988. Infection Control Knowledge, Attitudes, and Practices among Healthcare Workers in Addis Ababa, Ethiopia
Session: Poster Abstract Session: Hand Hygiene 2012
Friday, October 19, 2012
Room: SDCC Poster Hall F-H
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  • Background: Hospital acquired infections (HAIs) are a major public health problem in developing countries and their prevention has been made a priority by the WHO. To better understand the barriers and help guide optimal implementation of hospital infection control practices (ICPs) in Ethiopia, we sought to gather baseline information regarding ICPs.

    Methods: A cross-sectional baseline evaluation of healthcare worker (HCW) knowledge, attitudes and practices of tuberculosis (TB) infection control (IC) and hand hygiene (HH) was completed between January-March 2012 at two Addis Ababa University teaching hospitals in Ethiopia.  An anonymous, 76-item questionnaire was administered to HCWs (nurses and physicians).  Knowledge items were scored as correct/incorrect.  Attitude and practice items were collapsed from 5 to 3 point rating scales.  Descriptive statistics were used to assess responses. 

    Results: 272 surveys were completed by nurses (50%), physicians (49%), and other HCWs (1%). 51% were male and the mean HCW age was 30 years. A substantial portion of HCWs (26%) did not believe HH was necessary before patient contact. HH practices were variable; only 7% of HCWs reported regularly performing HH prior to patient contact while 49% reported performing HH after patient contact. Barriers to HH included lack of soap and water or sanitizer (76%) and side effects of the "home made" sanitizer available (67% reported irritation and dryness). Despite the lack of TB IC measures, TB IC knowledge was excellent among HCWs (> 90% correct). Most HCWs agreed they were at high risk of acquiring TB from patients (71%), that TB IC can prevent transmission within their hospital (92%) and TB IC is important to protect patients (95%). Only 27% of HCWs regularly wore a mask or respirator when caring for TB patients. Limited access to masks and no ability to isolate patients with or suspected of TB were the major limitations of TB IC. Half of HCWs felt UV lights may be harmful, and 11% reported a personal history of TB disease.  

    Conclusion: Training HCWs about the importance and proper practice of HH along with improving hand sanitizer options may help improve patient safety. Additionally, improved infrastructure is needed to improve TB IC and allay HCW concerns of acquiring TB in the hospital.

    Admasu T Mamuye, MD1, Edward Stenehjem, MD2, Lindsay Margoles, MD2, Ermias Kacha, MD1, Henry M Blumberg, MD2 and Russell R Kempker, MD2, (1)Addis Ababa University School of Medicine, Addis Ababa, Ethiopia, (2)Emory University School of Medicine, Atlanta, GA


    A. T. Mamuye, None

    E. Stenehjem, None

    L. Margoles, None

    E. Kacha, None

    H. M. Blumberg, None

    R. R. Kempker, None

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