Knowledge and practice of infection control of doctors in different medical specialities of a tertiary hospital in South‑South Nigeria

Main Article Content

Adjugah Joshua Uvieroghene
Ordinioha Best

Abstract

Background: Hospitals in Nigeria are increasingly becoming epicentres of epidemic diseases in addition to the usual nosocomial infections. Infection control measures have been identified as capable of preventing these hospital-acquired infections, but studies indicate that the knowledge of the measures, even among doctors are poor, and practice of them is even poorer, due to a multiplicity of factors. This study examined possible differences in the knowledge and practice of the infection control measures among doctors in
four different medical specialities at the University of Port Harcourt Teaching Hospital, south-south Nigeria.


Methods: A cross-sectional study design was used, with data collected using a structured questionnaire and observational checklist. The questionnaire was administered to the doctors in the clinical departments, while the checklist was used to assess the compliance of the doctors and their practice environment to the infection control guidelines.


Results: The respondents had a mean age of 36.03 ± 6.81 years and 74.00% of them had a working experience of five or more years. Most of the respondents were resident doctors. The respondents had very good knowledge of the infection control measures, with a mean knowledge score of 9.19 ± 0.946. There is a statistically significant difference in the knowledge score of the different cadres of respondents(P = 0.0001), but not among those in the different clinical departments (P = 0.208). The practice of the infection control
measures was poor among 92.5% of the respondents, with a mean practice score of 7.48 ± 2.599 especially among the junior doctors (P = 0.0001) and doctors with less working experience (P = 0.0001).


Conclusion: The knowledge of infection control measures among the respondents is high; however, the practice is very poor. Efforts are therefore needed to encourage practice, to help reduce the incidence of hospital-acquired infections.

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How to Cite
Knowledge and practice of infection control of doctors in different medical specialities of a tertiary hospital in South‑South Nigeria. (2018). Port Harcourt Medical Journal, 12(1), 10-17. https://doi.org/10.60787/phmj.v12i1.120
Section
Original Articles
Author Biography

Ordinioha Best, Community Medicine, University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria



References

1. WHO Media Center. Nigeria is Now Free of Ebola Virus Transmission. Available from: http://www.who.int. [Last accessed on 2016 Oct 31].

2. Adewuyi GM, Fowotade A, Adewuyi BT. Lassa fever: Another infectious menace. Afr J Clin Exp Microbiol 2009;10:144‑55.

3. WHO. Lassa Fever – Nigeria. Available from: http://www.who.int/csr/don/27‑may‑2016‑lassa‑fever‑nigeria/en/. [Last accessed on 2016 Oct 30].

4. World Health Organization. Aide Memoire for a Strategy to Protect Health Workers from Infection with Blood Borne Viruses. Geneva: World Health Organization, 2003.

5. Sanou J, Traore SS, Lankoande J, Ouedraogo RM, Sanou A. Survey of nosocomial infection prevalence in the surgery department of the central national hospital of Ouagadougou. Dakar Med 1999;44:105‑8.

6. Inan D, Saba R, Gunseren F, Ongut G, Turhan O, Yalcin AN, et al. Daily antibiotic cost of nosocomial infections in a Turkish university hospital. BMC Infect Dis 2005;5:5.

7. Coello R, Glenister H, Fereres J, Bartlett C, Leigh D, Sedgwick J, et al. The cost of infection in surgical patients: A case‑control study. J Hosp

Infect 1993;25:239‑50.

8. Taye M. Wound infection in Tikur Anbessa hospital, surgical department. Ethiop Med J 2005;43:167‑74.

9. World Health Organization. Practical Guidelines for Infection Control in Healthcare Facilities. Geneva: World Health Organization, 2004.

10. World Health Organization. Guidelines on Prevention and Control of Hospital‑ Associated Infections. Geneva: World Health Organization, 2002.

11. World Health Organization. Prevention of Hospital‑Acquired Infections: A Practical Guide. 2nd ed. Geneva: World Health Organization, 2002.

12. Centers for Disease Control (CDC). Recommendations for prevention of HIV transmission in health‑care settings. MMWR Suppl 1987; 36: 1S‑18S.

13. Garner JS. Guideline for isolation precautions in hospitals. The hospital infection control practices advisory committee. Infect Control Hosp

Epidemiol 1996;17:53‑80.

14. Bennett JV, Brachman PS. Hospital Infection. 4th ed. Philadelphia: Lippincott Williams and Wilkins, 1997.

15. CDC. Guide to Infection Prevention for Outpatient Setting: Minimum Expectations for Safe Care. Available from: http://www.cdc.gov/

HAI/pdfs/guidelines/standatds‑of‑ambulatory‑care‑7‑2011.pdf. [Last accessed on 2015 Dec 09].

16. Ogoina D, Pondei K, Adetunji B, Chima G, Isichei C, Gidado S, et al. Knowledge, attitude and practice of standard precautions of infection

control by hospital workers in two tertiary hospitals in Nigeria. J Infect Prev 2015;16:16‑22.

17. Brisibe SF, Ordinioha B, Gbeneolol PK. The effect of hospital infection control policy on the prevalence of surgical site infection in a tertiary

hospital in South‑South Nigeria. Niger Med J 2015;56:194‑8.

18. Brisibe SF, Ordinioha B, Gbenolol PK. Knowledge, attitude and compliance of health workers to the infection control policy of a tertiary hospital in South‑South Nigeria. Niger J Clin Pract 2014;17:691‑5.

19. Adinma ED, Ezeama C, Adinma JI, Asuzu MC. Knowledge and practice of universal precautions against blood borne pathogens amongst house officers and nurses in tertiary health institutions in Southeast Nigeria. Niger J Clin Pract 2009;12:398‑402.

20. Amoran O, Onwube O. Infection control and practice of standard precautions among healthcare workers in Northern Nigeria. J Glob Infect Dis 2013;5:156‑63.

21. Omiepirisa YB. Universal precautions: A review. Niger Health J 2012;12:68‑74.

22. Okafor CI, Onwusulu DN, Okafor CO, Ihekwaba EC, Chineke HN. Prevalance of and attitude towards needle stick injuries among medical practitioners in Nnewi, South Eastern Nigeria. Trop J Med 2009;12:26‑9.

23. USAID/SIAPS. Infection Control Assessment Tool for Primary Health Care Facilities. Available from: http://www.siapsprogram.org. [Last

accessed on 2015 Dec 03].

24. Abubakar S. Implementation of infection control programme in Kano, Northern Nigeria. Int J Infect Control 2007;3. [DOI: 3396/03‑01‑06‑007].

25. Kermode M, Jolley D, Langkham B, Thomas MS, Holmes W, Gifford SM, et al. Compliance with universal/Standard precautions among health care workers in rural North India. Am J Infect Control 2005;33:27‑33.

26. Luo Y, He GP, Zhou JW, Luo Y. Factors impacting compliance with standard precautions in nursing, China. Int J Infect Dis 2010;14:e1106‑14.

27. Azodo CC, Umeh A, Ehizele AO. Nigerian patients’ perception of infection control measures in dentistry. Int J Biomed Health Sci 2010;6:173‑9.

28. Yassi A, Lockhart K, Copes R, Kerr M, Corbiere M, Bryce E, et al. Determinants of healthcare workers’ compliance with infection control

procedures. Healthc Q 2007;10:44‑52.

29. Gogia H, DasJK. Awareness and practice of infection control amongst doctors and nurses in two ICUs of a tertiary care hospital in Delhi.

Health Popul Perspect Issues 2013;36:1‑11.

30. Unachukwu CN, Agomuoh DI, Alasia DD. Pattern of non‑communicable diseases among medical admissions in Port Harcourt, Nigeria. Niger J Clin Pract 2008;11:14‑7.

31. Ekwere TA, Okafor IP. Hand hygiene knowledge and practices among healthcare providers in a tertiary hospital, South West, Nigeria. Int J

Infect Control 2013;9:1‑10.

32. Alex‑Hart BA, Opara PI. Hand washing practices among health workers in a teaching hospital. Am J Infect Dis 2011;7:8‑15.

33. Punia S, Nair S, Shetty RS. Healthcare Workers and Standard Precaution: Perceptions and Determinants of Compliance in the Emergency and Trauma Triage of a Tertiary Care Hospital in South India. 2014 International Scholarly Research Notices; 2014.