Department of Public, Clinical and Preventive Medicine, Second University of Naples, Naples, Italy.
BMC Infect Dis. 2010 Feb 23;10:35. doi: 10.1186/1471-2334-10-35.
This survey assessed knowledge, attitudes, and compliance regarding standard precautions about health care-associated infections (HAIs) and the associated determinants among healthcare workers (HCWs) in emergency departments in Italy.
An anonymous questionnaire, self-administered by all HCWs in eight randomly selected non-academic acute general public hospitals, comprised questions on demographic and occupational characteristics; knowledge about the risks of acquiring and/or transmitting HAIs from/to a patient and standard precautions; attitudes toward guidelines and risk perceived of acquiring a HAI; practice of standard precautions; and sources of information.
HCWs who know the risk of acquiring Hepatitis C (HCV) and Human Immunodeficiency Virus (HIV) from a patient were in practice from less years, worked fewer hours per week, knew that a HCW can transmit HCV and HIV to a patient, knew that HCV and HIV infections can be serious, and have received information from educational courses and scientific journals. Those who know that gloves, mask, protective eyewear, and hands hygiene after removing gloves are control measures were nurses, provided care to fewer patients, knew that HCWs' hands are vehicle for transmission of nosocomial pathogens, did not know that a HCW can transmit HCV and HIV to a patient, and have received information from educational courses and scientific journals. Being a nurse, knowing that HCWs' hands are vehicle for transmission of nosocomial pathogens, obtaining information from educational courses and scientific journals, and needing information were associated with a higher perceived risk of acquiring a HAI. HCWs who often or always used gloves and performed hands hygiene measures after removing gloves were nurses, provided care to fewer patients, and knew that hands hygiene after removing gloves was a control measure.
HCWs have high knowledge, positive attitudes, but low compliance concerning standard precautions. Nurses had higher knowledge, perceived risk, and appropriate HAIs' control measures than physicians and HCWs answered correctly and used appropriately control measures if have received information from educational courses and scientific journals.
本调查评估了意大利急诊科医护人员（HCWs）对与医疗保健相关感染（HAIs）相关的标准预防措施的知识、态度和依从性，以及相关决定因素。
在 8 家随机选择的非学术性急性综合公立医院中，所有 HCWs 匿名填写了一份问卷，问卷内容包括人口统计学和职业特征、对从患者处获得或传播 HAI 的风险以及标准预防措施的了解、对指南的态度和感知感染 HAI 的风险、标准预防措施的实施情况以及信息来源。
了解从患者处获得丙型肝炎（HCV）和人类免疫缺陷病毒（HIV）风险的 HCWs 从业时间较短，每周工作时间较少，知道 HCW 可以将 HCV 和 HIV 传播给患者，知道 HCV 和 HIV 感染可能很严重，并且从教育课程和科学期刊中获得了信息。那些知道手套、口罩、防护眼镜和戴手套后手部卫生是控制措施的人是护士，照顾的患者较少，知道 HCWs 的手是医院病原体传播的媒介，不知道 HCW 可以将 HCV 和 HIV 传播给患者，并且从教育课程和科学期刊中获得了信息。作为护士，知道 HCWs 的手是医院病原体传播的媒介，从教育课程和科学期刊中获取信息，以及需要信息，与感知感染 HAI 的风险较高相关。经常或总是戴手套并在脱手套后进行手部卫生措施的 HCWs 是护士，照顾的患者较少，并且知道脱手套后手部卫生是一种控制措施。
HCWs 对标准预防措施具有较高的知识、积极的态度，但依从性较低。与医生和 HCWs 相比，护士具有更高的知识、感知风险和适当的 HAI 控制措施，如果从教育课程和科学期刊中获得信息，他们会正确回答并适当使用控制措施。
