transmission in July 2020.Health care workers being in the forefront in the war against COVID19 are very prone in acquiring the infection and are possible to be asymptomatic sources for cluster formation. Knowing the development of immunity as shown by the presence of anti COV2 antibodies in the population contributes to the epidemiological understanding of the disease. The intent of the study is to do an antibody testing in our hospital to find the serosurveillance of SARS CoV 2 among the healthcare workers in our hospital.AimTo estimate the seropositivity of SARS CoV 2 among the healthcare workers at Jubilee Mission Medical College and Research Institute, Thrissur, Kerala, six months after revoking the lockdownMethodologyA cross sectional study among the health care workers of the medical college. Multistage Sampling was done with the hospital block as the first stage and departments as the second stage. In the final stage of sampling the test individuals were selected on a first come first served basis after the antibody test availability was declared open and free for all staff. A consent form and a Google form were given to all staff who volunteered for participating in the study. Each consented participant recruited into the investigation completed a questionnaire which covers details regarding demographics, exposure history, Residence & travel. Blood sample was collected and Anti-SARS COV2 IgG antibody testing which targets the Spike Protein 1(SP1) was done using the VITROS chemiluminescence platform (Orthoclinical diagnostics, USA). Sampling & testing ranged over a time frame from September 5th to December 15th, 2020ResultsJubilee Mission Medical College has 2785 working staff at the time of study. A total of 420 staff consented and their samples were tested. 37 staff members tested positive for COVID-19 antibody, yielding an overall prevalence of 8.75% (95% CI, 6.23–11.86). 86.5 % (32/37) of them were having a history of COVID-19 Antigen / RT PCR Positivity. We identified a statistically significant linear trend (p value =0.00001), between seropositivity and the degree of severity of COVID 19. Among the various factors which increase the risk of seroconversion, history of undergoing quarantine (p value < 0.001), contact with a confirmed case (p value = 0.002), contact with a caregiver for COVID 19 (p value =0.001) and history of Upper respiratory symptoms (p value =0.001), were found to be significantly associated with positive serology.ConclusionsThe overall seropositivity in the current study was found to be 8.75% which is comparable to seroprevalence studies conducted in the United States and Wuhan in China. The pattern of seropositivity across the different category of health workers observed in the present study showed a higher prevalence among nurses. This result is also in agreement with a recent published report from united states. Various measures advised by the national and state health authorities were adequately adhered to. Keeping track of the pattern of development of immunity in the community is part of understanding the illness and forecasting the spread. For the tested HCW, it will boost up morale by ending uncertainty. For the hospital administration it will help in decision making about relative focusing of interventions on patients in general and HCWs. By knowing the immunity status of HCWs, the Institution will be able to contribute authentically to the development of intervention strategies and guidelines from time to time, besides following the available guidelines. Being an educational institution, it is obligatory to train all the elements of care delivery to the future generation of health care workers. Getting experienced from a small but relevant sample was expected to facilitate larger community study envisaged in peripheral areas Jubilee served


2020 ◽  
Vol 3 (4) ◽  
pp. 435-443
Author(s):  
EF Osagiede ◽  
SO Utomi ◽  
OC Egbuta ◽  
ET Osagiede ◽  
IA Airefetalor ◽  
...  

Standard precautions (SP) refer to the minimum infection prevention practice applied whenever providing patient care, irrespective of the diagnosis. SP is applied to all patients all the time to prevent unprotected contact with body fluids so that bloodborne infections and the risks of infection transmission are unlikely. It involves various components that when consistently practised, prevents the spread of infection to health care workers, patients, and visitors. This study assessed the knowledge and practice of standard precaution among health care workers in public primary and secondary facilities in Edo State. A Cross-Sectional study design was used to study 217 HCWs in both public primary and secondary health facilities. Respondents were selected using the cluster sampling technique. The study was carried out between April and October 2019. Most of the HCWs (94.5%) were aware of SP with their source of awareness, mainly from their colleagues. Their knowledge of SP was generally poor. Only 23 (10.6%) of the respondents had good knowledge, others either had fair 153(70.50%) or poor 41(18.90%) knowledge of SP with a statistically significant relationship between knowledge of SP and the HCWs level of completed education (p-value 0.019) as well as with the professional group they belong to (p-value 0.002). The practice of SP was generally abysmal, with only 3(1%) having good practice. The knowledge and practice of standard precaution among health workers at both the primary and secondary levels of care in Edo State were abysmally poor. There is an urgent need to organise sustained infection prevention and control (IPC) training as well as implement strategies to improve IPC competence among the HCWs in the primary and secondary facilities in Edo State.


Author(s):  
Premnath Parvathy ◽  
V S. Aiswariya ◽  
P. Abinaya ◽  
Thomas Aiswarya ◽  
B. Hariharasudan ◽  
...  

Background: In the light of the pandemic COVID 19, world’s attention has turned to the immune system and body’s defense force. Identification of the level of epidemic preparedness and understanding of Ayurvedic, Homeopathic and Siddha regimens among health care workers is required to utilize their services in main stream health care effectively. Aim: The aim of this study to access the knowledge and practices of possible Ayurvedic, Homeopathic and Siddha regimens during novel corona virus pandemic. Materials and methods: A cross-sectional survey was undertaken among the health care workers with the help of 15 close ended questions. The one out of six-knowledge question were scored and analysed to identify differences with sociodemographic variables (age and occupation). Response to the three out of five questions on practices were analysed to Identify the differences, differing significantly in both knowledge and practice score. Result: Out of 286 responses, knowledge score significantly differed with age (P-value 0.04) and occupation (P-value 0.01). Practice scores significantly differed with age (P-value 0.01) and occupation (P-value 0.00). Our study shows that 70% of study population is aware of the medicinal properties of Neem, Tulsi and Ashwagandha against COVID 19 and 65% strongly believes the immune boosting effect of Vitamin C and 77% include citrus fruits in their diet. Conclusion: Adopting prophylactic and therapeutic strategies on the basis of Ayurveda, Homeopathy and Siddha are useful to the mankind in fighting against the COVID 19.


2021 ◽  
Vol 6 (9) ◽  

Introduction: Low back pain (LBP) is relatively a major cause of disability among the working population and has a significant socioeconomic impact. The study aims were to determine the prevalence and associated factors of low back pain among professions of health care workers especially the physiotherapist. Methods: A total of 225 participants (78,7%female, 21.3% male) among students of Professional and Scientific Master degree in University of Medicine, Faculty of Technical Medical Science and healthcare workers that working in the University and in the tertiary University Medical Center of Tirana "Mother Teresa" were involved to evaluate LBP for a period for more than two years (from Mars 2017 until to November 2019). A standardized Nordic questionnaire for the analysis of LBP symptoms and epidemiological risk factor data was used to collect information from our study participants. Results: Prevalence of LBP in healthcare workers was determined to be 87.5%. Female resulted to be 4.9 times in risk to have LBP compared to male for CI 95% (2.16-11.2) p value<0.001. The average age resulted to be 37 ± 5.9, where the minimum and maximum age were 21 and 55 years old respectively. The participants ≥51 years old were 14 times in high risk for LBP compared to other age groups for CI 95% (5.9-21.6) p value=0.001. It was observed that low back pain was most common among nurses (44.1%) p value<0.0001. Also risk factors such as job position, working condition, long standing and long sitting at desk, health status and also the physical activity demonstrated an association and increasing low back pain risk, p value in all these factors resulted less than 0.05. Conclusion:Our study demonstrated that the prevalence of LBP were higher and healthcare workers especially the nurses are among group with high risk of low back pain.


Author(s):  
O. T. Allen ◽  
I. L. Nwaogazie ◽  
K. Douglas

The hospital is a high risk environment for the transmission of infections to health care workers, visitors, patients and the surrounding community. Healthcare workers are exposed to a variety of hazards which predisposes these “indispensable carers” to various life threatening infections and diseases. This study is aimed at evaluating the occupational hygiene and infection control practices in Federal Medical Center (FMC) Owerri and FMC Yenayoa, both located within southern Nigeria. Descriptive cross sectional study using a structured questionnaire and walk-through safety checklist was employed. A total of 379 healthcare workers were selected through disproportionate stratified sampling from the two facilities. The questionnaires were self-administered and analyzed using SPSS Version 22.0. Frequencies, chi-square were computed and multivariable logistic regression analysis was used to identify the predisposing factors to which health workers are exposed; 60.7% of respondents were male, dominant age group; 30 – 39yrs, nurses represented a larger proportion (34.8%) of healthcare workers in this study; 51.7% and 48.3% of respondents in FMC Yenagoa and FMC Owerri respectively had a good knowledge of hazards and controls. There was a significant difference with chi-square as, 9.710 p-Value <0.008. Good level of attitude was 44.7% in Owerri and 21.2% in Yenagoa, chi-square 18.295 p-Value <0.001. Overall level of occupational hygiene and infection control practices was poor in both facilities. Health care workers had a very high level of exposure to ergonomic hazards (88.9%) and biological hazards 47.6% in Owerri and 55.3% in Yenagoa. Nurses were 5 times more at risk of ergonomic hazards (95%CI) – 5.96 (2.19–16.24)  p-Value < 0.001, while Medical Laboratory scientists were 5 times more at risk of chemical hazards (OR = 5.98, 95CI: 3.05–11.69, p-Value <0.001). The checklist revealed that both facilities were of imminent high risk category. Health care workers at FMC Yenagoa had higher exposures to all five categories of hazards than FMC Owerri. Working in FMC Owerri predisposes workers to higher health hazards than in FMC Yenagoa. There was better administrative controls including trainings and immunizations in FMC Yenagoa than in FMC Owerri.


Author(s):  
Meike M. Neuwirth ◽  
Frauke Mattner ◽  
Robin Otchwemah

AbstractAdherence observations of health care workers (HCW) revealed deficiencies in the use of recommended personal protective equipment (PPE) among HCW caring in COVID-19 and non-COVID-19 wards during the first period of the SARS-CoV-2 pandemic in a university hospital in Germany. The adherence to wearing surgical face or FFP2-masks and disinfecting hands prior to donning and after doffing the PPE was significantly higher in COVID-19 wards However, there was no total adherence of 100% in COVID-19 wards.


Author(s):  
Dhaval Dalal ◽  
Kamalpriya Thiyagarajan ◽  
Humeshwari Nipane ◽  
Vijaykumar Gawali

Background: COVID-19 has brought psychological disorders that affect health care workers and the general public. Hence it is important to have necessary counselling to address the psychological, social aspects of the pandemic to ensure psychological well-being of especially Health-care Workers and preserve their innate and acquired immunity.Methods: The study was planned as single centre retrospective study and conducted between April and June 2020 at dedicated COVID-19 hospital in India. Front-line HCWs more than 18 years, of any gender working in COVID-19 hospital and willing to participate for the study were enrolled in the study. Study included two questionnaires, generalized anxiety disorder scale, and socio-demographics and COVID-19 related awareness questionnaire. Measurements were taken pre and post the psychological counselling intervention.Results: As per generalized anxiety disorder (GAD) scale people suffering from moderate anxiety disorder dropped from 19% (pre counselling) to 5% (post counselling) and severe cases dropped from 14% (pre counseling) to 2% (post counseling), there was statistically significant difference observed due to psychological intervention in GAD scale (Chi square test-10.794, p value=3.67E-27). Socio demographics and COVID-19 related awareness questionnaire results were statistically significant (Chi square test-11.945, p value=6.91E-33).Conclusions: Counselling interventions based on scientific data offered in groups by investigator with an accurate knowledge of the COVID-19 and its manifestation increased the confidence of health care workers (HCWs) and reduced anxiety level. This was translated into the full availability of HCWs on the clinical study site, although medical services were disrupted while other hospitals were starving due to lack of staff.


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