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Author Notes:

Corresponding Author: Admasu Tenna, MD, Addis Ababa University School of Medicine, Division of Infectious Diseases, Addis Ababa, Ethiopia, Phone: +251911614496, Email: kadmasen@gmail.com

Alternative Corresponding Author: Russell R Kempker, MD, MSc, Department of Medicine, Division of Infectious Diseases, Emory University School of Medicine, Atlanta, GA, USA, Email: rkempke@emory.edu

All authors report no conflicts of interest relevant to this article. All authors submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest, and the conflicts that the editors consider relevant to this article are disclosed here.

Subjects:

Research Funding:

This study was supported in part by the Emory Global Health Institute.

Keywords:

  • Science & Technology
  • Life Sciences & Biomedicine
  • Public, Environmental & Occupational Health
  • Infectious Diseases
  • INFECTIOUS DISEASES
  • PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH, SCI
  • LATENT TUBERCULOSIS INFECTION
  • NOSOCOMIAL TRANSMISSION
  • SOUTH-AFRICA
  • HAND RUB
  • DISINFECTION
  • FORMULATIONS
  • PREVENTION
  • STAFF

Infection Control Knowledge, Attitudes, and Practices among Healthcare Workers in Addis Ababa, Ethiopia

Tools:

Journal Title:

Infection Control and Hospital Epidemiology

Volume:

Volume 34, Number 12

Publisher:

, Pages 1289-1296

Type of Work:

Article | Final Publisher PDF

Abstract:

Objective. To better understand hospital infection control practices in Ethiopia. Design. A cross-sectional evaluation of healthcare worker (HCW)knowledge, attitudes, and practices about hand hygiene and tuberculosis (TB) infection control measures. Methods. An anonymous 76-item questionnaire was administered to HCWs at 2 university hospitals in Addis Ababa, Ethiopia. Knowledge items were scored as correct/incorrect. Attitude and practice items were assessed using a Likert scale. Results. In total, 261 surveys were completed by physicians (51%) and nurses (49%). Fifty-one percent of respondents were male; mean age was 30 years. While hand hygiene knowledge was fair, self-reported practice was suboptimal. Physicians reported performing hand hygiene 7% and 48% before and after patient contact, respectively. Barriers for performing hand hygiene included lack of hand hygiene agents (77%), sinks (30%), and proper training (50%) as well as irritation and dryness (67%) caused by hand sanitizer made in accordance with the World Health Organization formulation. TB infection control knowledge was excellent (more than 90% correct). Most HCWs felt that they were at high risk for occupational acquisition of TB (71%) and that proper TB infection control can prevent nosocomial transmission (92%). Only 12% of HCWs regularly wore a mask when caring for TB patients. Only 8% of HCWs reported that masks were regularly available, and 76% cited a lack of infrastructure to isolate suspected/known TB patients. Conclusions. Training HCWs about the importance and proper practice of hand hygiene along with improving hand sanitizer options may improve patient safety. Additionally, enhanced infrastructure is needed to improve TB infection control practices and allay HCW concerns about acquiring TB in the hospital.

Copyright information:

© 2013 by The Society for Healthcare Epidemiology of America. All rights reserved.

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