Fadeyi A, Fowotade A, Abiodun M O, Jimoh A K, Nwabuisi C, Desalu O O
Department of Microbiology and Parasitology, University of Ilorin Teaching Hospital, PMB 1459, Ilorin, Kwara State, Nigeria.
Niger Postgrad Med J. 2011 Jun;18(2):141-6.
To determine the level of awareness and practice of SP among laboratory workers at two tertiary public health facilities in Nigeria.
A semi-structured, self-administered questionnaire was used to assess the awareness, attitude and adherence to SP among laboratory workers. Information on the availability of safety equipment was also sought. The laboratory safety practice of respondents was assessed based on self-reported observance of basic principles of universal precautions in clinical settings.
Study participants were 130, mean age: 28.2 years (SD±6.6), number of years in hospital employment: 3.7 years (SD±2.4) and the male to female ratio was 1.8:1. Many (41.5%) were unaware and 25.4% do not observe SP. Participants attest to availability of various safety devices and equipment including hand gloves (86.2%), disinfectants (84.6%), HBV immunisation (46.2%) and post exposure prophylaxis (PEP) for HIV and HBV (79.6%). Attitude to safety is unsatisfactory as 60.0% eat and drink in the laboratory, 50.8% recap needles and 56.9% use sharps box. Even though 83.1% are willing to take PEP, only 1.5% will present self following laboratory injury.
This study shows the deficit in the awareness of SP among laboratory personnel and demonstrates that attitude and practice of safety rules are unsatisfactory. Training and re-training on SP is therefore desired. Counselling to induce a positive attitudinal change on HBV immunisation and PEP is similarly necessary.
确定尼日利亚两家三级公共卫生机构实验室工作人员对标准预防措施（SP）的知晓程度和实践情况。
采用半结构化的自填式问卷来评估实验室工作人员对SP的知晓、态度和遵守情况。同时还询问了安全设备的可用性信息。根据受访者在临床环境中自我报告的对普遍预防基本原则的遵守情况来评估其实验室安全实践。
研究参与者有130人，平均年龄：28.2岁（标准差±6.6），在医院工作年限：3.7年（标准差±2.4），男女比例为1.8:1。许多人（41.5%）不知道，25.4%未遵守SP。参与者证实有各种安全装置和设备，包括手套（86.2%）、消毒剂（84.6%）、乙肝疫苗接种（46.2%）以及针对艾滋病毒和乙肝的暴露后预防（PEP，79.6%）。安全态度不令人满意，因为60.0%的人在实验室吃喝，50.8%的人重新盖帽针头，56.9%的人使用锐器盒。尽管83.1%的人愿意接受PEP，但只有1.5%的人在实验室受伤后会主动报告。
本研究表明实验室人员对SP的知晓存在不足，并表明安全规则的态度和实践不令人满意。因此需要对SP进行培训和再培训。同样有必要进行咨询，以促使在乙肝疫苗接种和PEP方面形成积极的态度转变。
