ABSTRACT
Hospital acquired infections (HAIs) continue to be a threat to hospital admissions and workers thus contributing to mortalities and morbidities. Sophistication and type of services given by health facilities may determine health worker’s attitude towards combating these infections. The objective of this study is to compare knowledge, attitude and practice of HAIs among health workers at the three levels of health care in Nigeria, particularly the primary level that has to do with the resident as well as the health workers of Egor in Edo State. Nosocomial infections (Nls) are new localized or systemic infections that develop in patients receiving medical care in a hospital or other healthcare facilities. The infections are not incubating or present during a patient's admission into the healthcare facility and are identified at least forty-eight to seventy-two hours following the patient's admission. Episodes of Nls are recognized in hospitalized patients world-wide and are prevalent in all age groups. They are caused by pathogens such as bacteria, viruses and parasites present in the air, surfaces or equipment and are often transmitted by indirect and direct contact. Some of the pathogens are resistant to antimicrobial agents. The burdens of Nls include prolonged duration of hospitalization for patients resulting in increased costs of healthcare and deaths. Implementation of safe patient care activities is the role of healthcare workers such as physicians, dental health care workers and nurses. Therefore these healthcare workers should be familiar with practices to prevent the occurrence and spread of Nls. It has been documented in the literature that at the time of their graduation from their professional education, healthcare professionals have sufficient knowledge to practice patient safety and infection control guidelines. However, the evidence suggests otherwise since healthcare workers including nurses are implicated in the transmission of nosocomial infections. With nurses having the most contacts with patients; understanding of their knowledge, attitudes and practice patterns with regard to the spread of Nls may provide one approach by which this health care issue would be addressed.
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