Ogoina Dimie, Pondei Kemebradikumo, Adetunji Babatunde, Chima George, Isichei Christian, Gidado Sanusi
Department of Medicine, Niger Delta University, Bayelsa State, Nigeria.
Department of Microbiology, Niger Delta University, Bayelsa State, Nigeria.
J Infect Prev. 2015 Jan;16(1):16-22. doi: 10.1177/1757177414558957. Epub 2015 Jan 5.
Standard precautions are recommended to prevent transmission of infection in hospitals. However, their implementation is dependent on the knowledge and attitudes of healthcare workers (HCW). This study describes the knowledge, attitude and practice (KAP) of standard precautions of infection control among HCW of two tertiary hospitals in Nigeria is described.
A cross-sectional study was undertaken in 2011/2012 among HCW in two tertiary hospitals in Nigeria. Data was collected via a structured self-administered questionnaire assessing core elements of KAP of standard precautions. Percentage KAP scores were calculated and professional differences in median percentage KAP scores were ascertained.
A total of 290 HCW participated in the study (76% response rate), including 111 (38.3%) doctors, 147 (50.7%) nurses and 32 (11%) laboratory scientists. Overall median knowledge and attitude scores toward standard precautions were above 90%, but median practice score was 50.8%. The majority of the HCW had poor knowledge of injection safety and complained of inadequate resources to practise standard precautions. House officers, laboratory scientists and junior cadres of nurses had lower knowledge and compliance with standard precautions than more experienced doctors and nurses.
Our results suggest generally poor compliance with standard precautions of infection control among HCW in Nigeria. Policies that foster training of HCW in standard precautions and guarantee regular provision of infection control and prevention resources in health facilities are required in Nigeria.
推荐采取标准预防措施以防止医院内感染传播。然而，其实施取决于医护人员的知识和态度。本研究描述了尼日利亚两家三级医院医护人员对感染控制标准预防措施的知识、态度和实践情况。
2011/2012年在尼日利亚两家三级医院的医护人员中开展了一项横断面研究。通过一份结构化的自填问卷收集数据，该问卷评估标准预防措施知识、态度和实践的核心要素。计算知识、态度和实践得分的百分比，并确定中位数百分比得分的专业差异。
共有290名医护人员参与了研究（应答率为76%），包括111名（38.3%）医生；147名（50.7%）护士和32名（11%）检验师。总体而言，对标准预防措施的知识和态度中位数得分高于90%，但实践中位数得分是50.8%。大多数医护人员对注射安全知识掌握不足，并抱怨缺乏实施标准预防措施的资源。住院医生、检验师和初级护士比经验更丰富的医生和护士对标准预防措施的知识掌握程度更低，且依从性更差。
我们的结果表明，尼日利亚医护人员对感染控制标准预防措施的依从性普遍较差。尼日利亚需要制定相关政策，促进对医护人员进行标准预防措施培训，并确保医疗机构定期提供感染控制和预防资源。
