Abstract
BackgroundGlobally, health care-associated infections had become serious public health importance. Compliance with standard safety precaution is effective and inexpensive measure to improve quality of healthcare in reducing occurrence of healthcare associated infections. In developing countries, like Ethiopia adherence to recommended standard safety precaution is scanty.ObjectiveTo assess level of compliance with standard safety precaution and associated factors among healthcare workers in Hawassa comprehensive specialized hospital Southern Ethiopia.MethodsAn institutional based cross-sectional study was conducted at Hawassa comprehensive specialized hospital. Data were collected by using self-administered questionnaire. Study participants were allocated proportionally based on their profession by using stratified random sampling method. Data were entered and analyzed by using SPSS version 20.0. Bi-variable analysis and multi variable logistic regression model were used to check which variables were associated with dependent variable. P-values ≤ 0.05 were considered statistically significant. In this study the overall compliance with standard safety precaution among healthcare workers were only 56.5%. Being female healthcare worker AOR: 2.76(1.34, 5.54), married healthcare workers AOR: 4.2(2, 9.03), accessibility of safety box AOR: 3.4(1.6, 7.17), HCWs had perceived IP training AOR: 3.99(1.46, 10.9), availability of tape water AOR: 2.68(1.15, 6.2) and healthcare workers had internal infection prevention and control supportive supervision AOR: 5.8(2.54, 13.48) associated with compliance with standard safety precaution.ConclusionAccording to findings of the current study, overall level of compliance with standard SP among HCWs considered to be very low. Factors such as healthcare workers being female, accessibility of safety box, availability of running tape water, training and supportive supervision were independent predictors of compliance with standard safety precaution. Thus ensuring availability and accessibility of safety precaution materials and regular observing and supervising healthcare workers’ practices are highly recommended.
Highlights
Health care-associated infections (HCAIs) are those infections that patients acquire while receiving health care
As the European Center for Disease Prevention and Control (CDC) reports showed that prevalence of HCAIs ranges between 4.6%-9.3% in European countries and the center reported that five million patients develop infections as result of healthcare in Europe; contributing for 135,000 deaths per year
The present study found out significant association in the compliance of among health care workers (HCWs) who had perceived training on standard safety precautions 3.99 times more likely compliance with standard standard precautions (SPs) when compared with HCWs that did perceived training on standard SP
Summary
Health care-associated infections (HCAIs) are those infections that patients acquire while receiving health care. In order to improve compliance with standard precautions (SPs) among HCWs; In Ethiopia different strategic intervention have been performing till [5, 6] in most of the hospitals of Ethiopia there are guidelines, policies and laws of infection prevention practices and control, such as hand hygiene, personal protective equipments (PPEs), disinfection and sterilization, injection safety and proper waste management. Those all constituents of standard SPs are challenged by accessibility and availability of infrastructures, under staffing, shortage of basic PPEs, workload, inadequate structural organization and lack of awareness and on infection prevention practices and control guidelines [15]. Like Ethiopia adherence to recommended standard safety precaution is scanty.
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