Ye Yingzi, Shi Peng, Gui Yonghao, Li Albert M, Huang Guoying, Xu Hong, Lu Quan, Hong Jianguo, Gu Ying, Hu Xiaojing, Liu Gongbao, Wang Chuanqing, Huang Qin, Zhang Xiaobo
Children's Hospital of Fudan University, National Children's Medical Center, Shanghai, China.
Center for Pediatric Clinical Quality Control of Shanghai, Shanghai, China.
Transl Pediatr. 2021 Jan;10(1):44-53. doi: 10.21037/tp-20-247.
To evaluate the effectiveness of training on knowledge and practice of infection prevention and control (IPC) among pediatric health care workers (HCW) in Shanghai, China, in the context of COVID-19 pandemic.
An online training program was designed by the Shanghai Pediatric Clinical Quality Control Center (SPQCC) during the early phase of COVID-19 pandemic on disease knowledge and practice of IPC. Training took place in the 81 partner hospitals affiliated with SPQCC. A multicenter, cross-sectional questionnaire survey was designed with a 25-item self-administered questionnaire to evaluate the knowledge gained from the training. Stratified-random sampling was used to select HCW according to three professionals (i.e., pediatricians, nurses and administrators) within each partner hospital. Awareness and knowledge of COVID-19 and its related infection control and practice were assessed by comparing survey results between different types of hospitals, professionals and professional ranks. A higher survey score meant that the respondent was more prepared and knowledgeable about COVID-19 and its infection control measures.
Completed questionnaires were returned from 1,062 subjects (385 pediatricians, 410 nurses, and 267 administrators), giving a response rate of 96.5%. Overall, awareness of clinical information related to COVID-19, importance of personal hygiene and isolation policy was high among the respondents. No statistical difference of scores on knowledge of COVID-19, IPC and relevant practice between the tertiary and peripheral hospitals. Among all respondents, middle-ranked health care personnel were most knowledgeable and achieved the highest score.
Majority of pediatric HCW showed good recognition and practice in infection protection and control measures. The online training was able to achieve its aim to enhance knowledge and awareness and could have contributed to the zero infection rate among HCW caring for confirmed COVID-19 cases in Shanghai.
在新型冠状病毒肺炎（COVID-19）大流行的背景下，评估中国上海儿科医护人员感染预防与控制（IPC）知识培训及实践的效果。
上海市儿科临床质量控制中心（SPQCC）在COVID-19大流行早期设计了一项关于疾病知识和IPC实践的在线培训项目。培训在SPQCC下属的81家合作医院开展。设计了一份包含25个项目的自填式多中心横断面问卷调查，以评估从培训中获得的知识。在每家合作医院内，根据儿科医生、护士和管理人员这三类专业人员，采用分层随机抽样的方法选择医护人员。通过比较不同类型医院、专业人员和专业职级之间的调查结果，评估对COVID-19及其相关感染控制和实践的认知与知识。调查得分越高，表明受访者对COVID-19及其感染控制措施的准备越充分、知识越丰富。
共收到1062名受试者（385名儿科医生、410名护士和267名管理人员）填写的完整问卷，回复率为96.5%。总体而言，受访者对与COVID-19相关的临床信息、个人卫生的重要性和隔离政策的认知度较高。三级医院和基层医院在COVID-19知识、IPC及相关实践得分方面无统计学差异。在所有受访者中，中级医护人员知识最丰富，得分最高。
大多数儿科医护人员在感染防护和控制措施方面表现出良好的认知和实践。在线培训能够实现增强知识和意识的目标，可能有助于上海照顾确诊COVID-19病例的医护人员实现零感染率。
