Irek Emmanuel O, Aliyu Alhaji A, Dahiru Tukur, Obadare Temitope O, Aboderin Aaron O
Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Osun State, Nigeria.
Nigeria Field Epidemiology and Laboratory Training, Abuja, Nigeria.
J Infect Prev. 2019 Nov;20(6):289-296. doi: 10.1177/1757177419848141. Epub 2019 Jul 9.
Healthcare-associated infections (HAIs) are threats in healthcare settings contributing to increased morbidity, mortality and antimicrobial resistance worldwide. Hand hygiene (HH) is the simplest and most important single intervention to reduce HAIs.
AIMS/OBJECTIVES: This study sought to determine rates of HAIs as well as compliance of HH among healthcare workers (HCWs) in Obafemi Awolowo University Teaching Hospitals Complex (OAUTHC).
A cross-sectional study was conducted among 227 HCWs (59 doctors, 129 nurses and 39 ward attendants) selected by multistage sampling across 10 hospital wards. Electronic interviewer-administered questionnaire, HH compliance checklist and point prevalence of HAI were done using World Health Organization and Centers for Disease Control and Prevention toolkits, respectively.
Only 20.33% (n = 12) of doctors, 3.88% (n = 5) of nurses and 2.56% (n = 1) of ward attendants had good knowledge of HH (χ = 22.22, value = 0.01). Among doctors, 11.86% (n = 7), 6.98% (n = 9) of nurses and 2.56% (n = 1) of ward attendants had positive perception towards HH (χ = 7.87, value = 0.25). Of the 174 opportunities for HH observed, compliance rates were 42.37%, 55.81% and 68.97% among doctors, nurses and ward attendants, respectively. Point prevalence of HAI was 16.38%.
Good knowledge and positive perception about HH were uncommon among doctors, nurses and ward attendants. However, ward attendants had the highest compliance to HH. There was a high prevalence of HAIs in this institution.
医疗保健相关感染（HAIs）是医疗机构中的威胁，在全球范围内导致发病率、死亡率上升以及抗菌药物耐药性问题。手部卫生（HH）是减少医疗保健相关感染的最简单且最重要的单一干预措施。
本研究旨在确定奥巴费米·阿沃洛沃大学教学医院综合院区（OAUTHC）中医疗保健相关感染的发生率以及医护人员（HCWs）对手部卫生的依从性。
通过多阶段抽样从10个医院病房中选取了227名医护人员（59名医生、129名护士和39名病房护理员）进行横断面研究。分别使用世界卫生组织和疾病控制与预防中心的工具包进行电子访谈问卷、手部卫生依从性检查表以及医疗保健相关感染的现患率调查。
只有20.33%（n = 12）的医生、3.88%（n = 5）的护士和2.56%（n = 1）的病房护理员对手部卫生有良好的认知（χ = 22.22，P值 = 0.01）。在医生中，11.86%（n = 7）的护士和2.56%（n = 1）的病房护理员对手部卫生有积极的认知（χ = 7.87，P值 = 0.25）。在观察到的174次手部卫生机会中，医生、护士和病房护理员的依从率分别为42.37%、55.81%和68.97%。医疗保健相关感染的现患率为16.38%。
医生（应为医护人员，原文有误）、护士和病房护理员对手部卫生的良好认知和积极态度并不常见。然而，病房护理员对手部卫生的依从性最高。该机构中医疗保健相关感染的患病率很高。
需注意，原文中“Among doctors, 11.86% (n = 7), 6.98% (n = 9) of nurses and 2.56% (n = 1) of ward attendants had positive perception towards HH (χ = 7.87, value = 0.25).”这里“Among doctors”后面的内容表述有误，推测应该是在说医护人员整体情况等，根据上下文调整了翻译内容中的说明。
