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Knowledge, Attitude, and Practices Regarding Contact Precautions Among Iranian Physicians

Published online by Cambridge University Press:  21 June 2016

Mehrdad Askarian*
Affiliation:
Department of Community Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
Ramin Shiraly
Affiliation:
Department of Community Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
Kiarash Aramesh
Affiliation:
Department of Community Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
Mary-Louise McLaws
Affiliation:
School of Public Health & Community Medicine, University of New South Wales, Sydney, Australia
*
Department of Community Medicine, Shiraz University of Medical Sciences, P.O. Box 71345-1737, Shiraz, Iran, ([email protected])

Abstract

Objective.

To assess the knowledge, attitudes, and practices of Iranian physicians regarding contact isolation precautions.

Design.

Data were collected between May and November 2002 using a cross-sectional survey design.

Setting.

Teaching hospitals in Shiraz, Iran.

Participants.

A total of 155 physicians: 78 attending clinicians and 77 resident physician surgeons or internists.

Results.

The mean scores for knowledge and attitude were acceptable, with 71% of physicians scoring the maximum for knowledge and 65% achieving the maximum scores for attitude, whereas the mean score for practice was low, with only 26% achieving the maximum score. A good level of knowledge be associated with a good attitude (odds ratio [OR], 68.4 [95% confidence interval {CI}, 20.0-285.6]; P< .001), good practices were associated with good knowledge (OR, 22.5 [95% CI, 7.1-91.3]; P< .001), and a good attitude was associated with good practice (OR, 20.0 [95% CI, 5.7-105.2]; P<.001).

Conclusion.

Although strong associations were found among knowledge, attitude, and practice, the level of compliance with precautions was not nearly as high as it should be.

Type
Original Articles
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2006

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References

1. Nishi, J, Yoshinaga, M, Miyanohara, H, et al. An epidemiologic survey of methicillin-resistant Staphylococcus aureus by combined use of MEC-HVR genotyping and toxin genotyping in a university hospital in Japan. Infect Control Hosp Epidemiol 2002; 23:506510.Google Scholar
2. Vriens, MR, Fluit, AC, Troelstra, A, et al. Is methicillin resistant Staphylococcus more contagious than methicillin-susceptible S. aureus in a surgical intensive care unit? Infect Control Hosp Epidemiol 2002; 23:491494.Google Scholar
3. Lai, KK, Fontecchio, SA, Kelley, AL, Baker, S, Melvin, ZS. The changing epidemiology of vancomycin-resistant enterococci. Infect Control Hosp Epidemiol 2003; 24:264268.Google Scholar
4. Salgado, C, Farr, BM. Outcome associated with vancomycin-resistant enterococci: a meta-analysis. Infect Control Hosp Epidemiol 2003; 24:690698.Google Scholar
5. Muto, CA, Jernigan, JA, Ostrowsky, BE, et al. SHEA guideline for preventing nosocomial transmission of multidrug-resistant strains of Staphylococcus aureus and Enterococcus . Infect Control Hosp Epidemiol 2003; 24:362386.CrossRefGoogle ScholarPubMed
6. Richet, HM, Benbachir, M, Brown, OFJ, et al. Are there regional variations in the diagnosis, surveillance, and control of methicillin-resistant Staphylococcus aureus? Infect Control Hosp Epidemiol 2003; 24:334341.Google Scholar
7. Ostrowsky, BE, Trick, WE, Sohn, AH, et al. Control of vancomycin-resistant enterococcus in health care facilities in a region. N Engl J Med 2001; 344:14271433.CrossRefGoogle ScholarPubMed
8. Fauerbach, L. Risk factors for infection transmission. In: APIC Text of Infection Control and Epidemiology. Washington, DC: APIC; 2002:41-4-9.Google Scholar
9. Bayers, KE, Anglim, AM, Anneski, CJ, et al. A hospital epidemic of vancomycin resistant enterococcus: risk factors and control. Infect Control Hosp Epidemiol 2001; 22:140147.Google Scholar
10. Saint, S, Higgins, LA, Nallamothu, BK, Chenoweth, C. Do physicians examine patients in contact isolation less frequently? A brief report. Am J Infect Control 2003; 31:354356.Google Scholar
11. Kirkland, KB, Weinstein, JM. Adverse effects of contact isolation. Lancet 1999; 354:1177.CrossRefGoogle ScholarPubMed
12. O'Boyle, C. Hand washing and skin preparation for invasive procedures. In: APIC Text of Infection Control and Epidemiology. Washington, DC: APIC; 2002:28A1-28-A17.Google Scholar
13. Hinson, PL. Education and training. In: APIC Text of Infection Control and Epidemiology. Washington, DC: APIC; 2002:81-8-21.Google Scholar
14. Evans, HL, Shaffer, MM, Hughes, MG, et al. Contact isolation in surgical patients: a barrier to care? Surgery 2003; 134:180188.Google Scholar
15. Watanakunakorn, C, Wang, C, Hazy, J. An observational study of handwashing and infection control practices by health care workers. Infect Control Hosp Epidemiol 1998; 19:858860.Google Scholar
16. Bolyard, EA, Tablan, OC, Williams, WW, et al. Guideline for infection control in healthcare personnel, 1998: hospital infection control practices advisory committee. Infect Control Hosp Epidemiol 1998; 19:407463.CrossRefGoogle ScholarPubMed
17. Glover, TL. How drug-resistant microorganisms affect nursing. Orthop Nurs 2000; 19:1928.Google Scholar