Service years of health professionals are associated with tuberculosis infection control practice in Ethiopian Teaching Hospital

Abstract

Introduction proper tuberculosis (TB) infection control (TBIC) practice of health professionals is one of the effective TB prevention approaches. Despite this reality, the TBIC practice of health care workers was not been well studied. This study assessed the TBIC practice of health professionals and associated factors in Mizan Tepi University Teaching Hospital, southwest Ethiopia. Methods an institution based quantitative cross-sectional study was conducted from September 1 to 30, 2019, by including all health professionals in the hospital. Participants who answered at least 50% of TBIC practice questions correctly were categorized as having good TBIC practice. Binary logistic regression was used to identify factors associated with the practice of the participants. The odds ratio with a 95% confidence interval and p-value was used to measure the strength of association; the significant association was declared at a p-value less than 0.05. Results the study found that 64.1% (95% CI: 56.6%, 70.7%) of the participants had good TBIC practice. More than half, 102(51.5 %) of study participants have service years of greater than or equal to five years. Only the service year of health professionals was significantly associated [95%CI (AOR= 2.43; 95%CI: 1.28, 4.6)] with the respondents´ TBIC practice. Conclusion only less than two-third of health professionals had good TBIC practice which is inadequate. And also experienced staff had significantly better TBIC practice. As a result, health professionals in MTUTH should be supported to practice TBIC as routine activity and opportunities should be made for senior staffs to share their TBIC experiences with others.

Tuberculosis infection control practice and associated factors among health care workers in Ethiopia: Systematic review and meta-analysis

“…In the meta-analysis, seven studies were included. Three (42.8%) of the studies were from Amhara [ 5 , 6 , 31 ], three in SNNP regions [ 9 , 10 , 33 ], and one in Addis Ababa [ 4 ]. All of the studies were cross-sectional [ 4 – 6 , 9 , 10 , 33 ], except one study which was hybrid [ 31 ].…”

“…Three (42.8%) of the studies were from Amhara [ 5 , 6 , 31 ], three in SNNP regions [ 9 , 10 , 33 ], and one in Addis Ababa [ 4 ]. All of the studies were cross-sectional [ 4 – 6 , 9 , 10 , 33 ], except one study which was hybrid [ 31 ]. Of all the studies, four of them were conducted in hospitals [ 6 , 10 , 31 , 33 ], two were both in hospitals and health centers [ 4 , 9 ], and one in health center [ 5 ].…”

“…All of the studies were cross-sectional [ 4 – 6 , 9 , 10 , 33 ], except one study which was hybrid [ 31 ]. Of all the studies, four of them were conducted in hospitals [ 6 , 10 , 31 , 33 ], two were both in hospitals and health centers [ 4 , 9 ], and one in health center [ 5 ]. The total sample size for this review was 3256 with a maximum sample size of 728 [ 9 ], and a minimum sample of 198 in SNNP Region [ 33 ] ( Table 1 ).…”

“…In subgroup analysis, the highest magnitude of good TB infection control practice was in Addis Ababa 51.4% (95% CI: 47.40–55.40%), and the lowest magnitude of tuberculosis infection control practice was in Amhara region 40.24% (95% CI: 15.46–65.02%). In SNNP region, the magnitude of good TB infection control practice was 51.04% (95% CI: 33.68–68.40%) [ 4 – 6 , 9 , 10 , 31 , 33 ] ( Fig 3 ).…”

“…After the initiation of chemotherapy for drug-resistant TB, infection prevention measures for TB have been ignored by healthcare workers (HCWs) in health care settings [ 30 ], which increases the risk of nosocomial transmission of tuberculosis [ 2 ]. Different studies have shown a different level of health care workers TB infection control practice in Ethiopia, ranging from 19.6% to 72.4% [ 4 – 6 , 8 – 10 , 30 – 33 ]. To achieve the national target of 91 per 100,000 population by 2025 [ 3 ], comprehensive estimation of TB infection control practice is essential.…”