Nurses’ Self-report on the Infection Control Unit Activities and their Experience in the Hospital toward Nosocomial Infections in the Sulaimani Hospitals

  • Ramand Mohammed Haji Department of Community Health, Technical College of Health, Sulaimani Polytechnic Uni-versity, Sulaimani, Iraq
  • Dana Abdilmagid Abdilkarim Department of Medical Laboratory, Technical College of Health, Sulaimani Polytechnic University, Sulaimani, Iraq.
  • Salar Ibrahim Ali Department of Community Health, Technical College of Health, Sulaimani Polytechnic University, Sulaimani, Iraq.
  • Srwa Salih Mohammad Department of Community Health, Technical College of Health, Sulaimani Polytechnic University, Sulaimani, Iraq.
Keywords: Nosocomial infection, Infection control unit, Nurse’s accident

Abstract

Background and objectives: Nurses can prevent the occurrence and transmission of nosocomial infections by following infection control measures such as wearing gloves and masks, using appropriate disinfection of skin and preventing accidental needle-stick injuries. This research aimed to evaluate the availability of hospital uniforms, personal protective equipment, and infection control activities at hospitals in Sulaimani in the Kurdistan Region of Iraq, and to examine nurses’ experience of nosocomial infections.
Methods and materials: A cross-sectional study was performed at 10 governmental hospitals during the period from 20th February to 28th September 2018. 525 nurses were selected as participants by a convenience sampling method. A self-administrated questionnaire was used to collect data, which were analysed using SPSS software.
Results: The results showed that 268 nurses (51%) reported that their hospitals provided sufficient uniforms to all the medical staff and the majority of nurses, 444 respondents (84.6%) stated that they were responsible for cleaning their working uniforms. 441 nurses reported that they did not acquire a nosocomial infection, and 479 (91.2%) did not have an accident during their work in the hospital. 79.9% of the nurses (404) reported recapping syringe needles after the usage, and 98 (18.7%) gave a low rating to the infection control unit activity in their hospitals. Finally, more than half of nurses (330) representing 62.9% of the sample were vaccinated against nosocomial infections.
Conclusions: Most of Sulaimani governmental hospitals are providing sufficient uniforms for the health staff, the majority of nurses were vaccinated against one or more nosocomial infections, and the majority of nurses do needle syringe recapping.

References

[1] Obiero CW, Seale AC, Berkley JA. Empiric treatment of neonatal sepsis in developing countries. The Pediatric infectious disease journal. 2015;34(6):659-61. DOI:10.1097/INF.0000000000000692.
[2] Nejad SB, Allegranzi B, Syed SB, Ellis B, Pittet D. Health-care-associated infection in Africa: a systematic review. Bulletin of the World Health Organization. 2011;89:757-65. DOI:10.2471/BLT.11.088179.
[3] Samuel S, Kayode O, Musa O, Nwigwe G, Aboderin A, Salami T, et al. Nosocomial infections and the challenges of control in developing countries. African journal of clinical and experimental microbiology. 2010;11(2). DOI:10.4314/ajcem.v11i2.53916.
[4] Alp E, Leblebicioglu H, Doganay M, Voss A. Infection control practice in countries with limited resources. Annals of Clinical Microbiology and Antimicrobials. 2011;10(1):36. DOI:https://doi.org/10.1186/1476-0711-10-36.
[5] Engemann JJ, Friedman JY, Reed SD, Griffiths RI, Szczech LA, Kaye KS, et al. Clinical out-comes and costs due to Staphylococcus aureus bacteremia among patients receiving long-term hemodialysis. Infection Control and Hospital Epidemiology. 2005;26(6):534-9. DOI:https://doi.org/10.1086/502580.
[6] Kaye KS, Anderson DJ, Sloane R, Chen LF, Choi Y, Link K, et al. The effect of surgical site infection on older operative patients. Journal of the American Geriatrics Society. 2009;57(1):46-54. DOI:https://doi.org/10.1111/j.1532-5415.2008.02053.x
[7] Scott RD. The direct medical costs of healthcare-associated infections in US hospitals and the benefits of prevention. 2009.
[8] Glance LG, Stone PW, Mukamel DB, Dick AW. Increases in mortality, length of stay, and cost associated with hospital-acquired infections in trauma patients. Archives of Surgery. 2011;146(7):794-801.DOI:10.1001/archsurg.2011.41.
[9] Lepelletier D, Perron S, Bizouarn P, Caillon J, Drugeon H, Michaud J-L, et al. Surgical-site infection after cardiac surgery: incidence, microbiology, and risk factors. Infection Control and Hospital Epidemiology. 2005;26(5):466-72.DOI:https://doi.org/10.1086/502569.
[10] WHO. The burden of healthcare-associated infection worldwide 2016 [Available at: http://www.who.int/gpsc/country_work/burden_hcai/en/.
[11] McBryde E, Bradley L, Whitby M, McElwain D. An investigation of contact transmission of methicillin-resistant Staphylococcus aureus. Journal of Hospital Infection. 2004;58(2):104-8.DOI:https://doi.org/10.1016/j.jhin.2004.06.010.
[12] Shinde MB, Mohite VR. A study to assess knowledge, attitude and practices of five moments of hand hygiene among nursing staff and students at a tertiary care hospital at Karad. International Journal of Science and Research (IJSR). 2014;3(2):311-21.
[13] de Oliveira AM, White KL, Leschinsky DP, Beecham BD, Vogt TM, Moolenaar RL, et al. An outbreak of hepatitis C virus infections among outpatients at a hematology/oncology clinic. Annals of Internal Medicine. 2005;142(11):898-902.
[14] Pessoa-Silva CL, Hugonnet S, Pfister R, Tou-veneau S, Dharan S, Posfay-Barbe K, et al. Reduction of healthcare-associated infection risk in neonates by successful hand hygiene promotion. Pediatrics. 2007;120(2):e382-e90. DOI:https://doi.org/10.1542/peds.2006-3712.
[15] Joshi R, Reingold AL, Menzies D, Pai M. Tuberculosis among health-care workers in low-and middle-income countries: a systematic review. PLOS Medicine. 2006;3(12):e494. DOI:10.1371/journal.pmed.0030494.
[16] Kelcíkova S, Skodova Z, Straka S. Effectiveness of hand hygiene education in a basic nursing school curricula. Public Health Nursing. 2012;29(2):152-9. DOI:https://doi.org/10.1111/j.1525-1446.2011.00985.x
[17] Damani N. Manual of infection prevention and control: OUP Oxford; 2011.
[18] Saleh Moghadam R, Mir Salari N. Knowledge and practice of nurses in relation to operating room pollution. Journal of knowledge management. 2005;39:21-8.
[19] Stone PW, Hasan S, Quiros D, Larson EL. Effect of guideline implementation on costs of hand hygiene. Nursing economic. 2007;25(5):279.
[20] Daniel W. Biostatistics: A Foundation for Analysis in the Health Sciences, 7th ed R Wiley. New York. 1999.
[21] Kaushal G, Doke P, Shah A, Verma V. An analysis of knowledge, attitude and practices regarding standard precautions of infection control and impact of knowledge and attitude of ICU nurses on self-reported practices of infection control. International Journal of Hospital and Health care Administration. 2015;2:79-85.
[22] Oliveira ACD, Silva MDM, Garbaccio JL. Clothing of health care professional as potential reservoirs of micro-organisms: an integrative review. Texto & Contexto-Enfermagem.2012;21(3):684-91. DOI:https://doi.org/10.1590/S0104-07072012000300025
[23] Robati R, Farokhi MM, Jaberi FM, Hashemi SA. Effect of white coats on spread of nosocomial infection. European Journal of Experimental Biology. 2013;3(3):156-9.
[24] Banu A, Anand M, Nagi N. White coats as a vehicle for bacterial dissemination. Journal of clinical and diagnostic research: JCDR. 2012;6(8):1381.DOI:10.7860/JCDR/2012/4286.2364
[25] Wiener-Well Y, Galuty M, Rudensky B, Schlesinger Y, Attias D, Yinnon AM. Nursing and physician attire as possible source of nosocomial infections. American Journal of Infection Control. 2011;39(7):555-9.
[26] Storr J, Twyman A, Zingg W, Damani N, Kil-patrick C, Reilly J, et al. Core components for effective infection prevention and control programmes: new WHO evidence-based recommendations. Antimicrobial Resistance & Infection Control. 2017;6(1):6. DOI:https://doi.org/10.1186/s13756-016-0149-9
[27] Alazawy SA. The Prevalence of Needle Stick Injuries among Health Care Workers in Baquba Teaching Hospital. Diyala Journal For Pure Science. 2010;6(3):260-71.
[28] Fashafsheh I, Ayed A, Eqtait F, Harazneh L. Knowledge and Practice of Nursing Staff to-wards Infection Control Measures in the Palestinian Hospitals. Journal of Education and Practice. 2015;6(4):79-90.
[29] Barton A. Patient safety and quality: An evidence-based handbook for nurses. AORN Journal. 2009;90(4):601-2. DOI:https://doi.org/10.1016/j.aorn.2009.09.014
Published
2020-11-30
How to Cite
Haji, R., Abdilkarim, D., Ali, S., & Mohammad, S. (2020). Nurses’ Self-report on the Infection Control Unit Activities and their Experience in the Hospital toward Nosocomial Infections in the Sulaimani Hospitals. Erbil Journal of Nursing and Midwifery, 3(2), 166 - 177. https://doi.org/10.15218/ejnm.2020.19
Section
Original Articles