Healthcare providers’ knowledge of standard precautions at the primary healthcare level in Saudi Arabia
Tarek Amin A C and Adel Al Wehedy BA Department of Family and Community Medicine, College of Medicine-Al Hassa, King Faisal University-KSA, PO Box 400, Hofuf, Saudi Arabia.
B Ministry of Health, Health Directorate-Al Hassa, Hofuf, Saudi Arabia.
C Corresponding author. Email: amin55@myway.com
Healthcare Infection 14(2) 65-72 https://doi.org/10.1071/HI09107
Published: 11 June 2009
Abstract
The aim of this study was to assess knowledge of standard precautions (SPs) and infection control by healthcare workers (HCWs) at the primary healthcare level in Al-Hassa, and to define possible correlates that influence such knowledge. All HCWs at primary healthcare centres in Al-Hassa were targeted for the survey. A self-administered questionnaire was designed and pre-tested. The data gathered covered basic knowledge of components of SPs and infection control including objectives, hand hygiene, personal protective equipment, sharps disposal, environmental sanitation and care of healthcare providers. Attitudes pertaining to implementation of SPs and training needs were also assessed. Knowledge deficits of components of SPs were demonstrated, especially those related to hand hygiene, sharps disposal, management of sharps injuries and environmental cleaning. Misconceptions were identified in the management of HCWs after exposure to patients with communicable diseases and following sharps injuries. Age of providers, speciality and previous on-the-job training did not influence the knowledge of the participants. Female gender, holding a postgraduate degree and >5 years of experience in primary healthcare were positive correlates to the knowledge score. Lack of resources and training opportunities, and excessive workload were the most frequent factors cited by HCWs for not implementing SPs during routine tasks. The level of knowledge of SPs by HCWs in primary healthcare in Al-Hassa is low. Current training and medical and nursing school curricula should therefore be revised.
[1]
[2] Whithouse JD, Sexton DJ, Kirkland KB. Infection control: past, present, and future issues. Compr Ther 1998; 24 71–6.
| PubMed | [verified May 2009].
[13] Maqbool A. Knowledge, attitude and practices among health care workers on needle-stick injuries. Ann Saudi Med 2002; 22 396–9.
| PubMed |
[14] Kermode M, Jolley D, Langham B, Thomas MS, Holmes W, Gifford SM. Compliance with universal/standard precautions among health care workers in rural north India. Am J Infect Control 2005; 33 27–33.
| Crossref | GoogleScholarGoogle Scholar | PubMed |
[15] Ghabrah TM, Madani TA, AlBarrak AM. Assessment of infection control knowledge, attitude and practice among health workers during the Hajj period of the Islamic year 1423 (2003). Scand J Infect Dis 2007; 39 1018–24.
| Crossref | GoogleScholarGoogle Scholar | PubMed |
[16] Krishnan P, Dick F, Murphy E. The impact of educational interventions on primary health care workers’ knowledge of occupational exposure to blood or body fluids. Occup Med 2006; 2 6–9.
[17] Janjua N, Razaq M, Chandir S, Rozi S, Mahmood B. Poor knowledge – predictor of non-adherence to universal precautions for blood borne pathogens at first level care facilities in Pakistan. BMC Infect Dis 2007; 7 81–7.
| Crossref | GoogleScholarGoogle Scholar | PubMed |
[18] Tabak N, Shiaabana AM, Shasha A. The health beliefs of hospital staff and reporting of needle-stick injury. J Clin Nurs 2006; 15 1228–39.
| Crossref | GoogleScholarGoogle Scholar | PubMed |
[19] Wong WC, Lee A, Tsang KK, Wong SY. How did general practitioners protect themselves, their families, and staff during the SARS epidemic in Hong Kong? Epidemiol Community Health 2004; 58 180–5.
| Crossref | GoogleScholarGoogle Scholar | CAS |
[20] Suchitra JB, Lakshmi Devi N. Impact of education on knowledge, attitudes and practices among various categories of health care workers on nosocomial infections. Indian J Med Microbiol 2007; 25 181–7.
| Crossref | GoogleScholarGoogle Scholar | CAS | PubMed |