Knowledge and practice of universal precaution in a tertiary health facility

Ibeziako, S.N.; Ibekwe, Roland Chidi

doi:10.4314/njm.v15i3.37223

Cited by 14 publications

(16 citation statements)

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“…In a similar study among medical doctors in Iran, correct knowledge that needles should not be bent before disposal ranged from 27.8% among physicians to 55.6% among medical residents (Askarian et al, 2007). In other studies from Nigeria, less than 40% of health workers from Enugu (Ibeziako and Ibekwe, 2006), Abuja (Okechukwu and Modteshi, 2012) and Asaba (Isara and Ofili, 2010) had poor knowledge of the basic elements of standard precautions. Our study finding of generally poor practice of the various elements of standard precautions of infection control, especially among less experienced health workers, is in agreement with studies from other parts of Nigeria (Ofili et al, 2003;Sadoh et al, 2006;Adinma et al, 2009;Isara and Ofili, 2010), as well as studies from other parts of the world (Stein et al, 2003;Kermode et al, 2005;Askarian et al, 2007;Reda et al, 2010;Vaz et al, 2010;Hosoglu et al, 2011;Khapre et al, 2011).…”

Section: Discussionmentioning

confidence: 89%

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Knowledge, attitude and practice of standard precautions of infection control by hospital workers in two tertiary hospitals in Nigeria

Ogoina

Pondei

Adetunji

et al. 2015

Journal of Infection Prevention

109

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Background: Standard precautions are recommended to prevent transmission of infection in hospitals. However, their implementation is dependent on the knowledge and attitudes of healthcare workers (HCW). This study describes the knowledge, attitude and practice (KAP) of standard precautions of infection control among HCW of two tertiary hospitals in Nigeria is described. Methods:A cross-sectional study was undertaken in 2011/2012 among HCW in two tertiary hospitals in Nigeria. Data was collected via a structured self-administered questionnaire assessing core elements of KAP of standard precautions. Percentage KAP scores were calculated and professional differences in median percentage KAP scores were ascertained.Results: A total of 290 HCW participated in the study (76% response rate), including 111 (38.3%) doctors, 147 (50.7%) nurses and 32 (11%) laboratory scientists. Overall median knowledge and attitude scores toward standard precautions were above 90%, but median practice score was 50.8%. The majority of the HCW had poor knowledge of injection safety and complained of inadequate resources to practise standard precautions. House officers, laboratory scientists and junior cadres of nurses had lower knowledge and compliance with standard precautions than more experienced doctors and nurses. Conclusion:Our results suggest generally poor compliance with standard precautions of infection control among HCW in Nigeria. Policies that foster training of HCW in standard precautions and guarantee regular provision of infection control and prevention resources in health facilities are required in Nigeria.

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Section: Discussionmentioning

confidence: 89%

“…Questions were developed from review of qualitative and quantitative literature for relevant items (Ofili et al, 2003;Ibeziako and Ibekwe, 2006;Izegbu et al, 2006;Sadoh et al, 2006;Adinma et al, 2009;Isara and Ofili, 2010), including guidelines on standard precautions provided by the World Health Organization (WHO, 2002a(WHO, ,b, 2004 …”

Section: Data Collectionmentioning

confidence: 99%

Knowledge, attitude and practice of standard precautions of infection control by hospital workers in two tertiary hospitals in Nigeria

Ogoina

Pondei

Adetunji

et al. 2015

Journal of Infection Prevention

109

View full text Add to dashboard Cite

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“…[192627] In another study among health workers in a Tertiary Hospital in North-Eastern Nigeria, training on standard precautions was predictive of correct knowledge of standard precaution. [22] The identified gaps in knowledge and practice of hand hygiene in this study despite regular training, is alarming. Ogoina et al .…”

Section: Discussionmentioning

confidence: 90%

“…Questions used in the questionnaire were developed after reviewing published literature for relevant items. [2122232425] The validity of the questionnaire was confirmed by a Cronbach’s alpha internal consistency coefficient of 0.7958.…”

Section: Methodsmentioning

confidence: 98%

Knowledge and practices of infection control among healthcare workers in a Tertiary Referral Center in North-Western Nigeria

et al. 2016

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Background:Healthcare acquired infections (HCAIs) otherwise call nosocomial infection is associated with increased morbidity and mortality among hospitalized patients and predisposes healthcare workers (HCWs) to an increased risk of infections. The study explores the knowledge and practices of infection control among HCW in a tertiary referral center in North-Western Nigeria.Materials and Methods:This is a cross-sectional study. A self-administered structured questionnaire was distributed to the study group (of doctors and nurses). Data on knowledge and practice of infection control were obtained and analyzed. Study population were selected by convenience sampling.Results:A total of 200 responses were analyzed, 152 were nurses while 48 were doctors. The median age and years of working experience of the respondents were 35 years (interquartile range [IQR] 31–39) and 7 years (IQR 4–12), respectively. Most of the respondents 174/198 (87.9%) correctly identified hand washing as the most effective method to prevent HCAI, with nurses having better knowledge 139/152 (91%) (P = 0.001). Majority agreed that avoiding injury with sharps 172/200 (86%), use of barrier precaution 180/200 (90%) and hand hygiene 184/200 (92%) effectively prevent HCAI. Only 88/198 (44.4%), 122/198 (61.6%), and 84/198 (42.4%) of the respondents were aware of the risks of infection following exposure to human immunodeficiency virus, hepatitis B virus and hepatitis C virus-infected blood, respectively. About 52% of doctors and 76% of nurses (P = 0.002) always practice hand hygiene in between patient care.Conclusion:Gaps have been identified in knowledge and practice of infection control among doctors’ and nurses’ in the study; hence, it will be beneficial for all HCW to receive formal and periodic refresher trainings.

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“…683,689,935,936 Surveys conducted at facilities with limited resources showed that low compliance with recommendations for glove use and its misuse is not only associated with shortage of supply, but also with a poor knowledge and perception of the risk of pathogen transmission. 695,[937][938][939][940] Other studies pointed out the practical difficulty to combine hand hygiene and glove use. 689,759 In one study, glove use compliance rates were 75% or higher across all HCW groups except doctors, whose compliance was only 27%.…”

Section: Glove Use and Hand Hygienementioning

confidence: 99%