巴基斯坦旁遮普省三级护理医院医护人员对感染预防与控制标准预防措施的知识、态度和行为及其相关因素的评估。
Assessment of knowledge, attitude and practices regarding standard precautions of infection prevention and control and associated factors among healthcare personnel working at tertiary care hospitals in Punjab, Pakistan.
作者信息
Kiddeer Muhammad, Abbas Aamir, Basit Abdul, Ahmad Tawseef, Masood Imran
机构信息
Department of Pharmacy Practice, Faculty of Pharmacy, The Islamia University of Bahawalpur, Punjab, Pakistan.
Tehsil Headquarter Hospital, Haroonabad, Punjab, Pakistan.
出版信息
Infect Prev Pract. 2025 Jun 6;7(3):100464. doi: 10.1016/j.infpip.2025.100464. eCollection 2025 Sep.
BACKGROUND
Inadequate infection control in healthcare settings can increase healthcare-associated infections and worsen morbidity and mortality rates. Standard precautions, applicable to all patients with suspected or confirmed infections, safeguard both healthcare personnel and patients. This study aimed to evaluate knowledge, attitudes and practices regarding standard precautions among healthcare personnel in tertiary care hospitals across Punjab, Pakistan.
METHODS
This multi-centre cross-sectional study, conducted from May to July 2019, included 600 healthcare personnel recruited via convenience sampling from tertiary care hospitals in six cities selected at random.
RESULTS
Out of 533 healthcare personnel, the response rate was 88.8%. Most respondents were female (=341, 64.2%), mean ± standard deviation (SD) age was 28.85 ±7.08 years, and mean ± SD length of service was 5.58 ± 5.78 years. Knowledge, attitudes and practices regarding standard precautions were poor, and only 37.5%, 46.7% and 46.3% of respondents had good knowledge, positive attitudes and safe practices, respectively. Healthcare personnel with >10 years of experience [adjusted odds ratio (AOR) 2.98, 95% confidence interval (CI) 1.60-5.55], previous infection control training (AOR 1.96, 95% CI 1.30-2.94), professional degrees (AOR 2.04, 95% CI 1.16-3.60), and availability of infection control guidelines in their work department were more likely to have good knowledge regarding standard precautions. The availability of infection control guidelines in the work department was also significantly associated with positive attitudes (AOR 2.83, 95% CI 1.76-4.56) and safe practices (AOR 3.46, 95% CI 1.94-6.14).
CONCLUSION
Knowledge, attitudes and practices of healthcare personnel regarding standard precautions were inadequate. Continuous education and certified training for healthcare personnel can improve infection control measures substantially in public healthcare settings.
背景
医疗机构中感染控制措施不完善会增加医疗相关感染，并使发病率和死亡率恶化。适用于所有疑似或确诊感染患者的标准预防措施可保护医护人员和患者双方。本研究旨在评估巴基斯坦旁遮普省三级医院医护人员对标准预防措施的知识、态度和实践情况。
方法
这项多中心横断面研究于2019年5月至7月进行，纳入了通过便利抽样从随机选择的六个城市的三级医院招募的600名医护人员。
结果
在533名医护人员中，应答率为88.8%。大多数受访者为女性（=341，64.2%），平均年龄±标准差（SD）为28.85±7.08岁，平均工作年限±SD为5.58±5.78年。医护人员对标准预防措施的知识、态度和实践情况较差，分别只有37.5%、46.7%和46.3%的受访者具备良好的知识、积极的态度和安全的实践。工作经验超过10年的医护人员[调整优势比（AOR）2.98，95%置信区间（CI）1.60 - 5.55]、曾接受感染控制培训（AOR 1.96，95% CI 1.30 - 2.94）、拥有专业学位（AOR 2.04，95% CI 1.16 - 3.60）以及其工作部门有感染控制指南的医护人员更有可能对标准预防措施有良好的了解。工作部门有感染控制指南也与积极态度（AOR 2.83，95% CI 1.76 - 4.56）和安全实践（AOR 3.46，95% CI 1.94 - 6.14）显著相关。
结论
医护人员对标准预防措施的知识、态度和实践情况不足。对医护人员进行持续教育和认证培训可大幅改善公共医疗机构中的感染控制措施。
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