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2019 年,埃塞俄比亚东北部沃格迪地区基层医疗单位医护人员的感染预防知识、实践及其相关因素:一项横断面研究。

Infection prevention knowledge, practice, and its associated factors among healthcare providers in primary healthcare unit of Wogdie District, Northeast Ethiopia, 2019: a cross-sectional study.

机构信息

South Wollo Zonal Department, Dessie, Ethiopia.

Department of Public Health, College of Health Science, Woldia University, Woldia, Ethiopia.

出版信息

Antimicrob Resist Infect Control. 2020 Aug 17;9(1):136. doi: 10.1186/s13756-020-00802-w.

Abstract

BACKGROUND

Adequate knowledge and safe practice of infection prevention among healthcare providers are vital to prevent nosocomial infections. Thus, this study aimed to assess the level of knowledge and practices of healthcare providers towards infection prevention and its associated factors in the health facilities of Wogdie District, Northern Ethiopia.

METHODS

Institution based cross-sectional study was conducted among 171 healthcare providers who were selected by a simple random sampling technique. Data were collected using interviewer-administered questionnaire. Multivariable logistic regression was performed to identify factors associated with knowledge and practice of infection prevention.

RESULT

About 70.8 and 55.0% of healthcare providers had adequate knowledge and safe practice of infection prevention respectively. Having infection prevention guideline (AOR = 3.65, 95% CI; 1.26, 10.54), taking infection prevention training (AOR = 2.2, 95% CI; 1.01, 4.75), having five years or more work experience (AOR = 1.52:95%CI; 1.13, 4.51), and working in maternity unit (AOR = 1.67:95%CI; 1.38-5.23) were positively associated with adequate knowledge of infection prevention. The odds of safe practice were higher in participants who received infection prevention training (AOR: 2.4; 95% CI; 1.01, 4.75) but lower among healthcare providers who are working in the facility which has no continuous water supply (AOR = 0.48:95% CI; 0.21, 0.83).

CONCLUSION

A significant proportion of healthcare providers had inadequate knowledge and unsafe practice of infection prevention. To improve healthcare worker's knowledge of infection prevention, adequate pre-service as well as on job training should be given.

摘要

背景

医护人员具备足够的感染预防知识并安全实践对于预防医院感染至关重要。因此,本研究旨在评估埃塞俄比亚北部沃吉迪地区卫生机构医护人员的感染预防知识和实践水平及其相关因素。

方法

采用基于机构的横断面研究,在 171 名医护人员中进行,采用简单随机抽样技术进行选择。使用访谈式问卷调查收集数据。采用多变量逻辑回归分析确定与感染预防知识和实践相关的因素。

结果

约 70.8%和 55.0%的医护人员具有足够的感染预防知识和安全实践。有感染预防指南(AOR=3.65,95%CI:1.26,10.54)、接受感染预防培训(AOR=2.2,95%CI:1.01,4.75)、工作经验在五年或以上(AOR=1.52:95%CI;1.13,4.51)、在妇产科工作(AOR=1.67:95%CI;1.38-5.23)与感染预防知识充足呈正相关。接受感染预防培训的参与者安全实践的可能性更高(AOR:2.4;95%CI;1.01,4.75),而在没有连续供水的设施工作的医护人员安全实践的可能性较低(AOR=0.48:95%CI;0.21,0.83)。

结论

相当一部分医护人员对感染预防的知识不足且实践不安全。为了提高医护人员的感染预防知识,应提供充足的岗前和在职培训。

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