Helfgott A W, Taylor-Burton J, Garcini F J, Eriksen N L, Grimes R
University of Texas Health Science Center at Houston, Department of Obstetrics, Gynecology and Reproductive Sciences, Lyndon Baines Johnson Hospital, USA.
Infect Dis Obstet Gynecol. 1998;6(3):123-8. doi: 10.1002/(SICI)1098-0997(1998)6:3<123::AID-IDOG5>3.0.CO;2-Y.
To assess the knowledge of universal precautions for the delivery and operating rooms by residents and students and to evaluate their use of universal precautions.
Obstetrics and gynecology (ob/gyn) residents (n = 30) and students (n = 31) from an inner-city, teaching hospital were polled by anonymous questionnaire to assess their knowledge of the appropriate barrier equipment for certain ob/gyn procedures. To determine actual compliance with universal precautions, 459 ob/gyn procedures were observed. We noted the use of appropriate barrier equipment for each procedure: gloves for pelvic exam and face shields, gowns, gloves, and booties for vaginal delivery, cesarean delivery, and dilation and curettage. The True Epistat statistical software program was used to perform simple regression analysis.
Thirty residents (100%) knew the appropriate barrier equipment required for each type of procedure performed. One student (< 1%) did not know that booties were appropriate for the surgical procedures. Rationale for lack of compliance with universal precautions elicited by the questionnaire included time constraints (64%), inconvenience (52%), and presumption that patient was not infected (34%). The observed rate of compliance with universal precautions by participants indicates that individual compliance was inversely related to the years of experience (overall compliance rate of students was 96%; for first-year residents, 92%, second-year residents, 89%, third-year residents, 84%, fourth-year residents, 78%; r = -0.9918, P = 0.0009).
Knowledge regarding universal precautions was nearly 100%, while overall observed compliance was only 89%. Compliance with universal precautions was better among students (96%) than among residents (88%). Compliance with universal precautions was inversely related to years of experience.
评估住院医师和医学生对产房和手术室通用防护措施的知识掌握情况，并评价他们对通用防护措施的应用情况。
通过匿名问卷调查了一家市中心教学医院的妇产科住院医师（n = 30）和医学生（n = 31），以评估他们对某些妇产科手术适用的屏障设备的知识掌握情况。为确定实际遵守通用防护措施的情况，观察了459例妇产科手术。我们记录了每个手术中适用屏障设备的使用情况：盆腔检查时戴手套，阴道分娩、剖宫产和刮宫术时戴面罩、穿手术衣、戴手套和穿脚套。使用True Epistat统计软件程序进行简单回归分析。
30名住院医师（100%）知道每种手术所需的适用屏障设备。一名学生（<1%）不知道脚套适用于手术操作。问卷中得出的未遵守通用防护措施的原因包括时间限制（64%）、不便（52%）以及认为患者未感染（34%）。参与者遵守通用防护措施的观察率表明，个人遵守情况与经验年限呈负相关（医学生的总体遵守率为96%；一年级住院医师为92%，二年级住院医师为89%，三年级住院医师为84%，四年级住院医师为78%；r = -0.9918，P = 0.0009）。
关于通用防护措施的知识掌握率接近100%，而总体观察到的遵守率仅为89%。医学生（96%）的通用防护措施遵守情况优于住院医师（88%）。通用防护措施的遵守情况与经验年限呈负相关。
