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Assessment of Infection Prevention Practice and Associated Factors Among Healthcare Providers in the Case of Bishoftu Referral Hospital

Received: 24 October 2021     Accepted: 18 November 2021     Published: 9 December 2021
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Abstract

Introduction: Health care-associated infections (HCAIs) poses a real and serious threat to both the patients and health care workers. A significant number of patients acquired health care associated infections worldwide, and this has devastating effect on both the patient and the health system. It is estimated that more than 1.4 million people worldwide are suffering from infections acquired in hospitals. Even though infection prevention plays a key role in preventing and reducing the rate of healthcare associated infection, little is known about current staffing and structure of infection prevention and control programs. Objective: To assess Infection prevention practice and associated factors among healthcare providers in Bishoftu Referral Hospital south east Ethiopia from Dec 4, 2019 to Dec 20, 2019 G.C. Methodology: Institution based cross-sectional study was conducted to assess practice towards infection prevention and associated factors in Bishoftu Referral Hospital. The data was collected using structured self-administered questionnaire and supported by an observational check list. Infection prevention practice was calculated using 22 items and median was used a cut-off point to generate a binary practice outcome. The data was entered into EPI info 7 and then exported to SPSS version 20 for data management and analysis. Bivariate and Multivariable logistic regression analysis was carried to assess significance of determinants. Results: One hundred fifty eight (158) health care professionals were included in the study. This study showed that 60.4% of Health Care Providers had safe infection prevention Practice (95% CI (51.9%, 68.2%). Among the determinant factors, working in emergency ward [AOR=4.327, 95% CI (0.412, 45.464)], knowing the presence of infection prevention committee [AOR=7.629, 95% CI (1.580, 36.831)] and being a midwife [AOR=16.39, 95% CI (1.074, 250.171)] were significantly associated with safe infection prevention practice. Conclusion and Recommendation: The findings of this study show that around 40% of healthcare professional didn’t adhere to safe infection prevention. Working wards, infection prevention committee and profession were factors significantly associated with infection prevention practice. The hospital should give emphasis for all working wards to increase adherence to infection prevention practice.

Published in Clinical Medicine Research (Volume 10, Issue 6)
DOI 10.11648/j.cmr.20211006.17
Page(s) 212-224
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Health Care-associated Infections, Infection Prevention Practice, Bishoftu Referral Hospital

References
[1] World Health Organization Regional Office For Western Pacific, Manila Regional Office For Europe. Guidelines On Core Components Of Infection Prevention And Control Programmes At The National And Acute Health Care Facility Level. Place Of Publication Not Identified: World Health Organization Regional Office For Western Pacific, Manila Regional Office For Europe; 2016.
[2] Habtemu J. Hebo, esta H. Gemeda, And Kedir A. Abdusemed. Hepatitis B And C Viral Infection: Prevalence, Knowledge, Attitude, Practice, And Occupational Exposure Among Healthcare Workers Of Jimma University Medical Center, Southwest Ethiopia [Internet]. [Cited 2019 Jul 21]. Available From: Https://Www.Ncbi.Nlm.Nih.Gov/Pmc/Articles/PMC6377947/
[3] Melaku Desta, Ayenew T, Sitotaw N, Tegegne N, Dires M, Getie M. Knowledge, Practice And Associated Factors Of Infection Prevention Among Healthcare Workers In Debre Markos Referral Hospital, Northwest Ethiopia. BMC Health Serv Res. 2018 18; 18 (1): 465.
[4] Sahiledengle B, Gebresilassie A, Getahun T, Hiko D. Infection Prevention Practices And Associated Factors Among Healthcare Workers In Governmental Healthcare Facilities In Addis Ababa. Ethiop J Health Sci. 2018 Mar; 28 (2): 177–86.
[5] Alemayehu R, Ahmed K, Sada O. Assessment Of Knowledge And Practice On Infection Prevention Among Health Care Workers At Dessie Referral Hospital, Amhara Region, Southwollo Zone, North East Ethiopia. J Community Med Health Educ. 2016; 6: 487.
[6] Geberemariyam BS, Donka GM, Wordofa B. Assessment Of Knowledge And Practices Of Healthcare Workers Towards Infection Prevention And Associated Factors In Healthcare Facilities Of West Arsi District, Southeast Ethiopia: A Facility-Based Cross-Sectional Study. Arch Public Health [Internet]. 2018 Nov 12 [Cited 2019 Sep 18]; 76. Available From: Https://Www.Ncbi.Nlm.Nih.Gov/Pmc/Articles/PMC6231270/
[7] Stone PW, Dick A, Pogorzelska M, Horan TC, Furuya EY, Larson E. Staffing And Structure Of Infection Prevention And Control Programs. Am J Infect Control. 2009 Jun; 37 (5): 351–7.
[8] Suoud Jemal, Mulusew Zeleke, Simachew Tezera, Suleyman Hailu, Ahmedzakir Abdosh, Et Al. Health Care Workers’ Knowledge, Attitude And Practice Towards Infection Prevention In Dubti Referral Hospital, Dubti, North East Ethiopia. International Journal Of Infectious Diseases And Therapy. 2018; Vol. 3 (No. 4): 66–73.
[9] Mbim E, Mboto C, Agbo B. A Review Of Nosocomial Infections In Sub-Saharan Africa. British Microbiology Research Journal. 2016 Jan 10; 15 (1): 1–11.
[10] Patti G. Grota, Phd, CNS-M-S, CIC, FAPIC;, Patti S. Grant, BSN, MS, RN, CIC, FAPIC. Environmental Infection Prevention Priorities Of Patient Safety Collaboration. Wolters Kluwer Health, Inc. 2018; 41 (1): 38–46.
[11] Tobin KW, Ekaete, Alice SR, Asogun, Akhere D, Ikponwonsa O, Et Al. Knowledge And Practice Of Infection Control Among Health Workers In A Tertiary Hospital In Edo State, Nigeria. In 2013.
[12] Findit@Stanford - Lane Medical Library: Knowledge, Practice, And Associated Factors Towards Prevention Of Surgical Site Infection Among Nurses Working In Amhara Regional State Referral Hospitals, Northwest Ethiopia. [Internet]. [Cited 2019 Jul 9]. Available From: Http://Sfx.Stanford.Edu/Local?Sid=Stanford:Laneweb-Search-Pubmed&Id=Pmid:26788549
[13] Aynalem Tesfay F, Dejenie Habtewold T. Assessment Of Prevalence And Determinants Of Occupational Exposure To HIV Infection Among Healthcare Workers In Selected Health Institutions In Debre Berhan Town, North Shoa Zone, Amhara Region, Ethiopia, 2014 [Internet]. AIDS Research And Treatment. 2014 [Cited 2019 Aug 16]. Available From: Https://Www.Hindawi.Com/Journals/Art/2014/731848/Abs/
[14] Gamil Alrubaiee, Anisah Baharom, Hayati Kadir Shahar, Shaffe Mohd Daud And Huda Omar Basaleem. Knowledge And Practices Of Nurses Regarding Nosocomial Infection Control Measures In Private Hospitals In Sana’a City, Yemen | Safety In Health. 2017.
[15] Tadesse Anteneh, Tariku Lambiyo, Keneni Gutema, Girmay Abraham, Asamnew Abayneh, Barana Balta, Dawit Assefa, And Tariku Gelda. Infection Control In Health Care Facilities For The Ethiopian Health Center Team. 2005; (663-A-00-00-0358-00.).
[16] Kingston L, O’Connell NH, Dunne CP. Hand Hygiene-Related Clinical Trials Reported Since 2010: A Systematic Review. Journal Of Hospital Infection. 2016; 92 (4): 309–320.
[17] Tenna A, Stenehjem E, Margoles L, Kacha E, Blumberg HM, Kempker RR. Infection Control Knowledge, Attitudes, And Practices Among Healthcare Workers In Addis Ababa, Ethiopia. Infection Control And Hospital Epidemiology. 2013; 34 (12): 1289–96.
[18] Gulilat K, Tiruneh G. Assessment Of Knowledge, Attitude And Practice Of Health Care Workers On Infection Prevention In Health Institution Bahir Dar City Administration. In 2014.
[19] Control C For D, Prevention. Guide To Infection Prevention For Outpatient Settings: Minimum Expectations For Safe Care. May 2011. National Center For Emerging And Zoonotic Infectious Diseases; 2016.
[20] Hussen SH, Estifanos WM, Melese ES, And Moga FE. Knowledge, Attitude And Practice Of Infection Prevention Measures Among Health Care Workers In Wolaitta Sodo Otona Teaching And Referral Hospital [Internet]. [Cited 2019 Jul 31]. Available From: Https://Www.Omicsonline.Org/Open-Access/Knowledge-Attitude-And-Practice-Of-Infection-Prevention-Measures-Among-Health-Care-Workers-In-Wolaitta-Sodo-Otona-Teaching-And-Ref-2167-1168-1000416.Pdf
[21] Ashisbala Mohapatra. Assessment Of Knowledge And Practice To Control Nosocomial Infection, Among The Staff Nurses, Hi-Tech Medical College And Hospital. 2017. 2 (2).
[22] Goma Niraula Shrestha, Bandana Thap, NAMS, Bir Hospital, Mahaboudha, Kathmandu, Nepal. Knowledge And Practice On Infection Prevention Among Nurses Of Bir Hospital, Kathmandu.
[23] Dr. Imad Fashafsheh Mr. Ahmad Ayed Mrs. Faeda Eqtait Mrs. Lubna Harazneh. Knowledge and Practice of Nursing Staff Towards Infection Control Measures In The Palestinian Hospitals. Journal of Education And Practice. 2015; Vol. 6, (No. 4,).
[24] Abdnur Abdela, Berhanu Woldu, Kassahun Haile, Biniam Mathewos And Tekalign Deressa. Assessment Of Knowledge, Attitudes And Practices Toward Prevention Of Hepatitis B Virus Infection Among Students Of Medicine And Health Sciences In Northwest Ethiopia. BMC Research Notes. 2016.
[25] World Health Organization. Practical Guidelines For Infection Control In Health Care Facilities. Vol. No. 41. World Health Organization Regional Office For Western Pacific, Manila Regional Office For South-East Asia; 2004. 6 P.
[26] Chitimwango Priscilla Chisanga. Knowledge, Attitudes And Practices Of Nurses In Infection Prevention And Control Within A Tertiary Hospital In Zambia. Stellenbosch University. 2017 Mar.
[27] Ishwari Sharma Paudel, Vivek Ghosh, Purushottam Adhikari. Knowledge, Attitude And Practice Of Nursing Students Regarding Hand Hygiene In Western Region Of Nepal. Journal Of College Of Medical Sciences-Nepal. 16AD Dec; Vol-12: No 4.
[28] Awab Ali Ibrahim Sittana Shamseldin Elshafie. Knowledge, Awareness, And Attitude Regarding Infection Prevention And Control Among Medical Students: A Call For Educational Intervention. Advances In Medical Education And Practice. 2016 Aug 22.
[29] Yakob E, Lamaro T, And Henok A. Knowledge, Attitude And Practice Towards Infection Control Measures Among Mizan-Aman General Hospital Workers, South West Ethiopia. Journal Of Community Medicine & Health Education. 2015 Sep 30.
[30] Mesele Damte (B.Sc.). Assessment Of The Knowledge, Attitude And Practice Of Health Care Workers On Universal Precaution In North Wollo Zone, Amhara Region, North Eastern Ethiopia, 2006. 2007 Apr.
[31] Maryam Amini, 1, Mohammad Javad Behzadnia, Fatemeh Saboori, Mohammadkarim, Bahadori, And Ramin Ravangard. Needle-Stick Injuries Among Healthcare Workers In A Teaching Hospital. 2015 Nov 23.
[32] Okechukwu Bonaventure Anozie, Lucky Osaheni Lawani, Justus Ndulue Eze, Emmanuel Johnbosco Mamah, Robinson Chukwudi Onoh, Et Al. Correspondence: Knowledge, Attitude And Practice Of Healthcare Managers To Medical Waste Management And Occupational Safety Practices: Findings From Southeast Nigeria.
[33] World Health Organization: Regional Office For Europe. Guidelines On Core Components Of Infection Prevention And Control Programmes At The... National And Acute Health Care Facility Level. Place Of Publication Not Identified: World Health Organization; 2016.
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  • APA Style

    Mohammed Hussien Sado, Nebiyou Fasil, Abebe Bekere. (2021). Assessment of Infection Prevention Practice and Associated Factors Among Healthcare Providers in the Case of Bishoftu Referral Hospital. Clinical Medicine Research, 10(6), 212-224. https://doi.org/10.11648/j.cmr.20211006.17

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    ACS Style

    Mohammed Hussien Sado; Nebiyou Fasil; Abebe Bekere. Assessment of Infection Prevention Practice and Associated Factors Among Healthcare Providers in the Case of Bishoftu Referral Hospital. Clin. Med. Res. 2021, 10(6), 212-224. doi: 10.11648/j.cmr.20211006.17

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    AMA Style

    Mohammed Hussien Sado, Nebiyou Fasil, Abebe Bekere. Assessment of Infection Prevention Practice and Associated Factors Among Healthcare Providers in the Case of Bishoftu Referral Hospital. Clin Med Res. 2021;10(6):212-224. doi: 10.11648/j.cmr.20211006.17

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  • @article{10.11648/j.cmr.20211006.17,
      author = {Mohammed Hussien Sado and Nebiyou Fasil and Abebe Bekere},
      title = {Assessment of Infection Prevention Practice and Associated Factors Among Healthcare Providers in the Case of Bishoftu Referral Hospital},
      journal = {Clinical Medicine Research},
      volume = {10},
      number = {6},
      pages = {212-224},
      doi = {10.11648/j.cmr.20211006.17},
      url = {https://doi.org/10.11648/j.cmr.20211006.17},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cmr.20211006.17},
      abstract = {Introduction: Health care-associated infections (HCAIs) poses a real and serious threat to both the patients and health care workers. A significant number of patients acquired health care associated infections worldwide, and this has devastating effect on both the patient and the health system. It is estimated that more than 1.4 million people worldwide are suffering from infections acquired in hospitals. Even though infection prevention plays a key role in preventing and reducing the rate of healthcare associated infection, little is known about current staffing and structure of infection prevention and control programs. Objective: To assess Infection prevention practice and associated factors among healthcare providers in Bishoftu Referral Hospital south east Ethiopia from Dec 4, 2019 to Dec 20, 2019 G.C. Methodology: Institution based cross-sectional study was conducted to assess practice towards infection prevention and associated factors in Bishoftu Referral Hospital. The data was collected using structured self-administered questionnaire and supported by an observational check list. Infection prevention practice was calculated using 22 items and median was used a cut-off point to generate a binary practice outcome. The data was entered into EPI info 7 and then exported to SPSS version 20 for data management and analysis. Bivariate and Multivariable logistic regression analysis was carried to assess significance of determinants. Results: One hundred fifty eight (158) health care professionals were included in the study. This study showed that 60.4% of Health Care Providers had safe infection prevention Practice (95% CI (51.9%, 68.2%). Among the determinant factors, working in emergency ward [AOR=4.327, 95% CI (0.412, 45.464)], knowing the presence of infection prevention committee [AOR=7.629, 95% CI (1.580, 36.831)] and being a midwife [AOR=16.39, 95% CI (1.074, 250.171)] were significantly associated with safe infection prevention practice. Conclusion and Recommendation: The findings of this study show that around 40% of healthcare professional didn’t adhere to safe infection prevention. Working wards, infection prevention committee and profession were factors significantly associated with infection prevention practice. The hospital should give emphasis for all working wards to increase adherence to infection prevention practice.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Assessment of Infection Prevention Practice and Associated Factors Among Healthcare Providers in the Case of Bishoftu Referral Hospital
    AU  - Mohammed Hussien Sado
    AU  - Nebiyou Fasil
    AU  - Abebe Bekere
    Y1  - 2021/12/09
    PY  - 2021
    N1  - https://doi.org/10.11648/j.cmr.20211006.17
    DO  - 10.11648/j.cmr.20211006.17
    T2  - Clinical Medicine Research
    JF  - Clinical Medicine Research
    JO  - Clinical Medicine Research
    SP  - 212
    EP  - 224
    PB  - Science Publishing Group
    SN  - 2326-9057
    UR  - https://doi.org/10.11648/j.cmr.20211006.17
    AB  - Introduction: Health care-associated infections (HCAIs) poses a real and serious threat to both the patients and health care workers. A significant number of patients acquired health care associated infections worldwide, and this has devastating effect on both the patient and the health system. It is estimated that more than 1.4 million people worldwide are suffering from infections acquired in hospitals. Even though infection prevention plays a key role in preventing and reducing the rate of healthcare associated infection, little is known about current staffing and structure of infection prevention and control programs. Objective: To assess Infection prevention practice and associated factors among healthcare providers in Bishoftu Referral Hospital south east Ethiopia from Dec 4, 2019 to Dec 20, 2019 G.C. Methodology: Institution based cross-sectional study was conducted to assess practice towards infection prevention and associated factors in Bishoftu Referral Hospital. The data was collected using structured self-administered questionnaire and supported by an observational check list. Infection prevention practice was calculated using 22 items and median was used a cut-off point to generate a binary practice outcome. The data was entered into EPI info 7 and then exported to SPSS version 20 for data management and analysis. Bivariate and Multivariable logistic regression analysis was carried to assess significance of determinants. Results: One hundred fifty eight (158) health care professionals were included in the study. This study showed that 60.4% of Health Care Providers had safe infection prevention Practice (95% CI (51.9%, 68.2%). Among the determinant factors, working in emergency ward [AOR=4.327, 95% CI (0.412, 45.464)], knowing the presence of infection prevention committee [AOR=7.629, 95% CI (1.580, 36.831)] and being a midwife [AOR=16.39, 95% CI (1.074, 250.171)] were significantly associated with safe infection prevention practice. Conclusion and Recommendation: The findings of this study show that around 40% of healthcare professional didn’t adhere to safe infection prevention. Working wards, infection prevention committee and profession were factors significantly associated with infection prevention practice. The hospital should give emphasis for all working wards to increase adherence to infection prevention practice.
    VL  - 10
    IS  - 6
    ER  - 

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Author Information
  • Ethiopian Food and Drug Authority, Addis Ababa, Ethiopia

  • Addis Continental Institute of Public Health, Addis Ababa, Ethiopia

  • Ethiopian Food and Drug Authority, Addis Ababa, Ethiopia

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