Healthcare personnel and hand decontamination in intensive care units: knowledge, attitudes, and behaviour in Italy

被引:42
作者
Nobile, CGA
Montuori, P
Diaco, E
Villari, P
机构
[1] Univ Catanzaro Magna Craecia, Chair Hyg, Sch Med, I-88100 Catanzaro, Italy
[2] Univ Naples Federico II, Hyg Unit, Dept Hlth & Prevent Sci, Naples, Italy
[3] Univ Roma La Sapienza, Dept Expt Med & Pathol, Hyg Unit, Rome, Italy
关键词
attitudes; behaviour; hand decontamination; hospital infection; intensive care units; Italy;
D O I
10.1053/jhin.2002.1248
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
The purpose of this study was to evaluate knowledge, attitudes, and behaviour regarding hand decontamination in personnel of intensive care units (ICUs) in Italy. All ICU physicians and nurses in 19 and five randomly selected hospitals in Campania and Calabria (Italy) were mailed a questionnaire focusing on demographics and practice characteristics; knowledge about prevention of hospital acquired infection attitudes and behaviour with respect to hand decontamination; and use of-loves. A total of 413 questionnaires were returned giving a response rate of 66.6%. Overall, 53.2% agreed with the correct responses on knowledge related to infection control, and this knowledge was significantly higher in neonatal and medicine-surgery wards and in larger ICUs. A positive attitude was reported by the large majority who agreed that hand decontamination reduces the risk of infection in patients (96.8%) and personnel (86.2%), and the positive attitude was significantly higher among older and female personnel and in those with a higher level of knowledge. Only 60% always decontaminate hands at the start of a shift, and 72.5% before and after a patient contact. Higher compliance is reported for invasive manoeuvres, such as urinary catheters (96.5%,) and intravenous lines (77.1%). Routine hand decontamination between each patient was significantly higher in females, and in neonatal and medicine-surgery ICUs. Our results suggest that interventions should not only be focused on predisposing factors (knowledge), but also on enabling (facilitating) and reinforcing (gratifying) factors. (C) 2002 The Hospital Infection Society.
引用
收藏
页码:226 / 232
页数:7
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