Staphylococcus Aureus and MRSA Contamination Level of Working Clothe, Hand Carriage, and Knowledge, Attitude and Practice Among Healthcare Workers at Federal Police Hospital; Addis Ababa, Ethiopia.
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Date
2021-11
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Addis Abeba University
Abstract
Background: Contaminated workings clothe and hand of health care workers can causenosocomial infections. Staphylococcus aureus (S aureus) is the main causative agent ofnosocomial infection and it can be transmitted through working clothe of health care workersfrom patient to health care workers and from health care workers to patients at hospitals. Poorhand hygiene is the main way of spreading infectious organisms.
Objective: To assess Staphylococcus aureus and MRSA contamination level of Working Clothes,Hand carriage, and knowledge, attitude, and practice (KAP) among Health Care workers(HCWs) at Federal Police Hospital.
Methods: Cross-sectional study was conducted at the Federal police hospital (FPH) fromNovember 2020-March 2021 by inclusion of 222 healthcare workers. 222 swab samples werecollected from the working clothing of all participants and 53 hand swab samples were randomlycollected from 53 HCWs. Culturing, identification, and antimicrobial sensitivity tests wereperformed at the Federal Police Hospital microbiology laboratory using conventional standardmicrobiology tests. The positive and negative control organisms' S aureus and S epidermidiswere obtained from Ethiopian Public Health Institute (EPHI) microbiology department. Thedemographic data, knowledge, attitude, and practice of study participants were collected byproviding self-administered questioner and observational checklists. The data entry was done byMicrosoft Excel and chi-square data analysis done by using SPSS version 21 software.
Results: Out of 222 study participants, 39(17.6%) were contaminated with staphylococcusbacteria. A total of 41 staphylococci were isolated from 35 working clothes,2 hands, and 2 wereisolated from both clothes and hands. From a total of 41 isolates, 18(43.9 %) S aureus, and23(56.1%) coagulase-negative Staphylococcus (CoNS) were identified. 12(67%) Methicillinsensitive S aureus (MSSA) and 6(33%) Methicillin-resistant S aureus (MRSA) were identifiedfrom a total of 18 S aureus isolates. About 86.9% of study participants have good knowledgeabout the use and handling of working clothes related to bacterial contamination. 60% of themshow a good attitude and 70.1% were practicing good on using and handling of working clothesrelated to the prevention of bacterial contamination.
Conclusion: In this study the contamination rate of working clothe and hand carriage of S aoreus was 6.8% and 5.6% respectively and 33% of the isolates were MRSA. Even though studyparticipants have good knowledge, attitude, and practice about working clothe and hand hygienecontinuous awerness of staff is paramount to prevent MRSA in the hospital.
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Keywords
Clothe contamination, S aureus , MRSA , Healthcare worker, hand-carriage, Nosocomial.