Knowledge of isolation precautions among the healthcare workers in the emergency department of a university hospital

Ahmet Sertçelik, Volkan Arslan, Eda Karadogan, Hanife Uzar, Banu Cakir, Gokhan Metan
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Abstract

Objectives: Prevention and control of healthcare-associated infections are important for patients and personal safety and for fighting against antimicrobial resistance. In order to achieve the goal of zero infection, it is necessary to know and apply standard and transmission-based precautions. The aim of this study was to evaluate the knowledge of healthcare professionals working in the Adult Emergency Department of university hospital about isolation precautions. Methods: A cross-sectional study was conducted in the Emergency Department of Hacettepe University Hospital between May 16, 2023 to June 23, 2023. Data were collected electronically with a standardized data collection form specially prepared for this study to examine the knowledge about isolation precautions. Each correct answer was calculated as one point. Participants could receive a score between a minimum of 0 and a maximum of 20. Results: The 90 healthcare workers who agreed to participate in the study had a median age of 24 years and 40% were male. The median knowledge score was 13 (IQR = 4). The knowledge score of two pregnant healthcare workers was significantly higher than non-pregnant ones (p=0.04). 93.3% of the participants stated that they received education for isolation precautions. There was no significant difference in knowledge scores between those who received education and those who did not (p=0.02). Knowledge of isolation precautions to be followed in clinical scenarios (1.1% - 54.4%) and personal protective equipment to be used correctly (3.3% - 21.1%) was low. Conclusion: The knowledge of healthcare professionals working in the Adult Emergency Department of university hospital about isolation precautions is at a moderate level. Periodical education programs on clinical scenarios is important regarding raising awareness.
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某大学医院急诊科医护人员隔离预防知识的调查
目标:预防和控制卫生保健相关感染对患者和个人安全以及抗击抗菌素耐药性非常重要。为了实现零感染的目标,有必要了解和应用标准和基于传播的预防措施。本研究的目的是评估大学医院成人急诊科医护人员的隔离预防知识。方法:于2023年5月16日至2023年6月23日在Hacettepe大学医院急诊科进行横断面研究。数据以电子方式收集,使用专门为本研究准备的标准化数据收集表,以检查有关隔离预防措施的知识。每个正确答案计算为一分。参与者的得分最低为0分,最高为20分。结果:同意参加研究的90名医护人员的中位年龄为24岁,其中40%为男性。知识得分中位数为13分(IQR = 4),两名怀孕医护人员的知识得分显著高于未怀孕医护人员(p=0.04)。93.3%的参与者表示他们接受过隔离预防教育。接受教育组与未接受教育组的知识得分差异无统计学意义(p=0.02)。对临床场景中应遵循的隔离预防措施(1.1% - 54.4%)和正确使用个人防护装备(3.3% - 21.1%)的了解程度较低。结论:高校医院成人急诊科医护人员的隔离防范知识处于中等水平。关于临床情况的定期教育计划对于提高认识很重要。
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