Volume 4, Issue 2 (Autumn 2018)                   SJNMP 2018, 4(2): 79-91 | Back to browse issues page

XML Persian Abstract Print

1- Sabzevar University of Medical Scienes
2- Sabzevar University of Medical Scienes , ehsankashani20@yahoo.com
Abstract:   (947 Views)
Background & Aim: Compliance with standard precautions is the basic scale for control of hospital infections. Nurses play a major role in this compliance. Therefore, this study aimed to evaluate the level of compliance with standard precautions by ICU nurses in hospitals of Sabzevar, Iran. 
Materials & Methods: This descriptive study was conducted on ICUs of hospitals of Sabzevar in 2012. Research population included 50 male and female nurses selected via census sampling. Data were collected using demographic characteristics questionnaire and an eight-section checklist of performance. In addition, data analysis was performed in SPSS version 11.
Results: In this study, the participants obtained the following scores in compliance with standard precautions of: washing hands (2.68±1.23 from the total of 0-12), method of washing hands with water and soap (3.50±1.56 from the total of 0-4), washing with alcohol (2.80±1.12 from the total of 0-3), wound dressing (7.00±2.78 from the total of 0-10), drug injection (7.58±2.95 from the total of 0-14), oral and tracheal suction procedures (5.82±2.15 from a total of 0-12), use of mask (3.90±1.86 from a total of 0-6) and hospital gown (2.10±1.14 from a total of 0-5). The nurses had a poor performance regarding washing hands, whereas they had a moderate performance in terms of drug injection, suction procedures, use of mask and hospital gown. Nonetheless, they had good performance regarding washing hands with water and soap and alcohol and wound dressing.
Conclusion: Considering the results of the study, it is recommended that regular courses of infection control education be held and equipment (sink, hand wash detergents, and napkins) be provided for handwashing with sustainable monitoring. 
Full-Text [PDF 635 kb]   (442 Downloads)    
Type of Study: Research | Subject: Special
Received: 2018/09/8 | Revised: 2019/06/30 | Accepted: 2018/10/10 | Published: 2019/10/24 | ePublished: 2019/10/24

1. Yalcin AN, Socioeconomic Burden of Nosocomial Infections, Indian Jmed. 2009; 57(10): 450-6.
2. Mukhopadhyay C, Infection Control in Intensive Care Units, Indian J Respir Care. 2018; 7(2): 14-21. [DOI:10.4103/ijrc.ijrc_9_17]
3. Inweregbu K, Dave J, Pittard A, Nosocomial Infections, Continuing Education Inanaesthesia Critical Care And Pain, 2010; 5(1):14-17. [DOI:10.1093/bjaceaccp/mki006]
4. Dogru A,Sargin F,Celik M,Sagirog A,The Rate of Device-Associated Nosocomial Infections in a Medical Surgical ICU of a Training and Research Hospital in Turkey, Hospital Acquired-Infection Control Committee. 2010; 63(2):95-98.
5. Wallace R, Doebbelingn. Public Health And Preventive Medicine, 17th Ed,Stanford. 2009; p273.
6. Ramasubramanian V, Iyer V, Sewlikar S, Epidemiology of Healthcare Acquired Infection - an Indian Perspective on Surgical Site Infection and Catheter Related Blood Stream Infection, Indian J Basic Appl Med Res. 2014; 3(2):46-63.
7. Osman M.F, Askari R, Infection Control in the Intensive Care Unit, Surgical Clinics of North America. 2014; 94(6): 1175-94. [DOI:10.1016/j.suc.2014.08.011]
8. Singh S, Goyal R, Ramesh GS, et al, Control of Hospital Acquired Infections in the ICU: A Service Perspective, Medical Journal, Armed Forces India. 2015; 71(1):28-32. [DOI:10.1016/j.mjafi.2014.08.008]
9. Freeman J, Modern Quantitative Epidemiology in the Hospital, 5thed, Wilkins Co. 2010; p120.
10. Plowman R, Graves N, Griffin M, et al, Socio-Economic Burden of Hospital Acquired Infection, 6thed,Central Public Health Laboratory. 2009; p10.
11. Maliekal M, Hemvani N, Ukande U, Geed S, Comparision of Traditional Hand Wash with Alcoholic Hand Rub in ICU Set Up,Indian J Crit Care Med. 2009; 9(3):141-4. [DOI:10.4103/0972-5229.19679]
12. Allen S, Prevention and Control of Infection in the ICU, Current Anaesthesia Critical Care. 2008; 16(3):191-199. [DOI:10.1016/j.cacc.2006.01.003]
13. Chawla R, Epidmiology, Ethiology, and Diagnosis of Hospital - Acquired Pneumonia and Ventilator Associated Pneumonia in Asiacountries, American Journal Infection Control. 2008; 36(4): 93-100. [DOI:10.1016/j.ajic.2007.05.011]
14. Kim KM, Kim HJ, Choi JS, Knowledge and Performance Level of Infection Control and Influencing Factors of Oriental Medical Doctors and Nurses in Korea, Korean J Adult Nurs. 2012; 24(1): 74-84. [DOI:10.7475/kjan.2012.24.1.74]
15. Kretzer EK, Compliance with Handwashing and Barrier Precautions, J Hosp Infect. 2008; 30(2): 58-67.
16. Akbari M, Nejad Rahim R, Azimpour A, Bernousi D, Ghahremanlu H, A Survey of Nosocomial Infections in Intensive Care Units in an Imam Reza Hospital to Provide Appropriate Preventive Guides Based on International Standards, Urmia Medical Journal. 2013; 6(23): 591-596. [Persian].
17. Bijari, B. Nosocomial Infections and Related Factors in Southern Khorasan Hospitals. Iran J Med Microbiol. 2014; 8(4): 69-73. [Persian].
18. Ghorbani, F. Seifi, B. Mohammadzade, S. Zare, M. Microbiological Factors in Burn Wound Infection in Patients Hospitalized in Zanjan. Iranian Journal of Nursing Research. 2014; 6(22):65-72. [Persian].
19. Sadeghzadeh, V. The Frequency Rate of Nosocomial Urinary Tract Infections in Intensive Care Unit Patients in Shafiieh Hospital, Zanjan. Retrovirology. 2015; 7(1): 28-35. [Persian]. [DOI:10.1186/1742-4690-7-S1-P93]
20. Dalla C, Pasca M, Control of MRSA Infection and Clonisation in an ICU".BMC Infectious Diseases. 2009; 9(3):137-42.
21. Ducel G, Fabry J, Nicolle L, Prevention of Hospital-Acquired Infections,Ed3,World Health Organization. 2008; P12.
22. Elkin M, Perry A, Potter P, Nursing Interventions and Clinical Skill, 4th Mosby, 2009; 47: P16.
23. Dasgupta S, Das S, Chawan NS, Hazra A, Nosocomial Infections in the Intensive Care Unit: Incidence, Risk Factors, Outcome and Associated Pathogens in a Public Tertiary Teaching Hospital of Eastern India, Indian J Crit Care Med. 2015; 19(1):14-20. [DOI:10.4103/0972-5229.148633]
24. Kalantarzadeh M, Mohammadnejad E, Ehsani SR, & Tamizi Z, Knowledge and Practice of Nurses about the Control and Prevention of Nosocomial Infections in Emergency Departments, Archives of Clinical Infectious Diseases. 2014; 9(4): E18278 [DOI:10.5812/archcid.18278]
25. Allahbakhshian A, Knowledge, Attitude and Practice of Nurses in ICU and Hospital Infection Control in Health Centers of Tabriz, Journal of Nursing and Midwifery, Iran University of Medical Sciences. 2009; 22(64): 69-76. [Persian].
26. Thabet A, Abdulrab A, Knowwledge and Performance of Universal Precautions among Yemeni Nurses, AM J Control. 2007; 36(10): 239-42.
27. Dewandel D, Maes L, Labeau S, Behavioral Determinants of Hygiene Compliance in Intensive Care Units, American Jornal of Critical Care. 2010; 19(5): 230-9. [DOI:10.4037/ajcc2010892]
28. Celik S, Elbas N, The Standards of Suction for Undergoing Endotraceal Intubation, Intens and Ccriti Care Nur J. 2007; 23(16): 191-8. [DOI:10.1054/iccn.2000.1487]
29. Brooks D, Sliway S, A Survey of Suctioning Practices among Nurses, Physical J. 2008; 32 (26): 137-146.
30. Karimiyan F, Rustam A, Knowledge and Practice Nurses about Hospital Infections in Yasooj, Armaghan Journal. 2007; 34(4): 218-22. [Persian].
31. Gabriel M, Check Suctioning of Patients in the ICU, Surgical ICU Nurses in Hospitals in Tabriz, Congress for Infectious Diseases. 2007; Tehran, P363.
32. Mehtar S, Shisana O, Infection Control Practices in Public Dental Care Services, J of Hospital Infect. 2007; 66: 65-70 [DOI:10.1016/j.jhin.2007.02.008]
33. Stane A, Makarrawo T, A Survey of Doctors and Nurses Nowledge,Attitude and Compliance with Infection Control Guideline in Birmingam Teaching Hospitals, J Med Scien Azad Un. 2006; 16(2):107-111.
34. Sproat J, Inglis T, A Multi Center Survey of Hand Hygine Practice in ICU, J Hospital Infect. 2007; (26): 137-148. [DOI:10.1016/0195-6701(94)90057-4]
35. Moawia A, Razan Y, Infection Control Knowledge and Practice Mong Dentists and Dental Nurses at a Jordanian University Teaching Center, AJIC. 2006; 34(4): 218-222. [DOI:10.1016/j.ajic.2005.06.012]
36. Sundaram R, Parkinson R, Universal Precaution Compliance by Orthopaedic Traum Team Members in a Major Trauma Resuscitation Scenario, Ann R Cell Surg Engl. 2007; 89(3): 262-7. [DOI:10.1308/003588407X168370]