Khatrawi Elham M, Prajjwal Priyadarshi, Farhan Muhammad, Inban Pugazhendi, Gurha Shraddha, Al-Ezzi Saud M S, Marsool Mohammed D M, Ahuja Prerna, A Mateen Mohammed, Aina Felix O, Hussin Omniat A
Medical Microbiology and Immunology Department Taibah University Medina Saudi Arabia.
Internal Medicine Bharati Vidyapeeth University Medical College Pune India.
Health Sci Rep. 2023 Sep 11;6(9):e1559. doi: 10.1002/hsr2.1559. eCollection 2023 Sep.
Healthcare workers (HCWs) play a vital role in delivering care and are frequently exposed to the risk of acquiring infections within the hospital setting. Around 15% of hospitalized patients suffer from these infections globally. However, the role and awareness of HCWs in the transmission of hospital-acquired infections (HAIs) or nosocomial infections is still unclear. This study aimed to evaluate the knowledge, attitude, and practices (KAP) toward high-risk microbial infections among HCWs on a global scale to identify measures to address this problem.
A cross-sectional descriptive study was conducted between 2022 and 2023, with HCWs selected as the study population. Data concerning KAP were collected through a self-administered online survey questionnaire, using a nonprobability convenience sampling method. Descriptive statistics and regression analysis were used to analyze the data.
A total of 743 HCWs from various countries participated in the study, with the majority of respondents being doctors (64.9%). Data were mainly obtained from Saudi Arabia (26.78%), Iraq (25.84%), India (15.7%), the United States of America (15.2%), and Africa (Sudan, Nigeria) (13.98%). The frequency of good KAP scores among physicians (KAP: 82.5, 80.66, and 70.5), nurses (KAP: 74.1, 73.07, and 88.7), medical practitioners (KAP: 87.2, 77.58, and 75.1), and technicians (KAP: 76.1, 74.38, and 89.6) were obtained as mentioned. With respect to experience, HCWs showed good KAP scores in 1-5 years (KAP: 82.4, 83.3, and 74.1), 5-10 years (KAP: 80.6, 74.54, 83), 10-20 years (KAP: 74.7, 79.1, and 82.7), and >20 years (KAP: 84.6, 78.8, and 82.8) categories.
This study suggests that HCWs have good KAP regarding infection prevention, but there is still room for improvement. Educational seminars and awareness programs can provide better adherence to barrier protection measures such as hand washing, use of gloves, and hand disinfection.
医护人员在提供医疗服务中发挥着至关重要的作用，并且经常面临在医院环境中感染的风险。全球约15%的住院患者会感染此类疾病。然而，医护人员在医院获得性感染（HAIs）或医院感染传播中的作用和意识仍不明确。本研究旨在评估全球范围内医护人员对高风险微生物感染的知识、态度和实践（KAP），以确定解决该问题的措施。
在2022年至2023年期间进行了一项横断面描述性研究，选择医护人员作为研究人群。通过自行填写的在线调查问卷收集有关KAP的数据，采用非概率便利抽样方法。使用描述性统计和回归分析对数据进行分析。
共有来自不同国家的743名医护人员参与了该研究，大多数受访者为医生（64.9%）。数据主要来自沙特阿拉伯（26.78%）、伊拉克（25.84%）、印度（15.7%）、美利坚合众国（15.2%）和非洲（苏丹、尼日利亚）（13.98%）。如前所述，获得了医生（KAP：82.5、80.66和70.5）、护士（KAP：74.1、73.07和88.7）、医务人员（KAP：87.2、77.58和75.1）和技术人员（KAP：76.1、74.38和89.6）良好KAP得分的频率。就经验而言，医护人员在1 - 5年（KAP：82.4、83.3和74.1）、5 - 10年（KAP：80.6、74.54、83）、10 - 20年（KAP：74.7、79.1和82.7）以及>20年（KAP：84.6、78.8和82.8）类别中表现出良好的KAP得分。
本研究表明医护人员在感染预防方面有良好的KAP，但仍有改进空间。教育研讨会和提高认识计划可以更好地促进对洗手、使用手套和手部消毒等屏障保护措施 的遵守情况。
