南非夸祖鲁-纳塔尔省一家私立医院手术室心血管灌注师感染控制知识及依从性评估

E. Naidoo, Francis Akpa-Inyang, M. Odayan, J. Adam
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摘要

在医院获得性感染(HAI)通常被称为院内感染,与住院患者发病率和死亡率增加有关,并且易受卫生工作者(HCWs)感染的风险增加。因此,维持有效的感染预防和控制规划对高质量的卫生保健至关重要。本研究旨在评估德班市夸祖鲁-纳塔尔省(KZN)一家私人医疗机构手术室心血管灌注师感染控制实践的知识和依从性。我们进行了一项定性研究,基于深度访谈的12名心血管灌注师(CP),他们是有目的地从私营部门选择的。访谈持续20 - 25分钟,并进行转录,然后使用NVivo进行专题分析。该研究发现,需要专门从事心血管灌注的临床技术人员在高等教育和培训水平上接受感染控制和预防实践方面的培训。随后,该研究表明,心血管灌注师对病原体及其含义有很好的全面了解。该研究还指出,无论感染控制和预防政策方面的知识如何,手术室都相当遵守感染控制措施。我们的结论是,尽管许多人认为由于专业偏见,感染控制政策的应用存在不公平,但总体上对感染控制实践有很好的认识和理解。
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Assessing Infection Control Knowledge and Compliance of Cardiovascular Perfusionists in Theatre at a Private Hospital in Kwazulu-Natal, South Africa
Infections acquired in a hospital (HAI) often referred to as nosocomial infections are related with increasing morbidity and death among patients that are hospitalised and are predisposed to an elevated risk of infection by health workers (HCWs). The need to maintain an effective infection prevention and control program is therefore essential for quality health care. This study sought to assess the knowledge and compliance of infection control practices of Cardiovascular Perfusionists in theatre at a private healthcare facility in KwaZulu-Natal (KZN) in the city of Durban. We conducted a qualitative study based on in-depth interviews with 12 Cardiovascular Perfusionists (CP) who were purposively selected from private sector. The interviews lasted between 20 to 25 minutes and were transcribed, and then thematic analysis were applied using NVivo. The study found that there is a need for Clinical Technologist specialising in Cardiovascular Perfusion to undergo training in infection control and prevention practices at the higher education and training level. Subsequently, the study reveals that Cardiovascular Perfusionists have a good overall understanding of pathogens and the implications thereof. The study also notes that there is considerable compliance to infection control practices in theatre irrespective of the knowledge pertaining to infection control and prevention policies. We concluded that there is an overall good knowledge and understanding regarding infection control practices, although many felt that there exists an inequitable application of infection control policies due to professional biases.
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