Niyomugabo Aloys, Mukeshimana Madeleine, Collins Anita, Chironda Geldine
School of Nursing and Midwifery, College of Medicine and Health Sciences, Remera campus, University of Rwanda.
St John of God College of Health Sciences, Mzuzu University, Mzuzu, Northern Region, Malawi.
Rwanda J Med Health Sci. 2024 Mar 31;7(1):22-35. doi: 10.4314/rjmhs.v7i1.2. eCollection 2024 Mar.
The prevention of surgical site infections heavily relies on healthcare professionals who adhere to appropriate use of guidelines. However, there is limited evidence on their knowledge and practices regarding surgical site infections prevention in Rwanda. Therefore, this study aimed to evaluate the knowledge and practice of health care professionals regarding the prevention of surgical site infections at tertiary hospitals in Rwanda.
A cross-sectional study involving 213 healthcare professionals was conducted to assess the practice and knowledge of surgical site infection preventions. Univariate and multivariable logistic regression analyses were performed using SPSS version 25.
This study indicated that 53.1% of healthcare professionals had good knowledge regarding surgical site infections prevention, while 57% reported good practices. Nurses were significantly more likely to have good practices, with a 4.7 times higher likelihood (AOR=4.66, 95% CI=1.23-17.77) than other healthcare professionals. Healthcare professionals who received in-service training on infection prevention were more likely to demonstrate good practices compared to those who are not trained (AOR=2.99, 95% CI=1.29-6.92).
The current study revealed that 43% of study participants reported poor surgical site infections prevention practices. Therefore, healthcare professionals' knowledge on surgical site infections prevention needs upgrading, and in-service training on infection prevention necessary.
手术部位感染的预防在很大程度上依赖于遵守适当使用指南的医护人员。然而,关于卢旺达医护人员在手术部位感染预防方面的知识和做法的证据有限。因此,本研究旨在评估卢旺达三级医院医护人员在预防手术部位感染方面的知识和做法。
开展了一项涉及213名医护人员的横断面研究,以评估手术部位感染预防的做法和知识。使用SPSS 25版进行单变量和多变量逻辑回归分析。
本研究表明,53.1%的医护人员在手术部位感染预防方面有良好的知识,而57%的人报告有良好的做法。护士有良好做法的可能性显著更高,比其他医护人员高4.7倍(调整后比值比[AOR]=4.66,95%置信区间[CI]=1.23-17.77)。接受过感染预防在职培训的医护人员比未接受培训的医护人员更有可能表现出良好的做法(AOR=2.99,95%CI=1.29-6.92)。
当前研究表明,43%的研究参与者报告在手术部位感染预防方面做法不佳。因此,医护人员在手术部位感染预防方面的知识需要更新,并且有必要开展感染预防在职培训。