Student Dissertation

Agency : Infection Control; ICU; Wards; Hospital Acquired Infection; Infection Control Practices

Objective : To objective is to assess the knowledge of Residential Medical Officer, Nurses, Physiotherapists, Technicians & Housekeeping Staffs & to observe the infection control practice on nurses.

Background : Hospital Acquired Infection (HAI) is a serious health issue as it leads to increased patients’ morbidity and mortality, length of hospital stays and out of the pocket expenditure. Hospital Acquired Infections are also known as Nosocomial Infections. It occurs after 48 hrs of admission. Mainly bacteria are responsible for nosocomial infections. This can be prevented by good infection control practices like Hand Hygiene, Surveillance program, wearing of Personal Protective Equipment (PPE), Vaccination of staff.

Methodology : Study Design: - Descriptive and Exploratory Study Setting: - Wockhardt Hospital, Nagpur Duration of The Study: - 5th February to 30th April 2018 Sample Size: - 25 Medical Officer, 85 Nurses, 22 Technicians, 6 Physiotherapists and 45 Housekeeping staffs, 61 Observational samples, Total 244 Sampling Technique: - Convenience Sampling. Sample Selection: - Inclusion Criteria: Resident doctor and other hospital staff (nurses, physiotherapist, technician, housekeeping) Exclusion Criteria: - All Senior Consultants. Data Collection Procedure: - Interview was taken through a well-structured questionnaire. The questionnaire was administered to RMOs, Nurses, Technicians & Physiotherapists. There were separate questions for Housekeeping Staff. An Observation conducted on the nurse. Data Analysis Procedure: - Data will be analyzed using Microsoft Excel and graphical analysis viz. Bar Graphs, Pie charts, etc. of the results will be done as per the need of the study. Data Collection Instrument: - Interviews is taken from doctors and other hospital staffs and observation is done on nurses regarding infection control practices

Findings : The knowledge of infection control practices was assessed that out of 25 RMOs 13 scored above 80%, 9 scored 80%, 2 scored 70% & 1 scored 60%. Out of 85 nurses 24 scored above 80%, 29 scored 80%, 15 scored 70%, 9 scored 60%, 3 scored 50% & 5 scored below 50%. Out of 22 technicians 5 scored 80%, 3 scored 70%, 5 scored 60%, 4 scored 50% & 5 scored below 50%. Out of 6 physiotherapists 4 scored above 80%, 1 scored 80% & 1 scored 60%. Out of 45 housekeeping staff 11 scored above 80%,18 scored 80%, 9 scored 60% & 7 scored 50%. In the observation part, out of 20 observations in Intensive Care Unit (ICU) hand hygiene noncompliance is 40%, 20% of nurses are not using Personal Protective Equipment, rest 40% are correct. 65% antibiotic bottles contain handwritten medication sticker, 35% antibiotic bottles were not containing medication sticker. In 4th Level (ward) out of 20 observations 57% hand hygiene noncompliance, 5% nurses are not using Personal Protective Equipment & 38% are correct in both,52% does not contain medication sticker & 48% contains medication sticker. In 5th Level (ward) out of 21 observations 65% hand hygiene noncompliance are found, only 30% antibiotic bottles contain handwritten medication sticker, 70% does not contain medication sticker.

Recommendations : To improve the current status of infection control practices training & development can be conducted, Continued Medical Education (CME) conducted for the staff of the hospital & motivation of staff can be done by small token of gift