尼日利亚高原州乔斯一家教学医院医学生的医院获得性感染 (HAI) 预防措施

Prosper Ifeanacho Okonkwo, Kingsley Chinedu Okafor, Joel Haruna Garbal, Bitrus Salome Kwaghal, Bolarinwa Boluwatito
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摘要

背景:预防医疗保健相关感染是提供安全、高质量医疗保健服务的核心。学生是医疗保健团队的一员,感染这些疾病的风险也随之增加。本研究旨在评估尼日利亚高原州乔斯市一家教学医院的医学生预防医院获得性感染(HAIs)的实践情况:这是一项描述性横断面研究,于 2019 年 7 月在医科学生中进行,采用了多阶段抽样技术。采用自填式结构问卷收集数据,并使用 IBM SPSS 28(社会科学统计软件包)进行分析:几乎所有(99.1%)的学生都声称他们在看病前后洗手,81.9%的学生在饭前洗手,57.4%的学生在进行床旁侵入性操作前洗手,72.7%的学生在检查病人前后洗手,30.2%的学生在触摸伤口前后洗手,但戴手套时不洗手,63.9%的学生在对不同病人进行两种不同操作之间洗手。关于戴口罩/鼻罩,86.8% 的受访者表示在将咳嗽的病人送出病房时会戴口罩,70.3% 的受访者表示在冲洗化脓性伤口时会戴口罩,60.7% 的受访者表示在护理大便失禁的病人时会戴口罩,76.3% 的受访者表示在为艾滋病毒呈阳性的产妇接生时会戴口罩,51.6% 的受访者表示在巡视新生儿重症监护室时会戴口罩。大多数受访者(83.6%)以前从未受过针刺伤,不使用个人防护设备的主要原因包括成本高(24.7%)、没有个人防护设备(951.1%)、使用困难(15.1%)、无原因(9.1%):总体而言,超过三分之一的 150 名受访者(68.5%)在预防 HAI 方面的做法良好,而 69 名受访者(31.55%)在预防 HAI 方面的做法较差。还需要确保个人防护设备、洗手和废物处理设备的可用性,同时向医科学生传授良好的设备卫生的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Hospital Acquired Infections (HAIs) Prevention Practices Among Medical Students in a Teaching Hospital in Jos, Plateau State, Nigeria
Background: The prevention of healthcare-associated infections is central to the provision of safe, high-quality healthcare. Students are a part of the healthcare team and are at increased risk of these infections. This study seeks to assess Hospital Acquired Infections (HAIs) prevention practices among medical students in a Teaching Hospital in Jos, Plateau State, Nigeria. Methods: This was a descriptive cross-sectional study done in July 2019 among medical students using a Multistage sampling technique. Data was collected using a self-administered structured questionnaire and analyzed using the IBM SPSS 28 (Statistical Package for the Social Sciences). Results: Almost all (99.1%) of students claim that they wash their hands before and after seeing patients, 81.9% wash their hands before meals, 57.4% wash their hands before performing invasive bedside procedures, 72.7% wash before and after examining patients, 30.2% wash their hands before &after touching wounds, but not when gloved, 63.9% wash their hands between two different procedures on different patients. Concerning wearing face/nose masks 86.8% said they wore masks when transporting coughing patients out of the ward, 70.3% stated that they wore masks when irrigating septic wounds, 60.7% said they wore face masks whenever they were attending to patients with fecal incontinence, 76.3% said they wore face mask whenever they were delivering a baby of an HIV Positive woman, 51.6% said they wore face mask whenever they were visiting neonatal intensive care unit. The majority of respondents (83.6%) have never sustained a needle stick injury before, main reasons for non-use of PPE include High cost (24.7), PPE Not available (951.1%), difficulty in using (15.1%), No reason (9.1%). Conclusion: Generally, more than a third 150 (68.5%) of respondents had good practice of HAI prevention, while 69 (31.55) had a poor practice of HAIs prevention. There is also a need to ensure that the availability of PPEs, hand washing and waste disposal equipment is ensured, while medical students are also taught the importance of good equipment hygiene.
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