Introduction: Healthcare-associated infection (HAI) is a significant public health issue. HAI is a problem in both developed and developing countries. Treating HAIs is a significant burden on healthcare budgets. This study was performed to assess the knowledge about infection prevention and control (IPC) and IPC practices of nurses working in a Saudi hospital, and to examine the association between the nurses’ demographic characteristics and work/training experience with their level of knowledge about and practices towards maintaining IPC standards.
Methods: A quantitative method was used, with a response rate of 81.1%. A self-administered questionnaire survey was conducted of randomly selected male and female nurses of all nationalities who came in direct contact with patients while providing healthcare services at King Abdulaziz Medical City-Riyadh (KAMC-R) (n=308). Principle component analysis (PCA) was used to generate knowledge and practices scores, and the scores were classified into two categories (high, low) at the median.
Results: The majority of the participants were females (89.3%). The result of logistic regression analysis revealed significant associations between a high education level and high scores for IPC knowledge [AOR=2.72, 95% CI=1.45-5.10] and practices [ AOR=3.66, 95% CI=1.90-7.05], after controlling for other confounding variables.
Conclusion: High scores for IPC knowledge and IPC practices were independently associated with a high level of education of the nurses. Further studies to develop effective programs for IPC regardless of the nurses’ educational attainment are recommended.
2. Geberemariyam, B.S., Donka, G.M. & Wordofa, B. Assessment of knowledge and practices of healthcare workers towards infection prevention and associated factors in healthcare facilities of West Arsi District, Southeast Ethiopia: a facility-based cross-sectional study. Arch Public Health 76, 69 (2018). https://doi.org/10.1186/s13690-018-0314-0
3. Niraula Shrestha GD, Thapa B. Knowledge and Practice on Infection Prevention among Nurses of Bir Hospital, Kathmandu. J Nepal Health Res Counc. 2018 Oct 30;16(3):330-335. PMID: 30455495.
4. Peleg AY, Hooper DC. Hospital-acquired infections due to gram-negative bacteria. N Engl J Med. 2010 May 13;362(19):1804-13. doi: 10.1056/NEJMra0904124. PMID: 20463340; PMCID: PMC3107499.
5. WHO | Infection prevention and control. https:// www.who.int/infection-prevention/about/ipc/en/ (accessed 01/07/2020)
6. CDC | History of Guidelines for Isolation Precautions in Hospitals: https://www.cdc.gov/infectioncontrol/guidelines/ isolation/appendix/history.html (accessed01/07/2020)
7. CDC | Standard Precautions for All Patient Care: https://www.cdc.gov/infectioncontrol/basics/standard-precaution.html (accessed01/07/2020)
8. Kyung Mi Kim, Hyunjin Oh,Clinical Experiences as Related to Standard Precautions Compliance among Nursing Students: A Focus Group Interview Based on the Theory of Planned Behavior,Asian Nursing Research,Volume 9, Issue 2,2015,Pages 109-114,ISSN 1976-1317,https://doi.org/10.1016/j.anr.2015.01.002.(http://www.sciencedirect.com/science/article/pii/S1976131715000341)
9. Brosio F, Kuhdari P, Stefanati A, Sulcaj N, Lupi S, Guidi E, Bergamini M, Gabutti G. Knowledge and behaviour of nursing students on the prevention of healthcare associated infections. J Prev Med Hyg. 2017 Jun;58(2):E99-E104. PMID: 28900349; PMCID: PMC5584094.
10. General Authority for Statistics-Kingdom of Saudi Arabia:
11. Al-Hanawi, M.K., Khan, S.A. & Al-Borie, H.M. Healthcare human resource development in Saudi Arabia: emerging challenges and opportunities—a critical review. Public Health Rev 40, 1 (2019). https://doi.org/10.1186/s40985-019-0112-4
12. Memish ZA. Infection control in Saudi Arabia: meeting the challenge. Am J Infect Control. 2002 Feb;30(1):57-65. doi: 10.1067/mic.2002.120905. PMID: 11852419.
13. Alshamrani MM, El-Saed A, Alsaedi A, El Gammal A, Al Nasser W, Nazeer S, Balkhy HH. Burden of healthcare-associated infections at six tertiary-care hospitals in Saudi Arabia: A point prevalence survey. Infect Control Hosp Epidemiol. 2019 Mar;40(3):355-357. doi: 10.1017/ice.2018.338. Epub 2019 Feb 19. PMID: 30777580.
14. WHO | Middle East respiratory syndrome coronavirus (MERS-CoV) – The Kingdom of Saudi Arabia. Available at: https://www.who.int/csr/don/18-october-2019- mers-saudi-arabia/en/(accessed01/07/2020)
15. Kingdom of Saudi Arabia Ministry of Health. MOH Vision 2020. Available at: https://www.moh.gov.sa/en/Ministry/About/ Pages/Vision.aspx (accessed01/07/2020)
16. Kingdom of Saudi Arabia Ministry of National Guard Health Affairs. King Abdulaziz Medical City in Riyadh. Available at: https://ngha.med.sa/English/MedicalCities/ AlRiyadh/Pages/default.aspx (accessed01/07/2020)
17. LEADING RELIABLE HEALTHCARE; International Standard Book Number-13:978-1- 3152-7758-5; 2018 (eBook)
18. Kanchanachitra C, Lindelow M, Johnston T, Hanvoravongchai P, Lorenzo FM, Huong NL, Wilopo SA, dela Rosa JF. Human resources for health in southeast Asia: shortages, distributional challenges, and international trade in health services. Lancet. 2011 Feb 26;377(9767):769-81. doi: 10.1016/S0140-6736(10)62035-1. Epub 2011 Jan 25. PMID: 21269674.
19. Bassi J. (2016) Vision 2030 and the Opportunities it Represents in Healthcare in Saudi Arabia. Law Updates December 2016- January 2017 Issue. https://www.tamimi.com/law-update-articles/ vision-2030-and-the-opportunities-it-represents- in-healthcare-in-saudi-arabia/ (accessed01/07/2020)