Abstract
The background and objective of this study are to assess the awareness, attitude, and practice on sterilization among health-care staffs of a tertiary hospital in Bangladesh. This cross-sectional study was done in a renowned hospital in Dhaka city, from July 03, 2020, to August 05, 2020. A stratified random sample survey was done. The total sample size was 73 health care staff, including the OT nursing staff, OT technicians, and CSSD (Central Sterile Supply Department) laboratory technicians, who were involved in sterilization and disinfection procedure. A questionnaire with both and open-ended questions was given among the respondents including socio-demographic close-ended variables, such as sex, age, working experience, job nature of the participants, and details regarding the ethical approach to attitude, awareness as well as the practice of sterilization and disinfection and its proper management, methods, and the knowledge regarding management of biomedical wastes. 79.5% of health care staff were aware of managing biomedical waste but 20.5% were not aware of it. Only 61.6% of healthcare staff wear PPE properly but 38.4% didn’t agree. The number of health care staff (20.5%) had not taken any vaccine against the Hepatitis B virus. 86.3% of healthcare staff had a positive attitude on biomedical waste management. 91.8% of staff had a positive attitude to a vaccination before performing disinfection and sterilization procedure. 82.2% positive attitudes were detected in wearing PPE before sterilization & disinfection procedure according to this study. This type of research also should be conducted in all government hospitals, medical college hospitals as well as all private hospitals to assess the current scenario & recommend for rectification where necessary.
Highlights
Infection Control is a vital portion of patient safety (RCDSO, 2012)
Disinfection is chemical or thermal destruction or killing pathogenic microorganisms which is less lethal compared to sterile processing because this process kills most commonly known microorganisms which are mainly pathogenic but not capable to kill all different forms of microbes such as spores of bacteria (Damani, 2003)
Germs or pathogenic microorganisms need to be destroyed properly to minimize infection spreading for both health care staffs and the patients in the hospital
Summary
World Health Organization (WHO) showed in survey that8.7% patients of hospital on an average had healthcare associated infections. In modern medical care, sterilizing equipment is an important element since the patients who are come mainly in connection with syringes, gauges, surgical instruments and bandages, etc in all time. Germs or pathogenic microorganisms need to be destroyed properly to minimize infection spreading for both health care staffs and the patients in the hospital. HAIs can be caused due to equipment which is contaminated, improper sterilezation of instruments used for surgery or inappropriate staff hygiene. Some advantages of sterilizing and disinfecting surgical equipment are: It removes all biological soils such as blood, pus, foreign particles etc which could cause serious harms to the patient requiring operation where health care staffs use the instrument
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