Meenakshi Sundaram Chandralekha, Seethapathy Jayashree
Sri Ramachandra Institute of Higher Education and Research (DU), Porur, Chennai, 600 116 India.
Indian J Otolaryngol Head Neck Surg. 2022 Dec;74(Suppl 3):3541-3559. doi: 10.1007/s12070-020-01799-9. Epub 2020 Feb 4.
Audiologists extend their services to wide range of patients who vary across several factors like age, disease, nutritional status, pharmacological intervention, socioeconomic status and compromised immune systems. This involves direct or indirect contact with patients exposing the clinician to blood, and other bodily fluids which are considered to be potentially infectious substances. Thus infection control activities must be stressed with the goal of reducing or preventing the transmission of nosocomial pathogens to patients and staff. The aim of the study is to provide an in-depth assessment of current infection control strategies and hygienic measures followed among Audiologists in India. An internet based questionnaire survey was done among 172 Audiologists. The questionnaire focused on four domains: demography; knowledge, attitude and practice of infection control and hygienic measures followed in audiology clinic. Majority of the participants had a positive attitude towards infection control practice. Though most of them had an access to gloves (73.3%) and masks (60%), their usage was minimal and restricted to selected procedures. Hand hygienic measures were practiced by 89% of the participants only during few procedures. Irrespective of critical or non-critical instruments, majority of the participants preferred cleaning and disinfecting. Sterilisation of critical instruments was performed only by 30% of the audiologists. Audiologists knowledge and practice of infection control and hygienic measures was found to be inadequate. Specialized training program on infection control strategies should be targeted to the newly graduated and practicing audiologists to ensure patient safety and infection free clinical environment.
听力学家为广泛的患者提供服务,这些患者在年龄、疾病、营养状况、药物干预、社会经济地位和免疫系统受损等多个因素方面存在差异。这涉及与患者的直接或间接接触,使临床医生接触到血液和其他被认为是潜在感染性物质的体液。因此,必须强调感染控制活动,目标是减少或预防医院病原体向患者和工作人员的传播。本研究的目的是对印度听力学家目前遵循的感染控制策略和卫生措施进行深入评估。在172名听力学家中进行了一项基于互联网的问卷调查。问卷集中在四个领域:人口统计学;听力诊所感染控制和卫生措施的知识、态度和实践。大多数参与者对感染控制实践持积极态度。虽然他们大多数人可以获得手套(73.3%)和口罩(60%),但他们的使用很少,并且仅限于特定程序。89%的参与者仅在少数程序中采取了手部卫生措施。无论器械是关键的还是非关键的,大多数参与者都倾向于清洁和消毒。只有30%的听力学家对关键器械进行了灭菌。发现听力学家在感染控制和卫生措施方面的知识和实践不足。应针对新毕业和在职的听力学家开展关于感染控制策略的专门培训项目,以确保患者安全和无感染的临床环境。