scholarly journals Prevalence of Hospital Acquired Infection and its Preventive Practices among Health Workers in a Tertiary Care Hospital

2019 ◽  
Vol 16 (41) ◽  
pp. 452-456
Author(s):  
Purna Devi Shrestha ◽  
Sirjana Rai ◽  
Shobha Gaihre
Keyword(s):  
Nosocomial Infection ◽  
Work Experience ◽  
Health Workers ◽  
Tertiary Care ◽  
Care Hospital ◽  
Cross Sectional ◽  
Hospital Acquired Infection ◽  
Hospital Acquired Infections ◽  
Preventive Practices ◽  
Hospital Acquired

Background: Hospital Acquired Infections are major challenge for low and middle income countries which have limited healthcare resources. Literature has explored the prevalence is high and practice is limited. This study aims to assess prevalence and preventive practices of Hospital Acquired Infection among health workers.Methods: A cross -sectional research design was carried out between Feb 2017 to May 2017 in National Trauma Center , Kathmandu. Census method was used to recruit 121 respondents and to find out prevalence. A structured questionnaire and observation checklist was used for data collection. Data was objectively analyzed in SPSS full version 21.Results: Prevalence of bacteria causing Hospital Acquired Infections was 11.83% in critical units. Among 95 specimen analysis, 53 specimen were isolated in critical units. The most common site of infection was the urinary tract 19 (35.8%) and bacteria causing nosocomial infection was Escherichia coli 28.30%. Culture plate was used to obtain environment samples, Out of 9 specimen analysis, Staphylococcus aureus was the most common isolated organism. Level of practice were significantly associated with education, training on HAI, work experience 0.019, 0.026, 0.027 respectively.Conclusions: The study found that prevalence of hospital acquired infection do exist in less percentage but preventive practices of HAI in majority of respondent were fair. Hence, there is a need to raise awareness as well as training on Hospital acquired Infection among health care workers.Keywords: Critical units; hospital acquired Infection; nosocomial Infection; practice; prevention.

scholarly journals A Comparative Study: Knowledge and Practices amongst Post-Operative Patients Regarding Hospital Acquired Infections (HAI) between Private and Public Tertiary Care Setup in Pakistan

2020 ◽  
Vol 5 (2) ◽  
pp. 71-78
Author(s):  
Asna Shahab ◽  
◽  
Tahir Sultan Shamsi ◽  
Erum Afaq ◽  
Omer Mustafa ◽  
...  
Keyword(s):  
Private Hospital ◽  
Safety Concern ◽  
Tertiary Care ◽  
Length Of Hospital Stay ◽  
Care Hospital ◽  
Cross Sectional ◽  
Public And Private ◽  
Hospital Acquired Infections ◽  
Private And Public ◽  
Hospital Acquired

Abstract: Background: Hospital Acquired Infection (HAI) is a major global safety concern for the health system as it increases mortality, morbidity, and length of hospital stay and contributes to the economic burden. These infections are prevalent in hospitals of developing countries such as Pakistan, due to limited resources, unsafe infection control practices and under reporting. However, post-operative patients are more prone to these infections due to immunocompromised state, antibiotic resistance, and most importantly lack of awareness regarding HAIs and their respective preventive measures. Therefore, the objective of this study was to highlight some of the serious but avoidable aspects of this largely ignored but important issue of HAIs in public and private tertiary care hospitals by assessing and comparing the need of knowledge and awareness in post-operative patients to minimize risks which in turn will decrease incidence, morbidity and mortality. Materials and Methods: A descriptive cross sectional study was conducted among post-operative patients of Liaquat National Hospital and Civil Hospital (private and public tertiary care hospital, respectively), over a period of 1 year (July 2017-2018) in Karachi. Individual interviews following verbal consent were taken using a pre-coded questionnaire, which was divided into 3 sections to analyze the social and demographic, knowledge and practices of the patients. We excluded patients with impaired comprehension, less than 15 years of age and those who were reluctant to participate. Data was analyzed using SPSS v.22.0. Pearson’s chi-square was used as the primary statistical test. Results: Three-fifty post-operative patients from each, public and private hospital were enrolled. The mean age was found to be 38.41 ± 16.57 years and 40.3% of patients were uneducated. Knowledge regarding the modes of spread, types and risk factors for hospital acquired infections was significantly associated with patients admitted in private hospital, female gender and a higher education level.

Hospital-acquired infection awareness and control practices among healthcare staff: an evaluation

2021 ◽  
Vol 27 (11) ◽  
pp. 296-302
Author(s):  
Pallavi Saraswat ◽  
Rajnarayan R Tiwari ◽  
Muralidhar Varma ◽  
Sameer Phadnis ◽  
Monica Sindhu
Keyword(s):  
Infection Control ◽  
Healthcare Facility ◽  
Hospital Staff ◽  
Control Measures ◽  
Prevention Measures ◽  
Cross Sectional ◽  
Control Policies ◽  
Hospital Acquired Infection ◽  
Hospital Acquired Infections ◽  
Hospital Acquired

Background/Aims Hospital-acquired infections pose a risk to the wellbeing of both patients and staff. They are largely preventable, particularly if hospital staff have adequate knowledge of and adherence to infection control policies. This study aimed to assess the knowledge, awareness and practice of hospital-acquired infection control measures among hospital staff. Methods A cross-sectional study was conducted among 71 staff members in a tertiary healthcare facility in Karnataka, India. The researchers distributed a questionnaire containing 33 questions regarding knowledge of hospital-acquired infections, awareness of infection control policies and adherence to control practices. The results were analysed using the Statistical Package for the Social Sciences, version 16.0 and a Kruskal–Wallis test. Results Respondents' mean percentage score on the knowledge of hospital-acquired infections section was 72%. Their mean percentage scores on the awareness and practice of infection prevention measures sections were 82% and 77% respectively. Doctors and those with more years of experience typically scored higher. Conclusion The respondents had an acceptable level of knowledge, awareness and adherence to infection control practices. However, continued training is essential in the prevention of hospital-acquired infections. The majority of the respondents stated that they were willing to undertake training in this area, and this opportunity should be provided in order to improve infection control quality.

scholarly journals Awareness and acceptance of contraceptives among the mothers of infants attending an immunization session at a field practices area of a tertiary care hospital

2018 ◽  
Vol 6 (1) ◽  
pp. 374
Author(s):  
S. B. Gupta ◽  
Meenakshi Singh ◽  
Atul Kr. Singh ◽  
Huma Khan ◽  
Alpana Saxena
Keyword(s):  
Health Workers ◽  
Tertiary Care ◽  
Care Hospital ◽  
Medical Sciences ◽  
Postpartum Contraception ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Contraceptive Measure ◽  
One Year ◽  
Type Of Delivery

Background: India was the first country in the world to have launched a National Programme for Family Planning.Methods: A cross-sectional descriptive study was carried out in the in Vaccination unit of rural field practice area of Shri Ram Murti Smarak institute of Medical Sciences (SRMSIMS) Bareilly (U.P). Objective of the study was to assess knowledge and practice of postpartum contraception and factors affecting the usage of contraceptives in Rural area. All females who delivered within last one year were included in the study. A pre-structured questionnaire was used. A total of 98 females were included. The appropriate statistical analysis was done to present the results.Results: 28.57% females had adopted one or the other postpartum contraceptive measure. Condom was the most common method used. Usage of postpartum contraception was significantly associated with women’s and husband’s education, type of delivery and availing of antenatal and postnatal visits.Conclusions: Overall usage of postpartum contraception was low there is need to focus at every step to contact of these women with health facility or health workers.

scholarly journals Incidence of ventilator associated pneumonia in tracheostomised and non tracheostomised patients

2018 ◽  
Vol 6 (8) ◽  
pp. 2754
Author(s):  
David D. M. Rosario ◽  
Anitha Sequeira
Keyword(s):  
Mechanical Ventilation ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Ventilator Associated Pneumonia ◽  
Care Hospital ◽  
Early Tracheostomy ◽  
Hospital Acquired Infection ◽  
Total Incidence ◽  
Hospital Acquired Pneumonia ◽  
Hospital Acquired

Background: Pneumonia is the most common hospital acquired infection in the intensive care unit. One of the causes for hospital acquired pneumonia is ventilator associated pneumonia. Tracheostomy is known to prevent occurrence of ventilator associated pneumonia as it decreases the respiratory dead space, assists in better clearance of secretions and prevents chances of aspiration. Generally, tracheostomy is done after 2 weeks of endotracheal intubation to prevent tracheal complications. The aim of this study is to identify the incidence of ventilator associated pneumonia in tracheostomised and non tracheostomised patients and to see if early tracheostomy can prevent development of ventilator associated pneumonia.Methods: The study was conducted at a tertiary care hospital during a period of four years. 100 patients who were on mechanical ventilation for more than 7 days where taken up for the study. APACHE 4 scoring system was used. The incidence of Ventilator associated pneumonia in tracheostomised and non tracheostomised patients was studied.Results: In our study the total incidence of VAP was 44 %. In our study out of the 42 patients who had undergone tracheostomy 13 (30.95%) patients had ventilator associated pneumonia. Among the non-tracheostomised patients 31 (53.44%) out of 58 patients developed ventilator associated pneumonia. In our study the incidence of ventilator associated pneumonia was much lesser (12%) in patients who underwent tracheostomy in the period 7 to 10 days after mechanical ventilation, whereas in those who underwent tracheostomy after 11 days incidence of ventilator associated pneumonia was much higher.Conclusions: Our study showed that the incidence of ventilator associated pneumonia was much higher among non tracheostomised patients compared to patients who underwent tracheostomy. Hence patients undergoing earlier tracheostomy had a clear advantage than those undergoing tracheostomy late or non tracheostomised patients in preventing ventilator associated pneumonia.

scholarly journals Needlestick Injuries among Nurses in a Tertiary Care Hospital: A Work Hazard or Lack of Awareness?

2013 ◽  
Vol 5 (1) ◽  
pp. 58-62 ◽  
Author(s):  
Archana Angrup ◽  
Thakur Kamlesh ◽  
Jaryal Subhash Chand ◽  
Sood Anuradha ◽  
Chandel Lata
Keyword(s):  
Nursing Staff ◽  
Work Experience ◽  
Tertiary Care ◽  
Medical Science ◽  
Cross Sectional Study ◽  
Needlestick Injury ◽  
Care Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Care Workers

Objectives: The present study addresses this important issue of NSI and aims at determining their occurrence among the nursing staff in Dr Rajendra Prasad Government Medical College (RPGMC) and hospital, Kangra at Tanda (H.P). Methods: A cross sectional study undertaken amongst the nursing staff of Dr RPGMC and hospital, Kangra at Tanda. Results: Out of the 164 respondents, 35(21.3%) reported to having one or more NSIs in their career and the maximum of these were amongst the nurses whose work experience was less than five years (13.4%). Conclusions: The results of this study confirm the importance of the need for an increased awareness of the risk of needlestick injury, the need to provide for the training and education of health-care workers DOI: http://dx.doi.org/10.3126/ajms.v5i1.4971 Asian Journal of Medical Science Vol.5(1) 2014 pp.58-62

scholarly journals Incidence of and risk factors for Hospital Acquired Infection in a Tertiary Care Hospital of Dhaka, Bangladesh

2017 ◽  
Vol 16 (3) ◽  
pp. 358-369 ◽  
Author(s):  
Hafsa Afroz ◽  
Md Fakruddin ◽  
Md Rana Masud ◽  
Kamrunnahar Islam
Keyword(s):  
Tertiary Care ◽  
Medical Science ◽  
Multi Drug Resistance ◽  
Related Factor ◽  
Care Hospital ◽  
Device Therapy ◽  
Acinetobacter Baumanii ◽  
Hospital Acquired Infection ◽  
Hospital Acquired ◽  
Operation Case

Objective: Hospital acquired infection (HAI) is a major concern in hospital settings.Methods: This study was conducted to evaluate the incidence of Hospital Acquired Infection (HAI), patient and hospital related factor, offending microorganism and their antimicrobial sensitivity. Data were collected prospectively with patients admitted during study period.Results and discussion: 9.4% respondents were found to develop HAI. 60% patients with more than 3 visitor, 11.9% patient with prior antibiotic therapy and 24% patient with underlying illness developed HAI. 14.6% routine operation case and 24.5% emergency operation case developed HAI. 17.1% patients with invasive device therapy whereas 3.8% patients without any device therapy developed HAI. 31.8% patients having immunosuppressive therapy and 37% patients with frequent transfer within hospital whereas only 6.9% patients without transfer developed HAI. Bacteria isolated from HAI cases were identified to be member of nine different genera. Klebsiella pneumoniae isolated from 33% HAI case, while Acinetobacter baumanii and Escherichia coli isolated from 13% case and Pseudomonas aeruginosa from 14% cases. Only colistin has sensitivity range from 76 to 100% while almost all other isolates were observed multi drug resistance (MDR).Conclusion: Comprehensive strategy should be undertaken to reduce risk of HAI.Bangladesh Journal of Medical Science Vol.16(3) 2017 p.358-369

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