866. Assessment of Infection Control Training among Healthcare Workers in Three Tertiary Care Public Hospitals, Bangladesh, 2015-17
866. Assessment of Infection Control Training among Healthcare Workers in Three Tertiary Care Public Hospitals, Bangladesh, 2015-17
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DOI：
10.1093/ofid/ofaa439.1055
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发表时间：
2020-12-31
影响因子：
4.2
通讯作者：
Rahman M
中科院分区：
文献类型：
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作者：
Sumon MS;Parveen S;Hassan MZ;Babar MR;Chanda KF;Rahman M
医院获得性感染（HAI）是一个日益严重的全球公共卫生问题，对低收入和中等收入国家的影响尤为严重。医护人员（HCW）是医疗机构中对抗HAI的一线工作流。作为感染预防和控制（IPC）试点项目的一部分，我们评估了孟加拉国三家公立医院HCW实践中感染控制培训的可接受性，以更好地减轻HAI风险和职业暴露。作为应急准备的一部分，我们在2015年至2017年试行了IPC干预措施，IPC培训是其中一个关键组成部分。经过培训的IPC工作人员为三个不同级别的HCW组（医生、护士和辅助人员）进行了为期半天的培训。培训包括关于标准预防措施和基于传播的预防措施以及感染控制技术的指导方法。进行了实际示范，随后进行了手部卫生步骤和口罩、手套使用的实践培训。透过结构化观察及质性访谈，了解参与者对感染控制措施的态度及行为。医护人员（护士）感染控制和预防培训医护人员（医生）感染控制和预防培训共有1 562名医护人员参加了培训：804名医生、445名护士和313名辅助人员参加了26个培训班。大多数参与者（85%）没有接受过任何关于感染控制的正式培训，并且在互动会议期间经常提供关于基本IPC的错误回答。没有一家医院有IPC委员会。培训后，我们发现手部卫生从基线的0%显著增加到24%（p< 0.001），其中口罩和手套的使用分别为43%（p< 0.001）和45%（p< 0.001）。来自定性评估的所有受访者（n=84）报告称，培训非常有效，加强了他们在医院的学习。三个组别的参加者均促请当局更频密地安排复修训练，并以小组形式进行，以维持有关做法。该试点项目表明，医务工作者缺乏基本的IPC原则，定制的IPC培训课程可以显着提高医务工作者的IPC实践。成立积极的IPC委员会可以为HCW安排定期复习和在职培训更新，并重新分配资源以采用定期IPC实践。 所有作者：无报告披露
Hospital-acquired infections (HAI) are a rising global public health concern that disproportionately affects low and middle-income countries. Healthcare workers (HCWs) are the frontline work-stream against HAIs in healthcare settings. As part of a pilot infection prevention and control (IPC) program, we assessed the acceptability of infection control training in practice among HCWs in three public hospitals in Bangladesh to better mitigate HAI risks and occupational exposures. We piloted an IPC intervention, as a part of the emergency preparedness, from 2015 to 2017 and IPC training was one of the key components. Trained IPC staff conducted a half-day training session for each three different level HCW groups, doctors, nurses and support staff. The training comprised of instructive method on standard and transmission-based precautions with infection control techniques. A practical demonstration was held followed by hands-on training on hand hygiene steps and mask, gloves use. The participants’ attitudes and practices on infection control measures were obtained through structured observation and qualitative interviews. Training on Infection Control And Prevention with Healthcare workers (Nurses) Training on Infection Control And Prevention with Healthcare workers (Doctors) A total of 1562 HCW’s participated in the training: 804 doctors, 445 nurses and 313 support staff in 26 training sessions. Majority of the participants (85%) did not receive any formal training earlier on infection control and often provided incorrect responses on basic IPC during interactive session. None of the hospitals had an IPC committee. After the training, we found a significant increase from 0% at baseline to 24% (p< 0.001) in hand hygiene including 43% (p< 0.001) and 45% (p< 0.001) in mask and gloves use respectively. All respondents (n=84) from the qualitative assessment, reported the training as highly effective which reinforce their learning in action in the hospitals. Participants from all three groups urged to arrange refresher training more frequently and in small groups to uphold the practices. This pilot program demonstrated HCWs lack basic IPC principals and tailored IPC training sessions can significantly improve HCWs IPC practice. Formation of active IPC committee could enable arranging periodic refresher and in-service training updates for HCWs with the reallocation of resources to adopt regular IPC practices. All Authors: No reported disclosures