Schneider L, Umutoni M, Ndagijimana V, Abdelrhman M, Cronen T, Nkeshimana M, Banguti P, Karamira C, Seruyange E, Piening T, Phuti A, Paerisch T, Mockenhaupt F, Muvunyi C Mambo, Gertler M, Rwagasore E
Institute of International Health, Charité Center for Global Health, Charité - Universitaetsmedizin Berlin, Berlin, Germany.
Rwanda Biomedical Centre, Kigali, Rwanda.
Infect Prev Pract. 2024 Sep 23;6(4):100398. doi: 10.1016/j.infpip.2024.100398. eCollection 2024 Dec.
Intensive care personnel in countries prone to outbreaks of high-consequence infectious diseases (HCIDs), such as Ebola virus disease, stand at the forefront of caring for affected patients. This study describes the knowledge, attitudes and practices (KAP) of intensive care personnel in Rwanda on the management and infection prevention and control (IPC) of HCIDs.
A cross-sectional survey was carried out among staff working in the 4 operational intensive care units in September 2022. The self-administered questionnaire collected information on participants' background and their KAP on critical care (CC), HCIDs and IPC.
Of the 107 participants, 67 (62.6%) had less than 4 years' work experience in CC. 41 (38.3%) of them had attended trainings on IPC since 2020. In univariate analyses, a higher knowledge score was associated with being a physician, years of working in CC and differed by hospital. A large proportion perceived their knowledge on CC as good or very good (58.0%) and their everyday risk of acquiring an infection as at least high (48.6%). Overall, 72.9% reported compliance with hand hygiene measures. However, around a quarter of participants reported rarely or never avoiding recapping of needles or never or rarely taking additional precautions during aerosol-generating procedures.
Staff had a moderate knowledge base and might benefit from continuous learning on CC and HCIDs. The perception of high risk of infection at work stands in contrast with lack of compliance with basic IPC practices which should be reinforced to avoid preventable and potentially fatal infections.
在埃博拉病毒病等易爆发高后果传染病（HCIDs）的国家，重症监护人员处于照顾受影响患者的前沿。本研究描述了卢旺达重症监护人员在高后果传染病的管理以及感染预防与控制（IPC）方面的知识、态度和实践（KAP）。
2022年9月，对在4个运营中的重症监护病房工作的人员进行了横断面调查。自行填写的问卷收集了参与者的背景信息以及他们在重症监护（CC）、高后果传染病和感染预防与控制方面的知识、态度和实践信息。
在107名参与者中，67名（62.6%）在重症监护方面的工作经验少于4年。自2020年以来，其中41名（38.3%）参加过感染预防与控制培训。在单因素分析中，较高的知识得分与身为医生、在重症监护方面的工作年限有关，且因医院而异。很大一部分人认为他们在重症监护方面的知识良好或非常良好（58.0%），并且他们日常感染的风险至少为高（48.6%）。总体而言，72.9%的人报告遵守手卫生措施。然而，约四分之一的参与者报告很少或从不避免重新盖帽针头，或者在产生气溶胶的操作过程中从不或很少采取额外的预防措施。
工作人员有一定的知识基础，可能会从关于重症监护和高后果传染病的持续学习中受益。工作中感染风险高的认知与基本感染预防与控制措施的不遵守形成对比，应加强这些措施以避免可预防的潜在致命感染。
