Adherence to Infection Prevention and Factors among Nurses in Jimma University Medical Center

Bekele, Israel; Yimam, Ibrahim; Akele, Gashaw

doi:10.4172/1745-7580.1000156

Cited by 14 publications

(11 citation statements)

References 11 publications

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“…However, only 7% of physicians working at two university hospitals in Addis Ababa Ethiopia performed hand hygiene before patient contact [ 40 ]. Evidence also showed that 35% of nurses were non-adherent to infection prevention practices in Southwest Ethiopia [ 41 ]. Besides, nearly 68% of health professionals were less satisfied with their work in the Amhara region [ 42 ].…”

Section: Discussionmentioning

confidence: 99%

The burden of healthcare-associated infection in Ethiopia: a systematic review and meta-analysis

2020

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Background: Different primary studies in Ethiopia showed the burden of nosocomial infection across geographical setting and variant period. However, the national level of burden and types of healthcare-associated infections were unknown. Hence, this systematic review and meta-analysis estimated the overall nationwide burden and types of healthcare-associated infections in Ethiopia. Methods: We searched PubMed, Science Direct, Google Scholar, African Journal Online, and Addis Ababa University repository by date April 7, 2020. To assess publication bias, Egger's test regression analysis was applied. Weightinverse random-effect model meta-analysis was used. Subgroup analysis was conducted based on ward type, study region, study design, sample size and diagnostic method, ward type, and study participants. Results: A total of 18 studies with 13,821 patients participated in the overall prevalence estimation. The pooled prevalence of healthcare-associated infection was 16.96% (95% CI 14.10-19.82). Specifically, surgical site infection (39.66%), urinary tract infection (27.69%), bloodstream infection (19.9%), dual infections (SSI and UTI) (14.01%), and respiratory tract (13.51%) were the commonest types of healthcare-associated infection. In subgroup analysis, the highest overall prevalence was observed as surgical, gynecology, and obstetrics ward (22.42%). Conclusions: The national prevalence of healthcare-associated infection remains high. The most common type of HCAI was surgical site infection, followed by urinary tract infection, bloodstream infection, SSI and UTI, and respiratory tract infection. The overall prevalence was highest in surgical, gynecology, and obstetrics ward. Hence, infection prevention and control should be a priority agenda in healthcare with due emphasis for surgical patients.

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Section: Discussionmentioning

confidence: 99%

The burden of healthcare-associated infection in Ethiopia: a systematic review and meta-analysis

2020

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“…The result was higher than studies conducted in China (3.12%) [ 35 ], Morocco (10.3%) [ 36 ], Botswana (13.54%) [ 6 ], and South Africa (7.67%) [ 7 ]. The possible reasons for high prevalence in this study might be very low hand hygiene practice by physicians and resource constraints [ 37 ], low adherence to infection prevention practice [ 38 ], low level of job satisfaction [ 39 ], morally distressed nurses [ 40 ], and low implementation of the nursing process [ 41 ] in our settings, and also less attention given to HCAI.…”

Section: Discussionmentioning

confidence: 99%

“…As a result, the acquisition of HCAI from these healthcare professionals might be high. Evidence also showed that 35% of the nurses in southwest Ethiopia were non-adherent to infection prevention practice [ 38 ], thereby contributing to high HCAI in Ethiopia. Besides, nearly 68% of the health professionals were less satisfied with their work in one of the regions in the country [ 39 ].…”

Section: Discussionmentioning

confidence: 99%

Healthcare-associated infection and its determinants in Ethiopia: A systematic review and meta-analysis

et al. 2020

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Background Healthcare-associated infection is a global threat in healthcare which increases the emergence of multiple drug-resistant microbial infections. Hence, continuous surveillance data is required before or after patient discharge from health institutions though such data is scarce in developing countries. Similarly, ongoing infection surveillance data are not available in Ethiopia. However, various primary studies conducted in the country showed different magnitude and determinants of healthcare-associated infection from 1983 to 2017. Therefore, this systematic review and meta-analysis aimed to estimate the national pooled prevalence and determinants of healthcare-associated infection in Ethiopia. Methods We searched PubMed, Science Direct, Google Scholar, and grey literature deposited at Addis Ababa University online repository. The quality of studies was checked using Joanna Brigg’s Institute quality assessment scale. Then, the funnel plot and Egger’s regression test were used to assess publication bias. The pooled prevalence of healthcare-associated infection was estimated using a weighted-inverse random-effects model meta-analysis. Finally, the subgroup analysis was done to resolve the cause of statistical heterogeneity. Results A total of 19 studies that satisfy the quality assessment criteria were considered in the final meta-analysis. The pooled prevalence of healthcare-associated infection in Ethiopia as estimated from 18 studies was 16.96% (95% CI: 14.10%-19.82%). In the subgroup analysis, the highest prevalence of healthcare-associated infection was in the intensive care unit 25.8% (95% CI: 3.55%-40.06%) followed by pediatrics ward 24.16% (95% CI: 12.76%-35.57%), surgical ward 23.78% (95% CI: 18.87%-29.69%) and obstetrics ward 22.25% (95% CI: 19.71%-24.80%). The pooled effect of two or more studies in this meta-analysis also showed that patients who had surgical procedures (AOR = 3.37; 95% CI: 1.85–4.89) and underlying non-communicable disease (AOR = 2.81; 95% CI: 1.39–4.22) were at increased risk of healthcare-associated infection. Conclusions The nationwide prevalence of healthcare-associated infection has remained a problem of public health importance in Ethiopia. The highest prevalence was observed in intensive care units followed by the pediatric ward, surgical ward and obstetrics ward. Thus, policymakers and program officers should give due emphasis on healthcare-associated infection preventive strategies at all levels. Essentially, the existing infection prevention and control practices in Ethiopia should be strengthened with special emphasis for patients admitted to intensive care units. Moreover, patients who had surgical procedures and underlying non-communicable diseases should be given more due attention.

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“…With, Moyo (2013) noting that non-availability of infection prevention equipment was one of the main reported causes of non-adherence to conventional precautions. Bekele et al (2018) also discovering that nurses did not adhere to IPC due to lack of resources. Yet, the findings in this study are contrary to these studies in that the availability of resources were not a significant contributory factor to non-adherence with IPC practices.…”

Section: Discussionmentioning

confidence: 99%

Factors Influencing the Practices of Health Care Workers on Prevention and Control of Infection at Keetmanshoop District Hospital, Namibia

Kangoya¹,

Magesa²,

Suama³

et al. 2023

GJHS

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INTRODUCTION: According to World Health Organisation, prevention and control of infection is a strategy designed to protect both patients and health care workers from infections. Lack of such strategy among health care workers has negative impact such as long-term hospitalization, death, and morbidity. Therefore, the aim of this study was to determine the practices of health care workers on prevention and control of infection at Keetmanshoop district Hospital. METHOD: A descriptive correlational cross-sectional study design was employed. Structured questionnaire was used to collect data from participants. Data collected were analysed using SPSS version 27. Multiple regression analysis was used to determine, the factors influencing the practices of health care workers on prevention and control of infection. RESULTS: The findings shows that more than 50% of the health care workers in Keetmanshoop district hospital have poor adherence to IPC. However, factors such as demographic characteristics and resources availability do not have any significance influence on the practices of prevention and control of infection. Significance contributing factors effect such as access of IPC resources (β = 0.31), individual health worker practices on IPC (β = 0.31) and practices of IPC at the facility (β = 76). Practices of hand hygiene was found at (β = -0.45) which is the negative effect on adherence. CONCLUSION: Therefore, this study concluded that hand hygiene; access of IPC resource and individual practices on prevention and control of infection were the main factors influence poor adherence on IPC at Keetmanshoop hospital.

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Adherence to Infection Prevention and Factors among Nurses in Jimma University Medical Center

Cited by 14 publications

References 11 publications

The burden of healthcare-associated infection in Ethiopia: a systematic review and meta-analysis

The burden of healthcare-associated infection in Ethiopia: a systematic review and meta-analysis

Healthcare-associated infection and its determinants in Ethiopia: A systematic review and meta-analysis

Factors Influencing the Practices of Health Care Workers on Prevention and Control of Infection at Keetmanshoop District Hospital, Namibia

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