الفهرس 
Definition of Nosocomial InfectionOnly 14 pages are availabe for public view
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Abstract
Summary
The present work was designed to study the knowledge, attitude and practices of health-care workers about infection control measures mainly hand washing as it a major element in infection control practices.
The study was conducted in the Pediatric outpatient clinics at Ain Shams University. The study targeted health-care workers (HCWs) including physicians, house officers and nurses working in the pediatric outpatient clinics at Faculty of medicine, Ain-Shams University. They distributed over the general and special pediatric clinics.
Health- care workers are expected to be aware of the guidelines of infection control, and put them in a visible and easily accessible place in their clinics. This increases the need for assessing the real situation using scientific methods, and away from official point of view, in order to get a more precise and detailed information regarding the current situation of infection control practices. Hence, this study aimed to ensure the availability of the infection control measures and to check the availability of HCWs regarding hand washing as a major element of infection control in outpatient settings.
Data was collected from HCWs the by a self-administered questionnaire as well as observational checklist. The questionnaire was pilot-tested by distributing it to ten
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HCWs World Health Organization provide patient care in pediatric outpatient clinic.
In this study the majority (92.5%) of studied sample were less than 25 years and more than two thirds (71.5%) of them were female. Moreover, more than half (63.5%) of studied sample had experience less than 3 years and only 21% of them attended training program about infection control.
As observed from this study, more than half (70.5% & 55%) of studied sample reported correct answers about meaning and types of infection respectively and more than half (54% & 81.5%) of them reported incorrect answer about predisposing factors and phases of infection respectively. Moreover, the majority (91.5%) of studied sample reported hand washing, use protective clothes and safe discard as procedures of infection control.
As observed from this table, more than half (53.5%) of studied sample have unsatisfactory knowledge about infection and its control while the rest of them (46.5%) have satisfactory knowledge.
Regarding hand washing this study clarified that the majority (94%, 86%, 88%, & 86%) of studied sample have not done hand washing, follow policies of hand washing, wearing gloves and removing gloves respectively
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Regarding total infection control practices this study clarified that the majority (80%) of studied sample have not done total practice regarding infection control while the rest of them (20%) have done total practice. These results can be explained due to that the majority of the studied group was less than 25 years with experience in the field of the work less than 3 years.
Also the overcrowding in the pediatric outpatient settings and the low number of the health-care workers lead to these results.
This can be confirmed by that there is no statistical significant difference (P > 0.05) between age and gender of the studied sample and their total knowledge about infection and its control. Also there is no statistical significant difference (P > 0.05) between occupation and level of education of studied sample and their total knowledge about infection and its control.
There is a statistical significant difference (X2= 11.9 & P < 0.05) between years of experience of studied sample and their total knowledge about infection and its control. where the majority (80%) of studied sample World Health Organization have years of experience less than three years have unsatisfactory knowledge, while more than three quarters (76.5%) of them World Health Organization have years of experience six years and more have satisfactory knowledge.
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The study clarified that there is a statistical significant difference (X2=5.13 & P < 0.05) between total knowledge of studied sample and their total practice regarding infection control. where more than half (66.7%) of studied sample World Health Organization have satisfactory knowledge have not done total practice, while the great majority (92.3%) of them World Health Organization have unsatisfactory knowledge have not done total practice.
The study clarified that there is a statistical significant difference (X2=11.9 & P < 0.05) between attendance of studied sample for training program about infection control and their total practice regarding infection control. where more than half (68%) of studied sample World Health Organization attended training program have not done total practice, while the great majority (92%) of them World Health Organization did not attended training program have not done total practice.
from this study we concluded that it is essential to be health-care workers should have satisfactory knowledge, attitude and practices attending infection control programmes.