Compliance with contact precautions in acute care teaching hospital
Abstract number: P1127
Introduction: The essential factors for limiting the spread of Meticillin resistant Staphylococcus aureus (MRSA) are the surveillance cultures of MRSA infection or colonisation in high risk group of patients admitted to the hospital in addition to the use of contact precautions. On the other hand, poor adherence to contact precautions and poor hand hygiene practices among healthcare workers (HCWs) are among the main reasons for the nosocomial spread of MRSA and failure of the infection control programs.
Methods: Between May 2nd and Jun 5, 2005 we conducted an observational study to monitor the overall compliance with the contact precautions with regard to MRSA among doctors, nurses, medical students and other HCWs during routine adult patient care. These precautions included: hand washing; usage of gloves, gowns and mask, and cleaning equipments after usage. This observational study was conducted in the setting of acute healthcare teaching hospital. The observation was performed in 10 hospital inpatient units which had patients who were colonised or infected with MRSA.
Results: We observed more than 455 opportunity of compliance to the ICPs. 130 opportunities were observed among males and 325 among females. These observations were as follows: among doctors were 94; nurses were 199, among medical students were 50 and among other HCWs were 114 observations. The overall compliance rate of all HCWs to the ICPs was 67%. Compliance observed among males was significantly less than among females, 73% vs 80% (P= 0.05). The overall compliance rate to hand washing was 77% (fig. 1).
There was no significant difference in hand washing compliance rate between doctors and nurses 82% vs 83% respectively (p= 0.9). However, the observed nurses were statistically more compliant to put on gowns (p = 0.02), gloves (p = 0.02) and masks (p = 0.01) than doctors. The rate of cleaning equipments when removed from the patient room by any HCW was only 25%. Eighty five percent of the observed HCWs preferred to use alcohol-based dispensers than the soap and water.
Conclusion: Unlike other investigators, we found that nurses washed their hands not more often than did doctors but both groups washed there hands more often than medical students and other healthcare workers. This is because nurses and doctors had the most opportunities (82% & 83%) to wash their hands.
|Session name:||18th European Congress of Clinical Microbiology and Infectious Diseases|
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