Staff Knowledge, Adherence to Infection Control Recommendations and Seroconversion Rates in Hemodialysis Centers in Khartoum
| Autor: | Nazik F E Mohammed, Sahar I Mohammed, Abd-Alhafeez A Rahamtalla, Mysa A M Ahmed, Shima E E Ali, Sarra Elamin, Ekram H Hassan, Lamya O A M Salih, Hassan Abu-Aisha |
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| Rok vydání: | 2011 |
| Předmět: |
Hepatitis B virus
medicine.medical_specialty Hand washing Quality Assurance Health Care Hepatitis C virus medicine.medical_treatment Enzyme-Linked Immunosorbent Assay Hepacivirus medicine.disease_cause Renal Dialysis Risk Factors Internal medicine Medical Staff Hospital medicine Humans Infection control Seroconversion Cross Infection Infection Control business.industry Process Assessment Health Care General Medicine Hepatitis C Hepatitis B medicine.disease Hemodialysis Units Hospital Practice Guidelines as Topic Hemodialysis HBV HCV Khartoum Immunology Kidney Failure Chronic Clinical Competence Guideline Adherence business |
| Zdroj: | Arab Journal of Nephrology and Transplantation; Vol 4, No 1 (2011) |
| ISSN: | 1858-554X |
| Popis: | Introduction: We evaluated hemodialysis (HD) staff knowledge, adherence to infection control recommendations and seroconversion rates for hepatitis B virus (HBV) and hepatitis C virus (HCV) in 13 centers that continuously provided HD services in Khartoum State between June 2009 and November 2010. Methods: The knowledge of 182 HD staff members was evaluated by a self-filled questionnaire. Relevant data were obtained from 1011 HD patients by direct interviews and record review. Adherence of staff members to infection control recommendations was evaluated by direct observation. Results: HD staff members achieved a median score of 81% in knowledge evaluation (range 44-100%). Better scores were achieved by more experienced staff. We identified serious gaps in knowledge related to the environmental risk of viral transmission. Regular screening by enzyme-linked immunoassay (ELISA) was performed in 46% of centers. Only half susceptible patients were vaccinated against HBV. Staff dedicated for treatment of HBV positive patients were found in only 57% of centers that served such patients. Hand washing recommendations were strictly observed in 15% of centers, disinfection of HD stations between patients was strictly observed in 23% of centers, medications were prepared in a separate area in 8% of centers and delivered separately to each patient in none of the centers. There were 2.5 HCV seroconversions and 0.6 HBV seroconversions per 100 patient-years. Center characteristics that predicted HCV seroconversion were accommodation of HCV-positive patients in the same center, using ELISA for patient screening, and assigning more than 3 patients for one HD nurse. Conclusion: There are serious gaps in HD staff knowledge and adherence to infection control recommendations. A structured training program for HD staff members is urgently required. Keywords: Hemodialysis; HBV; HCV; Infection Control; Khartoum |
| Databáze: | OpenAIRE |
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