Anesthetists Knowledge, Practices and Associated Factors towards Infection Prevention in Addis Ababa Public Hospitals, Ethiopia: A Cross-Sectional Study
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Date
2021-06
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Addis Ababa University
Abstract
Background
Infection prevention is one of a central component of safe and quality service provide at the
level of health organization. In health care system, globally hundreds of millions people are
affected every year by avoidable infections. In sub-Saharan Africa, the rate of nosocomial
infection ranges from 2.5 to 30.9% with surgical patients.
Objective: The aim of this study is to assess anesthetists knowledge, practices and identify
associated risk factors towards infection prevention in Addis Ababa public hospital
Methodology: A cross-sectional survey study was conducted with structured pretested, and self
administered questionnaires on 220 anesthetists working at hospitals in Addis Ababa. The
collected data was checked for its completeness, consistency, and accuracy and entered in EPI
INFO7 software and then exported to SPSS version 24 for analysis. The descriptive statistical
analysis was used to summarize important independent variables and logistic regression model
was fitted for bivariate and multivariable analysis. For the determination of the existence of an
association between variables, a 95% confidence level and alpha of 0.05 was used. The odds
ratio was used to estimate a measure of effect and to show the strength of association.
Result: A total of 220 anesthetists have participated in this study with a response rate of
88%.Out of these 82.7 % (95% of CL: 77.7-87.7) and 48.2% (95% of CL: 41.4-55.4) of
respondents were assessed as Knowledgeable and safe practices towards infection prevention
respectively. Knowledge towards infection prevention is strongly associated with training on
infection prevention, the presence of an infection prevention committee, and the availability of
guidelines. Also, the presence of an infection prevention committee, personal protective
equipment, and availability of guideline associated with safe practice toward infection
prevention.
Conclusion: The finding of this study showed that the majority of anesthetists have a good
knowledge of infection prevention and nearly half of anesthetists had poor practice towards
infection prevention. Hospitals and concerned stack holders should focus on training of infection
prevention, and develop infection prevention guidelines related to anesthesia practice, adequate
supply of personal protective equipment, and need continuous mentorship by the infection
prevention committee.
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Keywords
Infection Prevention, knowledge, Practice, Anesthetists, Addis Ababa