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introduction / background

Healthcare-associated infections are considered a great health problem that complicates healthcare services. They cause serious morbidity and mortality among both health care workers and hospitalized patients. Therefore, Infection control is a highly required quality standard, which is essential for the safety and wellbeing of the patients and health care staff. It has been reported that appropriate education and training programs in the early training time are imperative in enhancing knowledge and practices towards infection control measures with reinforcement of the principles of standard precautions. Infection prevention and control training courses and programs basically aim to provide HCWs with solid foundation in evidence-based theories and practices of infection prevention and control principles for promoting patient safety and reducing biological risk associated with patient attendance or admission to health care facility. And this was the motive behind the initiation of this study.

Objectives

To assess the knowledge and practices of medical interns in Tanta University Hospitals towards infection control measures after implementation of a proposed infection control training course.

Materials & Methods

The Quasi-experimental study included 268 medical interns who were getting internship at Tanta University Hospitals during the study period. Knowledge and practices regarding infection control measures were assessed using predesigned questionnaire sheet. A systematic random sample from the studied participants (48) was taken to assess their practices using an observational checklist before and after intervention of infection control training course. The course was conducted through lectures, posters, videos and practical training (case scenarios, role playing, and drill). Values were expressed as mean ± standard deviation. Comparisons between two groups were carried out using paired T-test and Monte Carlo test.

Results

A statistically significant effect of training course on total score of knowledge and practices was found among studied participants as there was significant increase in percentage of good knowledge and good practices from 39.9% to 81% and from 0% to 43.8% respectively.(p= 0.0001) Comparing the mean of knowledge scores (general information, hand hygiene, personal protective equipment, needle stick injury prevention and post-exposure prophylaxis, health care waste types and management, and transmission-based precautions and asepsis) pre-intervention versus post-intervention There was significant (p≤0.05) improvement in mean scores of knowledge post-intervention and a significant (p=0.0001) increase in the mean of total score of knowledge from 65.4±13.9 before intervention to 80.2 ±13.2 after intervention Comparing between the mean of practice scores pre-intervention versus post-intervention there was significant (p≤0.05) improvement of practices in all measures and significant (p=0.0001) increase in the mean of total score of practice from 65±11.3 before intervention to 108±7.9 after intervention

Conculsion

Baseline levels of knowledge regarding all infection control measures were fair to good, but baseline practices levels were poor. Implementation of the infection control training course was effective in improving the knowledge levels regarding all infection control measures and increased compliance to all infection control practices from poor to good.

References

Haque M, Sartelli M, McKimm J, Abu Bakar M. Health care-associated infections-an overview. Infection and Drug Resistance. 2018;11:2321-33 Goyal M, Chaudhry D.Impact of Educational and Training Programs on Knowledge of Healthcare Students Regarding Nosocomial Infections, Standard Precautions and Hand Hygiene:A Study at Tertiary Care Hospital.Indian Journal of Critical Care Medicine.2019;23(5):227-31

acknowledgement / Contact

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