Adegboye Majeed Babajide, Zakari Suleiman, Ahmed Bola Abdulkadir, Olufemi Gbenga Habeeb
Department of Anaesthesia, University of Ilorin Teaching Hospital, Ilorin, Kwara State.
Department of Surgery, University of Ilorin Teaching Hospital, Ilorin.
Afr Health Sci. 2018 Mar;18(1):72-78. doi: 10.4314/ahs.v18i1.11.
Hospital-acquired infections (HAIs), one of the leading causes of, morbidity and mortality, are common in developing countries. Methicillin-resistant (MRSA), commonest cause of HAIs, has been isolated from the hands of more than half of health care workers. Practice of hand hygiene may help in the control of nosocomial infections. We evaluated the practice of infection control among health care workers in the intensive care unit (ICU) of our hospital.
This is a descriptive cross-sectional study. Information on knowledge, awareness and practice of infection control in the ICU were obtained from health care workers with the aid of a structured questionnaire.
Sixty nine out of the 80 (86%) respondents had good knowledge that a hand is the most common vehicle of transmission of infection. However, 53.8% and 32.5% of the respondents had knowledge of movement of hand hygiene and practiced six steps of the hand washing technique respectively. Though, physicians accounted for 68 (85%) of the respondents, only 28% of them practiced the six steps of the hand washing technique with resident doctors constituting a large proportion of hand washing technique defaulters. Only 13.9% of non-physician and 7.5% of physician respondents had ever attended a training program on infection control respectively.
Knowledge and awareness of infection control among the health care workers in our ICU is good but the practice is poor. Training workshop on infection control should be organized for all ICU health care workers to reduce noso-comial infections.
医院获得性感染（HAIs）是发病和死亡的主要原因之一，在发展中国家很常见。耐甲氧西林金黄色葡萄球菌（MRSA）是医院获得性感染最常见的原因，已从超过一半的医护人员手中分离出来。手部卫生的做法可能有助于控制医院感染。我们评估了我院重症监护病房（ICU）医护人员的感染控制措施落实情况。
这是一项描述性横断面研究。借助结构化问卷从医护人员那里获取了有关ICU感染控制的知识、意识和措施落实情况的信息。
80名受访者中有69名（86%）清楚地知道手是感染传播最常见的媒介。然而，分别有53.8%和32.5%的受访者了解手部卫生的流程并能落实洗手技术的六个步骤。虽然，医生占受访者的68名（85%），但其中只有28%的人能落实洗手技术的六个步骤，住院医生是未落实洗手技术的主要群体。非医生受访者中只有13.9%、医生受访者中只有7.5%曾参加过感染控制培训项目。
我院ICU医护人员对感染控制的知识和意识良好，但落实情况较差。应为所有ICU医护人员组织感染控制培训工作坊，以减少医院感染。
