Knowledge and Information Sources of Standard Precautions among Physicians in Mashhad, Iran

M. Sarbaz, Fereshte Manouchehri Monazah, Marzieh Ebrahimi, Khalil Kimiafar
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Abstract

Introduction: Health care workers are exposed to percutaneous injuries. They are at risk of infection from bloodborne pathogens during routine clinical duties. Adherence to standard precautions can protect health care workers. The purpose of this study was to assess the level of knowledge of physicians about standard precautions and the use of information resources in the field of infection control. Material and Methods: A cross-sectional survey was conducted during January and March 2015, on 308 physicians working in the five academic hospitals affiliated with Mashhad University of Medical Sciences. Demographic and additional related data were obtained by questionnaire from all participants. Data were analyzed in SPSS 16. Result: most of the participants were Specialists and female (60.7%). Specialists for some items related to standard precautions scores were over 90%; However for items related to “knowing the standard precautions, a goal of standard precautions and washing hand after taking off the gloves” scores were below 70%. There was no significant difference in knowledge of standard precautions among different medical groups (p-value=0.87). The most frequently mentioned information sources by specialists (90%) were “local instructions” but residents and interns (76%) preferred “discussion with colleagues” as the first source information in relation to standard precautions. The most Specialists had not received enough training about standard precautions (52.2%). Conclusion: There is a need for guidelines for training the standard precautions among health care workers.
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伊朗马什哈德医生标准预防措施的知识和信息来源
卫生保健工作者暴露于经皮损伤。他们在日常临床工作中有感染血源性病原体的危险。遵守标准预防措施可以保护卫生保健工作者。本研究的目的是评估医生对感染控制领域的标准预防措施的知识水平和信息资源的使用。材料与方法:2015年1月至3月对马什哈德医科大学附属五所学术医院的308名医生进行横断面调查。通过问卷调查获得所有参与者的人口统计和其他相关数据。数据用SPSS 16进行分析。结果:以专科为主,女性居多(60.7%)。专家对一些与标准预防措施相关的项目得分超过90%;而“了解标准预防措施、标准预防目标、脱手套后洗手”项得分低于70%。不同医疗组患者对标准预防措施的知晓程度差异无统计学意义(p值=0.87)。专家(90%)最常提到的信息来源是“当地指示”,但住院医生和实习生(76%)更喜欢“与同事讨论”作为与标准预防措施相关的第一信息来源。大多数专科医生没有接受足够的标准预防措施培训(52.2%)。结论:有必要制定指导方针,培训卫生保健工作者的标准预防措施。
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