Instrument processing knowledge and practice amongst healthcare workers in Addis Ababa, Ethiopia
AbstractThe recent outbreaks of healthcare associated infections (HAIs) as a result of poor cleaning, disinfection and sterilization of medical equipment, and concerns about the possible spread of highly contagious infections has brought the issue of instrument processing in the fore front of infection prevention. Conversely, in many developing countries such as Ethiopia instrument processing practice (IPP) among healthcare workers (HCWs) is not quantified yet. A cross-sectional study was conducted to assess HCWs instrument processing practice and associated factors in health centers of Addis Ababa, Ethiopia in January, 2017. Simple random sampling technique was employed to select 328 HCWs. Data was collected using structured questioner and checklist. Univariate analysis, binary and multivariate logistic regression was computed. Adjusted odds ratio (AOR) with corresponding 95% confidence interval (CI) was used to quantify the strength of association and p-value ≤ 0.05 was used to declare statistical significance. Less than half 46.3% (95%CI: 40.9, 51.5) of HCWs are knowledgeable on instrument processing and 220(67.1%) (95%CI: 61.9, 71.6) of HCWs had safe IPP. High risk perception towards transmitting an infection while working (AOR: 5.35; 95%CI: 2.44, 11.73), being knowledgeable on instrument processing (AOR: 2.81; 95%CI: 1.50, 5.27), and having positive attitude towards infection prevention (AOR: 2.39; 95%CI: 1.19, 4.84) were the most important variables associated with safe IPP. In general, HCWs instrument processing practice was not safe enough. Moreover, significant number of HCWs lacks adequate instrument processing knowledge. Hence, enhancing HCWs awareness on IPP should be undertaken along with urgent improvement in routine monitoring of autoclaves. Keywords: Instrument processing; Decontamination; Cleaning; Sterilization; Disinfection; Reusable medical devices; Ethiopia
Copyright conditions: Copyright on any research article in the International Journal of Infection Control (IJIC) is retained by the author(s). Authors grant IJIC permission to publish the article and identify itself as the original publisher. Authors also grant any third party the right to use the article freely as long as its integrity is maintained and its original authors, citation details and publisher are identified. IJIC conforms to the Creative Commons Attribution License (http://creativecommons.org) as terms and conditions of publishing research articles. In summary, anyone is free: • to copy, distribute, and display the work; • to make derivative works; • to make commercial use of the work; as long as: • the original author must be given credit; • for any reuse or distribution, it must be made clear to others what the license terms of this work are; • any of these conditions can be waived if the authors gives permission. Statutory fair use and other rights are in no way affected by the above. Authors' certification: In submitting a manuscript to IJIC, authors are requested to certify that: • They are authorized by their co-authors to enter into these arrangements. • They warrant, on behalf of themselves and their co-authors, that: o the article is original, has not been formally published in any other peer-reviewed journal, is not under consideration by any other journal and does not infringe any existing copyright or any other third party rights; o they are the sole author(s) of the article and have full authority to enter into this agreement and in granting rights to IJIC are not in breach of any other obligation. If the law requires that the article be published in the public domain, they will notify IJIC at the time of submission; o the article contains nothing that is unlawful, libellous, or which would, if published, constitute a breach of contract or of confidence or of commitment given to secrecy; o they have taken due care to ensure the integrity of the article.