Díaz-Peña R, Irissont-Durán JA, Barrera LJC

Language: Spanish
References: 16
Page: 567-575
PDF size: 81.32 Kb.

ABSTRACT

Objective: To assess the level of knowledge of and capability for application of isolation precautions. Materials and Methods: A cross-sectional study was conducted at a tertiary-level pediatric hospital, and a questionnaire including structured questions and clinical scenarios was applied to healthcare personnel. Descriptive and inferential statistics were performed with the chisquared test and odds ratios were obtained. Results: A total of 131 healthcare workers participated in the study, including 34 (26%) attending physicians, 47 (36%) medical residents, 48 (37%) nurses, and 2 (1%) physicians who were heads of the department. According to our definition, 99 (75%) had poor, 22 (17%) had fair, and 10 (8%), good knowledge. With regard to the capability for application of isolation precautions, 66 (51%), 33 (25%), and 32 (24%) possessed poor, fair, and good levels, respectively. Association with poor knowledge was exhibited as follows: physicians, OR: 0.17 (0.005-0.54), p = 0.001; undergraduate degree in medicine, OR: 0.37 (0.16-0.83), p = 0.01; seniority ‹ 5 years, OR: 0.35 (0.14-0.86), p = 0.019, and training during previous year, OR: 0.09 (0.03-0.24), p = 0.005, while association with poor capability was the following; physician, OR: 0.25 (0.12-0.55), p = 0.005; undergraduate degree in medicine, OR: 0.38 (0.18-0.80), p = 0.009; seniority ‹ 5 years, OR: 0.90 (0.45-1.81),p = 0.78, and training during previous year, OR: 0.23 (0.10-0.51), p = 0.005. Conclusions: Being a physician, having an undergraduate degree in medicine, ‹ 5 years working at the hospital, and having received training in the previous year were positively associated with knowledge and application of isolation precautions.

REFERENCES

1. Lobdell K, Stamou S, Sánchez J. Hospital Acquired Infections. Surg Clin N Am. 2012;92:65-77.

2. De las Cuevas Terán I. Infecciones nosocomiales. Reunión de primavera de la SCCALP Mesa redonda: Patología infecciosa. Problemas actuales. Bol Pediatr. 2009;49:162-6.

3. Farley J, Doughman D, Jeeva R, et al. Department of health and human services releases new immersive simulation experience to improve infection control knowledge and practices among health care workers and students. Am J Infect Control. 2012;40:258-9.

4. Frías Salcedo J, Ruiz Cruz M, Hernández Díaz S, et al. Encuesta de conocimientos, actitudes y prácticas sobre infecciones nosocomiales, VIH/SIDA y precauciones estándar del personal del Hospital Central Militar. Enf Inf Microbiol. 2011;31(4):131-6.

5. Anaya Flores V, Conde Cazares N, Castillo García L, et al. Conocimiento del personal de enfermería sobre infecciones nosocomiales, prevención y práctica de medidas de seguridad e higiene. Rev Enferm Inst Mex Seguro Soc. 2009;17(3):133-8.

6. Instituto Mexicano del Seguro Social. Procedimiento para realizar la vigilancia epidemiológica de infecciones nosocomiales en las unidades médicas de tercer nivel de atención, Estados Unidos Mexicanos, Diciembre 2009. Viniegra Osorio, A: Jefe de la División de Excelencia Clínica. Dirección de prestaciones médicas, 2009.

7. Instituto Mexicano del Seguro Social. Políticas y lineamientos para el aislamiento de los pacientes con enfermedades infectocontagiosas y de los pacientes inmunodeprimidos para el control de infecciones relacionadas con la atención médica en la UMAE Hospital de Pediatría CMNO, Enero 2012. Díaz Peña R: Jefe de Infectología Pediátrica; Ortega Franco C: Jefe de División de Epidemiología. Dirección de prestaciones médicas, Unidad de atención médica, 2012.

8. Centers for Disease Control and Prevention. Guideline for infection control in health care personnel, United States, 1998. Bolyard Elizabeth A, et al.: Hospital Infection Control Practices Advisory Commitee, 1998.

9. Centers for Disease Control and Prevention. Management of multidrug- resistant organisms in healthcare settings, United States, 2006. Siegel J, Rhinehart E, Jackson M, Chiarello L: the Health Infection Control Practices Advisory Committee, 2006.

10. Centers for Disease Control and Prevention. Guideline for isolation precautions: Preventing transmission of infectious agents in healthcare settings, United States, 2007. Siegel J, Rhinehart E, Jackson M, Chiarello L: the Health Infection Control Practices Advisory Committee, 2007.

11. Askarian M, Mirzaei K, Mundy L, et al. Assessment of knowledge, attitudes, and practices regarding isolations precautions among Iranian healthcare workers. Infect Control Hosp Epidemiol. 2005;26(1):105-8.

12. Kermode M, Jolley D, Langkham B, et al. Compliance with universal/ standard precautions among health care workers in rural north India. Am J Infect Control. 2005;33(1):27-33.

13. Sax H, Perneger T, Hugonnet S, et al. Knowledge of standard and isolation precautions in a large teaching hospital. Infect Control Hosp Epidemiol. 2005;26(3):298-304.

14. Secretaría de Salud. Norma Oficial Mexicana NOM-045-SSA2-2005, Para la vigilancia epidemiológica, prevención y control de las infecciones nosocomiales, Estados Unidos Mexicanos, Junio 2009. Secretaría de Salud, 2009.

15. Parmeggiani C, Abbate R, Marinelli P, et al. Healthcare workers and health care-associated infections: knowledge, attitudes, and behavior in emergency departments in Italy. BMC Infect Dis. 2010;10(35):1-9.

16. Vaz K, McGrowder D, Alexander-Lindo R, et al. Knowledge, awareness and compliance with universal precautions among health care workers at the University Hospital of the West Indies, Jamaica. Int J Occup Environ Med. 2010;1(4):171-81.