Abstract
Background
Nosocomial infections usually occur 48 hours after admission to the hospital or up to 72 hours after discharge from the hospital. They lead to an increase in mortality and health costs. The purpose of this study is to measure the knowledge, attitude, and performance of paramedical staff about nosocomial infection control.
Materials and methods
This cross-sectional study was conducted in Tehran hospitals in 2019. A valid and reliable questionnaire was used to collect data. The questionnaires were distributed among 405 randomly selected paramedical staff at 25 hospitals in Tehran. The data were analyzed using SPSS18.
Results
The mean scores of paramedical staff’s knowledge, attitude, and performance in terms of nosocomial infection control were 11.2 ± 2.2 (good), 21.7 ± 3.7 (good), and 49.2 ± 9.4 (good) respectively. A statistically significant relationship was obtained between paramedical staff’s work experience and type of hospital and their knowledge, attitude, and performance in terms of nosocomial infection control (P <0.05). In addition, a statistically significant relationship was found between gender, age, education, and, employment type and nosocomial infection control performance (P <0.05).
Conclusions
The knowledge, attitude, and performance of paramedical staff about nosocomial infections in Tehran hospitals were good. Education, continuous supervision, and provision of the necessary equipment are needed for improving the paramedical staff’s knowledge, attitude, and performance in terms of nosocomial infections.
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Data Availability
Not applicable.
References
CDC. Types of healthcare-associated infections. Healthcareassociated infections (HAIs). 2016 [Online] Available from: https://www.cdc.gov.HAI.infectionTypes.html. Accessed 10 Aug 2016.
Allegranzi B. Report on the burden of endemic health careassociated infection worldwide. Geneva: WHO; 2011.
Gupta A, Singh DK, Krutarth B, Maria N, Srinivas R. Prevalence of health care associated infections in a tertiary care hospital in Dakshina Kannada, Karnataka: a hospital based cross sectional study. Int J Med Res Health Sci. 2015. https://doi.org/10.5958/2319-5886.2015.00059.4.
Mohammadi M, Vaisi Raiegani AA, Jalali R, Ghobadi A, Salari N, Barati H. The prevalence of nosocomial infections in Iranian hospitals. J Babol Univ Med Sci. 2019;21:39–45.
Sydnor ER, Perl TM. Hospital epidemiology and infection control in acute-care settings. Clin Microbiol Rev. 2011;24(1):141–73. https://doi.org/10.1128/CMR.00027-10.
WHO. The burden of health care-associated infection worldwide [Online] Available from: https://www.who.int/gpsc.country_work/burden_hcai/en. Accessed 10 Aug 2016.
Bagheri Nejad S, Allegranzi B, Syed SB, Ellis B, Pittet D. Health-care-associated infection in Africa: a systematic review. Bull World Health Organ. 2011. https://doi.org/10.2471/BLT.11.088179.
Mosadeghrad A, Afshari M, Isfahani P. Prevalence of nosocomial infection in Iranian Hospitals: A Systematic Review and Meta- Analysis. IRJE. 2021;16(4):352–362.
Hamid H, Mustafa MM, Al-Rasheedi M, Balkhi B, et al. Assessment of Hospital Staff Knowledge, Attitudes, and Performances (KAPS) on activities related to prevention and control of hospital acquired infections. Int J Prev Treat. 2019;8(1):1–7.
Yusefi AR, Kavosi Z, Sadeghi A, hadi Barhaghtalab R. Knowledge, attitude, and practice of nurses in affiliated hospitals of shiraz university of medicalsciences about infection control in 2016. Nurs Midwifery J. 2017;15(9):667–679.
Sharif A, Arbabisarjou A, Balouchi A, Ahmadidarrehsima S, Kashani HH. Knowledge, attitude, and performance of nurses toward hand hygiene in hospitals. Global J Health Sci. 2016;8(8):57.
Jahangir M, Ali M, Riaz MS. Knowledge and practices of nurses regarding spread of nosocomial infection in government hospitals, Lahore. J Liaquat Uni Med Health Sci. 2017. https://doi.org/10.22442/jlumhs.171630524.
Gulilat K, Tiruneh G. Assessment of knowledge, attitude and practice of health care workers on infection prevention in Health Institution Bahir Dar City Administration. Sci J Public Health. 2014. https://doi.org/10.11648/j.sjph.20140205.13.
Najafi F, Jafari Motlagh Z, Dargahi A, Reshadat S, Moradi Nazar M. Knowledge, attitude and practice of nurses regarding nosocomial infections control in teaching hospitals of Kermanshah University of Medical Sciences, Iran (2015). Arch Hyg Sci. 2017;6(4):314–319.
Chand Wattal NK. Hospital infection prevention: principles & performances. New York: Springer; 2014.
Lawshe CH. A quantitative approach to content validity. Pers Psychol. 1975. https://doi.org/10.1111/j.1744-6570.1975.tb01393.x.
Polit DF, Beck CT, Owen SV. Is the CVI an acceptable indicator of content validity? Appraisal and recommendations. Res Nurs Health. 2007. https://doi.org/10.1002/nur.20199.
MunroB H. Statistical methods for health care research. 5th ed. Philadelphia: Lippincott Williams & Wilkins; 2005.
Soleimani Z, Mosadeghrad MA, Abbasabadi M, et al. Developing and psychometric testing of a questionnaire to assess the knowledge, attitude and Practice of paramedical staffs about nosocomial infections. Koomesh J Sem Univ Med Sci. 2021.
Al-Abhar N, Al-Gunaid E, Moghram G, Al-Hababi AA, Al Serouri A, Khader YS. Knowledge and performance of biosafety among laboratory staff working in Clinical Laboratories in Yemen. Appl Biosafety. 2017. https://doi.org/10.1177/1535676017733451.
Iliyasu G, Dayyab FM, Habib ZG, et al. Knowledge, and practices of infection control among healthcare workers in a Tertiary Referral Center in North-Western Nigeria. Ann Afr Med. 2016. https://doi.org/10.4103/1596-3519.161724.
Sarani H, Balouchi A, Masinaeinezhad N, Ebrahimitabas E. Knowledge, attitude, and practice of nurses about standard precautions for hospital-acquired infection in teaching hospitals affiliated to Zabol University of Medical Sciences (2014). Glob J Health Sci. 2015. https://doi.org/10.5539/gjhs.v8n3p193.
Sha A. Knowledge attitude and practice towards infection control measures amongst healthcare workers in a medical teaching hospital of Calicut District, Kerala, India. Antimicrob Resist Infect Control. 2015. https://doi.org/10.1186/2047-2994-4-S1-P270.
Timilshina N, Ansari MA, Dayal V. Risk of infection among primary health workers in the Western Development Region, Nepal: knowledge and compliance. J Infect Dev Ctries. 2011. https://doi.org/10.3855/jidc.782.
Fashafsheh I, Ayed A, Eqtait F. Knowledge and performance of nursing staff towards infect control measures in the Palestinian Hospitals. J Educ Perform. 2015;36:21–30.
Hussen SH, Estifanos WM, Melese ES, Moga FE. Knowledge, attitude, and performance of infection prevention measures among health care workers in Wolaitta Sodo Otona Teaching and Referral Hospital. J Nurs Care. 2017. https://doi.org/10.4172/2167-1168.1000416.
Mukwato K, Ngoma C, Maimbolwa M. Compliance with infection prevention guidelines by health care workers at Ronald Ross General Hospital Mufulira District. Med J Zambia. 2009;35:110-6.22.
Yazie TD, Sharew GB, Abebe W. Knowledge, attitude, and practice of healthcare professionals regarding infection prevention at Gondar University referral hospital, northwest Ethiopia: a cross-sectional study. 2019. https://doi.org/10.1186/s13104-019-4605-5.
Teshager FA, Engeda EH, Worku WZ. Knowledge, practice, and associated factors towards prevention of surgical site infection among nurses working in Amhara Regional State Referral Hospitals, Northwest Ethiopia. Surg Res Pract. 2015. https://doi.org/10.1155/2015/736175.
Acknowledgements
Research reported in this publication was supported by Elite Researcher Grant Committee under award number 971394 from the National Institute for Medical Research Development (NIMAD), Tehran, Iran.
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Soleimani, Z., Mosadeghrad, A.M., AbbasabadiArab, M. et al. Paramedical staff’s knowledge, attitude, and performance about nosocomial infection controls at hospitals: A cross-sectional survey in Iran. J Environ Health Sci Engineer 19, 1447–1455 (2021). https://doi.org/10.1007/s40201-021-00699-6
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DOI: https://doi.org/10.1007/s40201-021-00699-6