الفهرس 
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Abstract
Standard Precautions represent the minimum infection prevention measures that apply to all patient care, regardless of suspected or confirmed infection status of the patient, in any setting where healthcare is delivered. Compliance with SP measures is essential to prevent and control healthcare-associated infections, and protect patients as well as healthcare workers from exposure to infectious agents. The objective of the study is to evaluate nurses’ compliance with SP in ICUs of Alexandria main University hospital, as well as perceptions of ICU nurses regarding factors influencing their compliance with SP, hoping to develop and emphasize their role performance in the near future.
Methods: A descriptive research design is utilized in this study, this study was conducted in the adult general ICUs of Alexandria Main University Hospital, a convenience sample of (50) ICU nurses was recruited in the current study. Two tools were developed, tested for clarity and feasibility, and then used to collect data, the first tool was “Observational Checklist” used to evaluate nurses’ compliance with SP in ICUs, and the second tool was a Semi-structured questionnaire used to determine the factors influencing nurses’ compliance with SP.
Results: Nurses compliance with performing hand hygiene was 6% before touching patients, 50% when touching blood and body fluids, and 36% after removing gloves. The majority of ICU nurses 84% complied with using gloves for touching blood, body fluids, secretions or patients’ non-intact skin, while 66% of nurses complied with wearing gloves when touching contaminated items, but only 36% of them complied with changing gloves between different patients. Nurses’ compliance with using gowns was poor 16%, only one third of them used a mask during procedures and patient care activities likely to generate splashes or sprays of blood or body fluid, and 58% of nurses used a mask when engaged in procedures requiring sterile technique. The vast majority of nurses 96% complied with needles and other sharps handling recommendations, while all of them complied with placing and transferring used sharps in approved puncture-resistant containers. Only one fourth of nurses complied with environmental control recommendations. Around one third of nurses complied with the recommendations for handling soiled patient equipment, textile and laundry. There were no patient isolation facilities for patients at high risk for transmission or likely to contaminate the environment. All patients complied with patient resuscitation recommendations when needed, while their compliance with Respiratory hygiene/cough etiquette was less.