الفهرس 
Standard PrecautionsOnly 14 pages are availabe for public view
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Abstract
Improvement of the knowledge, attitude and behavior of healthcare workers is an important aspect of infection control in healthcare.
Aim: This study aimed to assess factors associated with adherence to recommended standard precautions among healthcare workers providing care to critically ill patients.
Method: We investigated knowledge, attitude and behavior toward infection control at Fayoum University teaching hospital at adult ICU, pediatric ICU and neonatology unit by means of structured questionnaires to identify problem areas and barriers that interfered with compliance of HCWs to standard precautions. 49 HCWs serving critical care units had been included in the study, their experience in working at health care facility ranging from 0.2 to 10 years with mean experience 3 ±2.3 years (mean ± SD).
Results: The mean of the correct answers to the knowledge questions for all healthcare workers combined was 78.6%. Only 30.8% of our HCWs had attended Infection control training courses or workshops. The mean score of the answers to all attitude questions that were in agreement with the preferred attitude was 82.8% . Only 36.7% of HCWs disagreed with resheathing of needles. And the mean self-reported compliance with precautions was 80.8%. Nurses found to have a significant better self reported compliance score than that achieved by doctors and assistant nurses (P=0.007). No significant correlation was found between months of experience of HCWs and total knowledge, Attitude or behavior (P˃0.05). As regarded obstacles , 59,2% HCWs were complaining of no enough hand washing facilities on the ward including absence of hand wash stations which also confirmed by observational checklists, 65.3% complaining of making patient-care very technical, 51% complaining of irritation effect of hand hygiene product, 38.8% of HCWs complaining of no enough aprons or gowns on the ward which also confirmed by observational checklists, while 42.9% do not care of wearing PPE because nobody care to wear them. There were significant improvement at Knowledge, attitude and behavior of HCWs detected after one month of educational intervention, the total knowledge of 47% of HCWs has been improved by more than 20% after educational intervention, while total attitude score of 61.1% of HCWs has been improved by more than 10% and total behavior score of 48.9% of HCWs has been improved by more than 10%.
Conclusion: The present study identified that lack of knowledge, shortage of Personal Protective Equipment, shortage of hand washing facilities including hand wash stations and lack of contentious training as main factors explaining non adherence of HCWs to standard precautions.