Pediatrics and Child Health

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Browsing Pediatrics and Child Health by Subject "Barriers"

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    Barrier’s and Enablers for the Implementation of Standardized Blood culture Specimen Collection in Hospitalized Children, TikurAnbessa Specialized Hospital, Addis Ababa, Ethiopia:Prospective Cross Sectional Study.
    (Addis Ababa University, 2024-03) Assefa,Elias; Abebe, Workeabeba(Prof.)
    Background: Clinical culture specimen collection plays a vital role in diagnosing and managing infectious disease in hospitalized children. Obtaining accurate and reliable culture specimens is crucial for guiding appropriate antimicrobial therapy and preventing the spread of infections. However, there is often a lack of standardization in clinical culture specimen collection practices, leading to potential barriers and challenges in obtaining high quality samples. Objectives: To identify the practice standardizing blood culture specimen collection and associated factors in hospitalized children at TikurAnbessa Specialized Hospital, Addis Ababa Ethiopia. Methods: This study was conducted using a hospital- based prospective cross-sectional study design from July 2023 – October 2023 GC. Descriptive statistics was presented with frequency tables and charts. Binary logistic regression model was used to assess the association between the independent variable and treatment outcomes. All statistical tests were significant at P-value less than 0.05. Result: In this study a total of 400 nurses were participated. More than half of them 233 (58.3%) were in the age group of 30-39 years with the minimum age of 26 and the highest age 44 years. The mean age of the study participants was 31.64 years with a standard deviation of 4.09. Only 104 (26%) with (95%CI, 21.8-30.3) blood collection specimen technique among the study participants was according to the standard. Those who had good understanding about the enablers and scored above the mean (AOR=1.68, 95%CI, 1.01-2.81) and those who had good understanding about the barriers and scored above the mean (AOR=95% CI, 1.75(1.04-2.95) were significantly associated with standardizing blood culture specimen collection practice. Conclusion and recommendation: According to the findings, several enablers and barriers negatively influenced blood collection practice according to the standard. To achieve successful increased awareness and efforts by the individual professional are necessary. However, facilities must facilitate for its achievement by providing adequate resources, clear task statements and follow up.