卫生保健工作者与多病人使用闭环给药装置相关的适当感染控制实践的意识

IF 1.8 Q3 INFECTIOUS DISEASES
Kassem Abou Yassine , Aiman El-Saed , Fatmah Othman , Sarr Ramou , Bassam H. Al Alwan , Kholoud Ameer , Mustafa Hawthan , Mohammed Al Zunitan , Majid M. Alshamrani
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引用次数: 0

摘要

背景:便携式计算机设备是医疗保健感染的潜在来源。目的是评估卫生保健工作者(HCWs)对使用闭环给药(CLMA)设备的感染控制实践的知识、态度和实践(KAP)。此外,量化教育和培训对CLMA设备细菌负担的影响。方法研究设计分为两步:在沙特阿拉伯利雅得一家三级保健中心的卫生保健员中进行横断面研究。采用32项问卷对KAP信息进行评估。第二步是在实施多方面干预之前和之后从CLMA设备表面收集环境样本。结果共纳入325例HCWs。平均年龄32.6±7.4岁。以女性(92%)和护士(91.3%)居多。KAP总分为74.8%,知识充足74.2%,积极态度79.3%,适当做法71.3%。在实验室和器官移植单位工作的医护人员的KAP评分(≥中位数KAP评分)更好(P<0.001)。工作经验较长的人(P<0.001)和接受过相关培训的人(P<0.001)也表现得更好。大约75%的卫生保健工作者表示他们需要更多关于CLMA的信息。干预后样本细菌负担明显降低,阳性率从干预前的51.4%降至干预后的16.8% (P<0.001)。结论卫生保健工作者对适当的便携式器械感染控制措施的认识和行为仍然不足。包括教育和培训在内的多方面干预大大减少了便携式设备的生物负担。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Awareness of health care workers with appropriate infection control practices related to multi-patient use of Close Loop Medication Administration device

Background

Portable computerized devices represent a potential source of healthcare infections. The objective was to assess the knowledge, attitudes, and practices (KAP) of healthcare workers (HCWs) toward infection control practices used with Close Loop Medication Administration (CLMA) devices. Additionally, to quantify the impact of education and training on the bacterial burden on CLMA devices.

Methods

The study design consisted of two steps: a cross-sectional study was conducted among HCWs working in a tertiary care center in Riyadh, Saudi Arabia. A 32-item questionnaire was used to assess KAP information. The second step was environmental samples collected from the surfaces of CLMA devices before and after implementing a multifaceted intervention.

Result

A total of 325 HCWs were included in the study. The mean age was 32.6±7.4 years. The majority were females (92%) and nurses (91.3%). The overall KAP score was 74.8%, 74.2% adequate knowledge, 79.3% positive attitude, and 71.3% appropriate practices. KAP score was better (≥ median KAP score) among HCWs working in laboratory and organ transplant units (P<0.001). It was also better among those with a longer duration of work experience (P<0.001) and those who received related training (P<0.001). Approximately 75% of HCWs expressed their need for more information about CLMA. Post-interventional samples had much lower bacterial burden, with the positive rate reduced from 51.4% before intervention to 16.8% after intervention (P<0.001).

Conclusions

Awareness and behavior of HCWs about appropriate infection control practices related to portable devices is still inadequate. A multifaceted intervention including education and training significantly reduces the bioburden on portable devices.

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来源期刊
Infection Prevention in Practice
Infection Prevention in Practice Medicine-Public Health, Environmental and Occupational Health
CiteScore
4.80
自引率
0.00%
发文量
58
审稿时长
61 days
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