Knowledge Of Nosocomial Infections Research Articles

Effect of nursing intervention in nosocomial infection control in direct rooming-in management

Objective To study the causes and related factors of nosocomial infection after direct rooming-in management and explore the measurements to decrease incidence rate. Methods The data information was monitored and analyzed retrospectively on basic nursing, patients behavior intervention, ward air disinfection, respiratory tract nursing, hand sanitary control of medical care personnel in neonates and moms with direct rooming-in management from January 2006 to December 2009 in the hospital. Results The incidence of nosocomial infection after direct rooming-in management was 0.47%. Infected part was mainly the lower respiratory tract infection (38.1%).Conclusion Strengthening maternity nosocomial infection knowledge of nursing staff training, strengthen early maternal and accompanied protect personnel to implement the hospital infection related knowledge of mission, strengthen the work of maternal and infant direct rooming-in management, strengthening basic nursing, pay attention to hand hygiene, on the prevention and control of maternaldirect rooming-in management nosocomial infection all play the very important role. It suggested that strengthening the disinfection and isolation management for hospital ward and basic nursing measurements could play a very important role in prevention and control to nosocomial infection induced by infant & mom rooming-in. Key words: Infant & Mom rooming-in; Neonatal; Nosocomial infection; Nursing intervention; Effect

Investigation and analysis on the nursing staff's cognition degree of nosocomial infection in stomatology department

Objective To investigate the nursing staff's cognition degree of the nosocomial infection and to propose management countermeasures.Methods A self-designed Nosocomial Infection knowledge Questionnaire'was used to investigate the existing problems in management of nosocomial infection.12 stomatology departments of hospitals and dental clinics were monitored in Huangshi city by using cluster sampling.Results A total of investigation items were 12,among them there were 4 items of good,1 item general and 7 items bad.Conclusions The knowledge training of nosocomial infections for nursing staff need to be strengthened and the management of nosocomial infections should be reinforced. Key words: Stomatology department; Nosocomial infections; Nursing management

Nosocomial infections: knowledge and source of information among clinical health care students in Ghana

Background:This study determined and compared the knowledge of nosocomial infections among clinical health care students at the College of Health Sciences, University of Ghana.Methods:Two hundred undergraduate health care students from four academic programs participated in the study. The study sample was drawn from each academic program by a simple random sampling technique using the class directory from each course. The Infection Control Standardized Questionnaire (ICSQ) was used to assess the knowledge of students about three main domains, ie, hand hygiene, nosocomial infections, and standard precautions. A maximum score of 50 was obtainable, and respondents with scores ≥70% were classified as having a satisfactory knowledge. The response on each item was coded numerically to generate data for statistical analysis. Comparison of knowledge on the domains among categories of students was assessed using the Kruskal–Wallis test, while associations between courses of study and knowledge about nosocomial infections were determined using the Chi-square test. All statistical tests had a significant level of 5% (P < 0.05)Results:Overall mean percentage score of the participants on ICSQ was 65.4 ± 2.58, with medical, physiotherapy, radiography, and nursing students recording mean percentage scores of 70.58 ± 0.62, 65.02 ± 2.00, 64.74 ± 1.19, and 61.31 ± 2.35, respectively. The main source of information about the prevention of nosocomial infections as cited by participants was their routine formal training in class. There was no significant association (P > 0.05) between course of study and knowledge of students about preventive measures for nosocomial infections.Conclusion:The students sampled demonstrated moderate knowledge of nosocomial infections and this was acquired largely through formal classroom training. These findings underscore the need for more emphasis on education about this important source of infection in the clinical training curriculum.

A KAP survey toward occupational nosocomial infection of nursing staff work in infectious department of general hospital

Objective To know and compare about the knowledge, attitude, behavior and prac.tice toward occupational nosocomial infection of nursing staff work in Department of Infectious Diseases and Internal Medicine, put forward corresponding strategies aiming at existed problems. Methods A self-designed questionnaire was surveyed on 120 nurses in Department of Infectious Diseases and Internal Medicine. Results There was significant difference in the two groups of nurses in the results of two pairs of semi - HBV ( P = 0. 03 ) . The total score of knowledge of nosocomial infection of infectious group was 28. 32± 1.07, medical group was 27. 80 ± 1.3, P = 0. 02; Medical group 'score of attitude was higher than that of infectious group. Conclusions The infectious group is better in the results of two pairs of semi -HBV, knowledge of nosocomial infection. To heighten awareness of occupational protection, change the bad behavior ensure occupational safety and nursing staff, the manager of hospital must meet the professional knowledge and training needs of them. Key words: Nursingstaff; Occupational; Nosocomial infection; Knowledge; Attitude; Behavior

Practices and an assessment of health care workers' perceptions of compliance with infection control knowledge of nosocomial infections

The impact of nosocomial infections, including associated mortality, morbidity, and attributable cost is well documented. Infection control practices, such as handwashing and use of gloves and gowns, have proven to be effective. Because many nosocomial infections result from cross transmission, primarily via the hands of health care workers (HCWs), handwashing remains the single most important means to prevent the transmission of nosocomial pathogens. Although most HCWs are aware of the rationale for infection control practices, compliance is generally poor. HCWs have cited various reasons for noncompliance, including insufficient time, inaccessible supplies, and lack of knowledge. Little is known about the factors that motivate HCWs to comply with infection control practices. The purpose of this study was 3-fold. First, it was to assess HCWs’ perceptions of adherence to infection control practices including isolation guidelines and hand hygiene using an antiseptic soap or an alcoholbased hand sanitizer product. Additionally, we sought to measure motivational factors for compliance. Last, we sought to assess beliefs regarding the etiology and prevention of nosocomial infections.

Knowledge level of students at the Kragujevac Medical School about nosocomial infections

To investigate differences in clinical and pre-clinical medical students' knowledge of nosocomial infections (NI). Cross-sectional survey. Questionnaires was answered and returned by 352 of 453 student (77.7%). The results indicated that students knew the definition of NI (70.1% correct answers) and their reservoirs (86%). The bacteria as etiological agents was the most frequent answer (76.4%), but 30.9% students did not knew at least one multidrug-resistant bacteria. About one half of the students (54.4%) knew that contact was the most frequent mode of NI transmission, but hand washing as preventive measure was cited by only 18.8% of students. Significantly statistical differences about NI in our country, etiology NI and preventive measures, and perception of risk for transmission of hepatitis B for health-care personnel were founded by year of training, by expectation that final-year medical students as more successfully, while pre-clinical students knew more about mode of NI transmission. Pre-clinical students who had previously finished nursing school knew more about multidrug-resistant bacteria than those who had finished some other secondary school, but showed a lower knowledge about definition and most important preventive measures of NI. Clinical students who had previously finished nursing school knew more about frequency NI in our country, reservoirs and preventive measures of NI than those who had finished some other secondary school. Data support the need for additional information about nosocomial infections, especially practical work in prevention, in order to get complete knowledge about nosocomial infections.

Nosocomial Infections Surveillance

Nosocomial infections are a major worldwide public health problem. In some countries the true magnitude of the problem may not be recognized. Nevertheless, when susceptible hospitalized individuals have contact with microbes, some will develop infections. It may be difficult for a country's health authorities to be sensitive to this situation due to the enormity of other health and social problems. But there is increasing recognition of the impact nosocomial infections have on the healthcare system, and there is increasing interest in initiating institutional infection control programs. Healthcare professionals are dedicated to do the patients no harm and, in this instance, to reduce the occurrence of nosocomial infections to the lowest possible level. Initial attempts at control and prevention included the incorporation of generic measures into patient care routines with varying degrees of success. However, the increasing demands on the scarce healthcare resources available made it necessary to be more efficient and direct in control and prevention actions. In order to improve our efforts, we recognized the usefulness and necessity to incorporate disease surveillance into our routine patient care activities. The importance of surveillance in reducing the incidence of nosocomial infections is well documented in the literature.1-3 The Institute of Medicine, in a recent report,4 called for increasing the collection of nosocomial infection surveillance data in order to increase our knowledge of nosocomial infections. In our initial surveillance enthusiasm, we incorporated comprehensive or total surveillance throughout the hospital. However, the realities of life came dramatically (and at times traumatically) into the picture and the bandwagon of surveillance was appropriately challenged.5 Surveillance may be defined as the continued collection of data appropriate to defining the problem, collation and analysis of these data, and preparation and distribution of a summary report to those with an interest in and/or a need to be informed about the problem. A logical endpoint to surveillance is formulating control and prevention measures from interpretation of the analyzed data. Without a specific action, surveillance is purely archival; that is, the data increases use of shelf space, but does not decrease the occurrence of disease.6

Survey of patients' knowledge of nosocomial infections

A survey of discharged patients revealed that 62% of respondents were aware of the risk of nosocomial infection before they received the survey. Of the respondents 12.4% said they had suffered from a nosocomial infection; 70% were concerned about their risk of acquiring a nosocomial infection in the future; 83% believed nosocomial infections were preventable; 69% said the risk of acquiring a nosocomial infection was never explained to them during hospitalization; and 62% were dissatisfied with the information that hospitals and the medical community provided concerning the risk of nosocomial infections. Fifty-seven percent were willing to pay an extra $7.14 mean per diem charge to enhance the hospital's infection control program if this payment would lower their risk of infection. This survey suggests that the subset of responding patients want to know more about the risk of nosocomial infections, and they are willing to pay for more resources to be channeled into effective infection control programs.