1
|
Oni O, Orok E, Lawal Z, Ojo T, Oluwadare T, Bamitale T, Jaiyesimi B, Akinjisola A, Apara T. Knowledge and perception of nosocomial infections among patients in a Nigerian hospital. Sci Rep 2023; 13:20204. [PMID: 37980389 PMCID: PMC10657427 DOI: 10.1038/s41598-023-47661-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2023] [Accepted: 11/16/2023] [Indexed: 11/20/2023] Open
Abstract
Nosocomial infections are infections that are a leading cause of morbidity and mortality among hospitalized patients, and can lead to higher healthcare costs and longer hospital stays in both developed and developing countries. The objectives of the study were to identify the level of knowledge and perception of patients on nosocomial infection, and to determine the factors affecting the knowledge and perception of patients on nosocomial infection in Federal Medical Centre, Ebute-Metta, Lagos (FMC). A cross-sectional research design was used in carrying out the research among in-patients of FMC where an interview-based semi-structured questionnaire was used for data collection. Patients' knowledge was categorised as good (≥ 70% score), fair (50-69%) and poor (< 50% score) while perception was grouped as positive and negative. Independent sample T-test and One-way Analysis of Variance was used to assess statistical difference in knowledge scores between categorical variables with 2 and 3 groups respectively. A total of 102 patients gave consent to participate in this study of which 46.1% were male, 27.5% were aged between 38 and 47 years and 69.6% were married. About 24% did not know what is meant by nosocomial infections while 53.9% stated that all hospital-acquired infections are preventable. Less than 19% strongly disagreed that making alcohol rubs mandatory for all visitors would decrease the incidence of nosocomial infections while all strongly agreed that if left untreated, such infections can become life-threatening. Overall, 15.7% showed good knowledge while most patients showed fair knowledge (71.6%) and a negative perception (51%) of nosocomial infections. There was a significant difference in patients' knowledge of nosocomial infections based on age (0.012). There was also a statistically significant association between age and perception of patients towards nosocomial infections (p = 0.031). This study showed that most patients had fair knowledge as well as negative perception towards nosocomial infections. Age, had an influence on patients' perception and knowledge of nosocomial infection.
Collapse
Affiliation(s)
- Olawale Oni
- Department of Public Health, College of Medicine and Health Sciences, Afe Babalola University, Ado-Ekiti, Ekiti State, Nigeria
| | - Edidiong Orok
- Department of Clinical Pharmacy and Public Health, College of Pharmacy, Afe Babalola University, Ado-Ekiti, Ekiti State, Nigeria.
| | - Zainab Lawal
- Department of Public Health, College of Medicine and Health Sciences, Afe Babalola University, Ado-Ekiti, Ekiti State, Nigeria
| | - Tolulope Ojo
- Department of Public Health, College of Medicine and Health Sciences, Afe Babalola University, Ado-Ekiti, Ekiti State, Nigeria
| | - Tunrayo Oluwadare
- Department of Public Health, College of Medicine and Health Sciences, Afe Babalola University, Ado-Ekiti, Ekiti State, Nigeria
| | - Toba Bamitale
- Department of Mathematical and Physical Sciences, College of Science, Afe Babalola University, Ado-Ekiti, Ekiti State, Nigeria
| | - Boluwaji Jaiyesimi
- Department of Mathematical and Physical Sciences, College of Science, Afe Babalola University, Ado-Ekiti, Ekiti State, Nigeria
| | - Alice Akinjisola
- Department of Public Health, College of Medicine and Health Sciences, Afe Babalola University, Ado-Ekiti, Ekiti State, Nigeria
| | - Titilayo Apara
- Department of Public Health, College of Medicine and Health Sciences, Afe Babalola University, Ado-Ekiti, Ekiti State, Nigeria
| |
Collapse
|
2
|
Hammoud S, Amer F, Lohner S, Kocsis B. Patient education on infection control: A systematic review. Am J Infect Control 2020; 48:1506-1515. [PMID: 32512081 DOI: 10.1016/j.ajic.2020.05.039] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2020] [Revised: 05/24/2020] [Accepted: 05/27/2020] [Indexed: 02/03/2023]
Abstract
BACKGROUND Lately, suggestions have been emphasizing the importance of engaging patients and family members in infection control (IC) through participation and education after showing that patients and family members can aid in preventing the transmission of health care-associated infections. However, assessing patient education on IC measures in hospitals is poorly investigated. PURPOSE To identify all available studies in the literature that assessed hospitalized patients' education on IC measures. METHODS PubMed, Embase, and CINAHL were searched from inception till May 6, 2020 without restrictions. We used Strengthening the Reporting of Observational Studies in Epidemiology tool for assessing the reporting quality of each eligible study. MAIN FINDINGS Of the 6,740 identified papers, 25 were eligible for inclusion. Education on health care-associated infections was investigated in 8 studies, education on central line-associated bloodstream infections in 1, education on surgical site infections in 2, education on hand hygiene in 12, education on isolation rationale, precautions, usage of personal protective equipment in 3, and education on respiratory hygiene in 1. In general, a low percentage of patient education on IC was found in most of the included papers. CONCLUSIONS The low percentage of patient education on IC in hospitals highlights the need for additional emphasis on patient involvement in IC. Further studies are needed to assess patient education on several IC measures and to explore the education of family members as well.
Collapse
|
3
|
Bailey J, Dutton T, Hawke C, Illife J, Kirkby M, Smart SL, O'Brien P, Paxton K, Shaban RZ, Thomas L, Wharton S. Exploring rural patients' understanding of the types, risk factors and measures to prevent healthcare-associated infections in Australia. Infect Dis Health 2020; 26:31-37. [PMID: 33051153 DOI: 10.1016/j.idh.2020.08.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2020] [Revised: 08/04/2020] [Accepted: 08/09/2020] [Indexed: 11/30/2022]
Abstract
BACKGROUND In Australia, there are approximately 165,000 healthcare-associated infections (HAIs) per year. Improving patient knowledge on HAIs and actively involving them in infection prevention is essential. This study assessed patient knowledge on types of and risk factors for HAIs and their perceptions of HAI information provision and hospital infection control practices in rural New South Wales, Australia. METHODS Medical and surgical ward patients in three rural hospitals completed a questionnaire between February and March 2019. Open ended responses were grouped under categories, decided upon by two researchers, one of which is an infection prevention and control nurse. Descriptive analysis was completed. RESULTS A total of 153 patients completed the survey. Most (n = 126, 82%) participants were previously aware of HAIs, with common sources of education/information being family/friends (n = 55, 36%), television (n = 28, 18%), newspapers (n = 27, 18%), and previous experience of a HAI (n = 20, 13%). Satisfaction with infection control measures and hospital cleanliness was high. Over half (n = 83, 54%) of participants thought they received too little information on HAIs, and only 35% (n = 21) of those that had surgery reported receiving information. Participants suggested that more education for the general public (n = 117, 76%) and patients (n = 110, 72%) in both written form and verbally from hospital staff, and education outside of the hospital in various mediums, could help reduce the risk and rates of HAI. CONCLUSION Awareness of HAIs amongst respondents was high, however, education appeared to be lacking. More can be done to inform patient, family and general public education programs in rural and regional Australian hospitals.
Collapse
Affiliation(s)
- Jannine Bailey
- Bathurst Rural Clinical School, School of Medicine, Western Sydney University, PO Box 9008, Bathurst NSW 2795, Australia; Western NSW Health Research Network, NSW, Australia
| | - Tegan Dutton
- Bathurst Rural Clinical School, School of Medicine, Western Sydney University, PO Box 9008, Bathurst NSW 2795, Australia; Western NSW Health Research Network, NSW, Australia.
| | - Catherine Hawke
- School of Rural Health, Sydney Medical School, Faculty of Medicine and Health, The University of Sydney, Orange, 2800, Australia; Western NSW Health Research Network, NSW, Australia
| | - Jessica Illife
- Dubbo Base Hospital, Western New South Wales Local Health District, NSW, Australia; Western NSW Health Research Network, NSW, Australia
| | - Michelle Kirkby
- Dubbo Base Hospital, Western New South Wales Local Health District, NSW, Australia; Western NSW Health Research Network, NSW, Australia
| | - Suzanne Lovell Smart
- Orange Health Service, Western New South Wales Local Health District, NSW, Australia; Western NSW Health Research Network, NSW, Australia
| | - Peta O'Brien
- School of Rural Health, Sydney Medical School, Faculty of Medicine and Health, The University of Sydney, Orange, 2800, Australia; Western NSW Health Research Network, NSW, Australia
| | - Karen Paxton
- School of Rural Health, Sydney Medical School, Faculty of Medicine and Health, The University of Sydney, Orange, 2800, Australia; Western NSW Health Research Network, NSW, Australia
| | - Ramon Z Shaban
- Susan Wakil School of Nursing and Midwifery & Marie Bashir Institute for Infectious Diseases and Biosecurity, Faculty of Medicine and Health, University of Sydney, NSW, Australia; Department of Infectious Diseases and Sexual Health, Westmead Hospital, Western Sydney Local Health District, Westmead, NSW, Australia
| | - Linda Thomas
- Bathurst Base Hospital, Western New South Wales Local Health District, NSW, Australia; Western NSW Health Research Network, NSW, Australia
| | - Sandra Wharton
- Western New South Wales Local Health District, Australia; Western NSW Health Research Network, NSW, Australia
| |
Collapse
|