Knowledge, practice and factors associated with poor compliance with universal precautions among healthcare workers at Bugando Medical Centre, Mwanza, Tanzania

Chalya, Getrude; Chalya, Phillipo L; Mbunda, Fidelis

doi:10.4314/thrb.v18i3.3

Cited by 4 publications

(3 citation statements)

References 12 publications

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“…23 The present finding was similar to the prevalence of anemia among women with cervical cancer (50.95%) in Tikur Anbesa, Ethiopia. 22 On the other hand, the prevalence of anemia among patients with malignant cancer in our study was much lower than that reported among patients with cancer in Tanzania (77%), 20 and women with cervical cancer in Nigeria (68.1%). 19 Notwithstanding, the 50.3% prevalence in the current study was much higher than that reported in Addis Ababa, Ethiopia (23%), 18 the Kingdom of Saudi Arabia (44.1%), 16 and Sana'a, Yemen (21.7%).…”

Section: Discussioncontrasting

confidence: 77%

“…8,18 While several studies have been conducted on anemia among patients with cancer in Africa, 19 published data on anemia in patients with cancer in Sudan is scarce. 11,20 Investigations of anemia among patients with cancer is of paramount importance as they could yield the data necessary for interventions. Caregivers and health planners need data on anemia among patients with cancer so that it can be used in evidence-based practice.…”

Section: Introductionmentioning

confidence: 99%

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The prevalence of anemia in patients with malignant tumors: a hospital based cross sectional study

et al. 2023

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Cancer is a worldwide health problem, and anemia is one of its manifestations. There are no published data on anemia among patients with cancer in Sudan. The current study aimed to investigate the prevalence of anemia among patients with malignant tumors in central Sudan. The medical records of patients with malignant tumors admitted to the National Cancer Institute, University of Gezira, Sudan, from March to December 2020 were reviewed. Among the 471 patients enrolled in the study, 292 (62.0%) were female. The median (interquartile range, IQR) age was 55 (45-66) years. Breast cancer (109, 23.1%), colorectal/anorectal (88, 18.7%), head and neck (83, 17.6%), female genital tract (70, 14.9%), and prostate (35, 7.4%) cancer were the main cancers observed in this study. The median (IQR) hemoglobin was 11.9 (10.5-13.0) g/dl and 237 (50.3%) patients had anemia. The prevalence of anemia ranged from 31.2% in breast cancer patients to 82.9% in those with prostate cancer. Compared with males (120/292, 41.1%), females (117/179, 65.4%) had a significantly higher prevalence of anemia (P<0.001). The median (IQR) age of the patients with anemia was significantly higher than that of those without anemia (57.0 years vs. 51.5 years, respectively; P=0.003). Half the patients with malignant tumors had anemia. Anemia was more common among female patients and elderly patients.

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Section: Discussioncontrasting

confidence: 77%

Section: Introductionmentioning

confidence: 99%

The prevalence of anemia in patients with malignant tumors: a hospital based cross sectional study

et al. 2023

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“… 20 , 21 This result is higher than in the studies into respondent compliance with SPs conducted at Gondar University Comprehensive Specialized Hospital (12%), 6 in West Arsi Zone (36.3%), 14 and in Northern Cyprus (30.6%). 22 When our results are compared with studies conducted in Dawuro Zone 18 and Tanzania, 23 in which 65.0% and 77% of HCWs complied with standard precautions, respectively, we found a low level of compliance.…”

Section: Discussionmentioning

confidence: 44%

Compliance with Standard Precautions and Associated Factors Among Health Professionals in Public Hospitals of East Wallaga Zone, Oromia Regional State, Ethiopia

Feyisa¹,

Demisie²,

Geta³

2022

RMHP

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Health care workers are potentially exposed to infections through contact with blood and bodily fluids while performing their duties. Compliance with the standard precautions reduces the risks of health care workers' exposure to blood and bodily fluids. However, the compliance level among health care workers is not well studied in the study area. Therefore, this study aimed to assess the level of compliance with standard precautions and its associated factors among health care workers in all public hospitals of East Wallaga Zone, Western Ethiopia. Materials and Methods: Multi-facility-based cross-sectional study was conducted among 392 health care workers, from January to February, 2022. Simple random sampling technique was used to select study participants. Logistic regression model was fitted to determine presence of statistically significant associations. A p-value of less than or equal to 0.05 along with the adjusted odds ratio of 95% confidence interval was used to declare statistical significance. Results: The proportion of health care workers who comply with standard precautions was found to be 51.6% [95% CI; 46.9-56.7%]. Having positive attitude towards standard precautions (AOR=2.71; 95% C.I: 1.68-4.39), having training on standard precautions (AOR=3.27; 95% C.I: 2.019-5.29), and working in referral hospitals (AOR=1.83; 95% C.I: 1.13-2.96) were the associated factors of good compliance with standard precautions. Conclusion:In this study, half of the health care workers comply with standard precautions. Positive attitude, training, and level of hospitals were factors for compliance with the standard precautions. As a result, to sustain and improve compliance of health care workers on standard precautions, periodic in-service training is needed to bring about behavioral changes among health care workers, particularly for those working in other settings than referral hospitals.

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Knowledge, attitude and practice of infection prevention and control precautions among laboratory staff: a mixed-methods systematic review

Aldhamy

Maniatopoulos

McCune

et al. 2023

Antimicrob Resist Infect Control

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Background Clinical laboratories provide diagnostic testing services to support the effective delivery of care in today’s complex healthcare systems. Processing clinical material and the use of chemicals or radiation presents potential hazard to laboratory workers, from both biological and chemical sources. Nevertheless, the laboratory should be a safe workplace if the identification of possible hazards, clear guidelines, safety rules and infection prevention and control (IPC) precautions are applied and followed. The main aim of this systematic review was to identify, critically appraise and synthesise the research evidence to gain a clear explanation of the implementation and knowledge, attitude and practice (KAP) of IPC guidelines among hospital laboratory staff. Methods For this systematic review we searched MEDLINE, EMBASE, Scopus and CINAHL (EBSCO), PubMed, grey literature, reference lists and citations for studies published between database inception and November, 2021. All qualitative, quantitative and mixed-methods studies whose aim was to explore risk perception and KAP of IPC guidelines among laboratory staff in any healthcare setting were included, without language or date restrictions. Evidence was narratively synthesised into group of themes. The quality of the evidence was assessed with Joanna Briggs Institutes Critical Appraisal Tools. Results After the full-text screening, a total of 34 articles remained and were included in the final review. Thirty papers were considered to be of high quality and the remaining four were considered to be of low quality. The available evidence shows that there was good knowledge, good attitudes and moderate immunisation status, but there was still poor practice of IPC precautions and an inadequate level of training among laboratory workers. Conclusion There is a gap among KAP related to the implementation of IPC guidelines, which indicates that laboratory staff may be at high risk of acquiring infections in the workplace. These findings suggest that training (including IPC precautions, safety policies, safety equipment and materials, safety activities, initial biohazard handling, ongoing monitoring and potential exposure) of laboratory staff to increase their knowledge about IPC precautions could improve their use of these precautions.

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Knowledge, practice and factors associated with poor compliance with universal precautions among healthcare workers at Bugando Medical Centre, Mwanza, Tanzania

Cited by 4 publications

References 12 publications

The prevalence of anemia in patients with malignant tumors: a hospital based cross sectional study

The prevalence of anemia in patients with malignant tumors: a hospital based cross sectional study

Compliance with Standard Precautions and Associated Factors Among Health Professionals in Public Hospitals of East Wallaga Zone, Oromia Regional State, Ethiopia

Knowledge, attitude and practice of infection prevention and control precautions among laboratory staff: a mixed-methods systematic review

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