Academic Coloproctology, University of Edinburgh, UK.
J Hosp Infect. 2009 Nov;73(3):264-70. doi: 10.1016/j.jhin.2009.07.020. Epub 2009 Sep 26.
Effective infection control practice requires knowledge of and adherence to contemporary infection control guidelines. Utilising a novel questionnaire tool, we evaluated knowledge of recently published guidelines on meticillin-resistant Staphylococcus aureus (MRSA) precautions in a number of relevant healthcare worker (HCW) populations. The questionnaire was developed from national UK MRSA practice guidelines and consisted of 10 'true or false' statements. The questionnaire was utilised to assess knowledge in 293 participants from HCW and control populations. The participants included 188 doctors attending the British Medical Association's Annual Representatives Meeting, 52 trainee surgeons attending the Association of Surgeons in Training annual conference, 30 members of a non-clinical control population and 23 infection control nurses (ICNs). The mean (SD) score for knowledge levels obtained from doctors was 6.6 (1.68), for non-clinical control population was 4.7 (1.8) and for ICNs, 8.4 (1.12). There were significant differences in knowledge levels between different population groups (P<0.001), UK employment region of the participant (P=0.01) and the doctors' medical specialty (P=0.02). Career seniority and gender of the participant were not significantly associated with differences in levels of knowledge. This questionnaire study evaluates a novel discriminatory questionnaire tool which differentiates knowledge levels of MRSA practice guidelines among a non-clinical population, HCWs and specialist infection control staff, thus providing a means for the rapid assessment of MRSA educational interventions. We identify demographics within HCW target populations which are associated with low levels of such knowledge. Consideration towards revising current HCW educational programmes to improve knowledge and best practice in MRSA prevention is required.
有效的感染控制实践需要了解并遵守当代感染控制指南。我们利用一种新颖的问卷工具,评估了一些相关医疗保健工作者(HCW)人群对最近发布的耐甲氧西林金黄色葡萄球菌(MRSA)预防指南的了解程度。该问卷是根据英国国家 MRSA 实践指南制定的,包含 10 个“真/假”陈述。我们使用该问卷评估了来自 HCW 和对照组的 293 名参与者的知识水平。参与者包括参加英国医学协会年度代表大会的 188 名医生、参加外科医生培训协会年会的 52 名实习外科医生、30 名非临床对照组人员和 23 名感染控制护士(ICN)。医生组获得的知识水平平均得分为 6.6(1.68),非临床对照组为 4.7(1.8),ICN 为 8.4(1.12)。不同人群组之间的知识水平存在显著差异(P<0.001),参与者的英国就业地区(P=0.01)和医生的医疗专业(P=0.02)也存在差异。参与者的职业资历和性别与知识水平的差异没有显著关联。这项问卷调查研究评估了一种新颖的鉴别性问卷工具,它可以区分非临床人群、HCW 和专业感染控制人员对 MRSA 实践指南的知识水平,从而为快速评估 MRSA 教育干预措施提供了一种手段。我们确定了 HCW 目标人群中与低知识水平相关的人口统计学特征。需要考虑修订当前 HCW 教育计划,以提高对 MRSA 预防的知识和最佳实践。