Browsing by Author "Seifu Robel"

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    Assessment of Knowledge, Attitude and Practice of Residents in Using Face Mask for Prevention of Spread of Novel Corona Virus at Tikur Anbessa specialized hospital, Addis Ababa, Ethiopia .
    (Addis Abeba University, 2020-12) Tsegaye Dagem; Taddesse Mahlet ; Seifu Robel
    Introduction Coronavirus is the second pandemic emerged in 21st century following influenza A H1N1 which occurred back in 2009. The World Health Organization (WHO) and Center for Disease Control and Prevention (CDC) both recommended to use face mask for the prevention of infection in the health facility. This kind of strategies are very important for resource limited countries with a very higher case incidence in order to keep safe their medical staff from COVID 19 infection. The use of face mask as way of infection prevention to work, proper use is very important which highly depend on the knowledge and attitude towards it of how to use it. Materials and Methods We used facility based cross- sectional study design. The study area is Tikur Anbessa Specialized Hospital. The data was collected using structured self-administered questionnaires.The data collection tool was adopted from previous study, and modified for this study. The data was entered to Epi-data V 5 for cleaning and was imported to SPSS V 25 for analysis.Descriptive analysis and association for the participants was done. The study population for this study were residents from Anesthesiology, Internal medicine, Obstetric and gynecology and General Surgery residents working at TAH. The final sample size for this study is 151. Ethical clearance and support was obtained from Department of Anesthesiology Institution of Review Board. Results There are four major findings of the study. The overall good knowledge of respondents was found to be 71.5%, Positive attitude was found to be 83.4 % and good practice was found to be 39.1%. The overall practice of facemask was found to be poor. The study also showed verystrong correlation between Good level knowledge and attitude. Internal medicine and Obstetric and Gynecology residents were found to have good knowledge compared to their compatriots.In addition, younger residents and residents with higher experience were found to have good knowledge. Conclusion and recommendation The Knowledge and attitude of Residents regarding the use of surgical face masks were found to be good but practice was found to be poor. This shows more awareness is required about several aspects such as the types of masks, the duration of using masks and the proper disposal of the masks
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    Assessment of the Pattern and Safety of Anesthetic Practice in Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia
    (Addis Ababa Universty, 2017-12) Seifu Robel ; Shimelis Rediet
    Background: Anesthesia services in many low and middle income countries are extremely poor. Literatures demonstrate a serious, sustained lack of safe anesthesia for surgery. The unacceptably high avoidable mortality rates associated with anesthesia in low income countries are related to airway problem, anesthesia in the presence of hypovolemia, poor technique, lack of training and supervision of non-physician anesthesia care providers and lack of monitoring, drugs and equipment. On the other hand, anesthesia related risk in developed nations is low as result of improvements in training, equipment and drugs and the introduction of mandatory monitoring standards and protocols such as pulse oximetry and capnography. International standards play an important role in guiding the development of anesthesia services. If the safety of anesthetic services is to be improved, wide adoption of these standards by ministries of health and local professional societies is imperative. Methods: A cross-sectional descriptive study design was employed for a 6 weeks’ period of time from October 1st, 2017 to November 14th, 2017 at Tikur Anbessa Specialized Hospital in Addis Ababa, Ethiopia. A structured checklist was used to gather data regarding the availability of facilities, equipment and drugs. A structured, self-administered questionnaire was used to gather data regarding patterns and safety of peri-anesthetic care and monitoring. A series of unstructured in-depth interviews were conducted to key-informants to gather data regarding the work force capacity, accessibility of equipment and drugs, and issues that were not addressed by the other data collection tools. Results and Discussion: Anesthesia care at Tikur Anbessa Specialized Hospital was carried out by 44 physician and 47 non physician anesthesia care providers. There was a promising rise in the numbers of anesthesiology residents in recent years. In addition to routine anesthetic care service in the operating rooms, additional anesthesia services were also provided in a gastrointestinal endoscopy suite, MRI suite and pediatric procedure suite. There was a significant resource limitation with regards to airway and other anesthesia equipment and devices used for monitoring. Drugs’ availability was relatively good. The majority of perioperative anesthetic care practices with some exceptions were equivalent to minimum mandatory standards (level 1/basic).
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    Knowledge and Practice of Anesthesia Providers on Exposure to Inhalational Anesthetic Agents in TikurAnbesa Specialized Hospital, Addis Ababa, Ethiopia, 2020.
    (Addis Abeba University, 2020-11) Atsbha Yirgalem; Alferid Fetiya ; Seifu Robel
    Background: Inhalational exposure is common among the different health care providers,especially in anesthesia care providers. Anesthesia providers have failed to identify personal protective equipments.Knowledge related to occupational hazard prevention among theseproviders was also low. Objective: To assess the Knowledge and practice of Anesthesia Providers on Exposure to Inhalational Anesthetic Agents in Tikur Anbessa Specialized Hospital. Methods: A hospital based cross-sectional quantitative study was conducted among 114 available anesthesia providers in TASH, from 1 to 30 September 2020. Data was collected using a structured self-administered questioner. Collected data was analyzed using spss version 26 and presented with frequencies and percentages. For association between categorical variablesPearson chi square and logistic regression was used. Result: Out of 132 anesthesia care providers we were able to collect data in 114(86.36 % of the total population) participants. Although all feel exposed to inhalational anesthetics, Only 64(56.1%) of the participants scored above the mean for knowledge on exposure to inhalational anesthetics. Being female anesthesia care provider was strongly associated with good knowledge score on the risks of inhalational anesthetics. Only 63(55.3%) of the anesthesia care providershave good practice in applying strategies to reduce exposure to inhalational anesthetic agents. There was no strongly associated factor with practice of the anesthesia provider. Conclusion: The knowledge on exposure to inhalational anesthetics agents and the practice inapplying the strategies to minimize exposure to inhalational agents in the Operating theatre is good. Being female anesthesia care provider was associated with better knowledge on the risksof exposure to inhalation anesthetics. Standard procedures of prevention of inhalational anesthetics should be implemented by TASH.The standards can be given as a form of training for anesthesia care providers and also put as a protocol by the department.