Factors Affecting Compliance with Standard Precautions among Healthcare Workers in Public Hospitals Abuja, Nigeria
International Journal of TROPICAL DISEASE & Health,
Background: Health care workers are at risk of various occupational hazards such as blood borne and other pathogens infections in the hospital in the course of carrying out their duties. This study aims to assess the factors affecting compliance with standard precautions (SP)s among Health care workers in primary, secondary and tertiary hospitals in Nigeria
Methods: A cross-sectional survey of 332 health care workers involved in clinical practices from 19 Government health facilities in North central Nigeria. A multi-staged sampling technique was used and data collected using a semi-structured self-administered questionnaire and analysed using Epi-info 7 and associations tested using chi square test and logistic regression. Level of significance was set at 5%.
Results: Of 332 participants interviewed, knowledge was above average in 274 (82.6%) of the respondents out of which 141 (42.5%) had good knowledge and 133 (40.1%) had fair knowledge. Majority of the respondents (76.2%) were compliant with SPs. Factors significantly affecting health care worker’s compliance type of health facility (p=0.022) and years of practice (p=0.044).
Conclusion: Health care workers in primary health facilities were less likely to be compliant with standard precautions than those in tertiary health facilities. Training on infection prevention and control, was recommended.
- Standard Precautions
- healthcare workers
How to Cite
Bagheri NS, Allegranzi B, Syed SB, Ellis B, Pittet D. Health-care-associated infection in Africa: A systematic review. Bull. World Health Organ. 2011;89:757–65.
Vincent JL, Rello J, Marshall J, Silva E, Anzueto A, Martin CD, et al. International study of the prevalence and outcomes of infection in intensive care units. JAMA. 2009;302(21):23.
Yan T, Li Y, Sun Y, et al. Hospital-acquired lower respiratory tract infections among high risk hospitalized patients in a tertiary care teaching hospital in China: An economic burden analysis. J Infect Public Health. 2018;11(4):507–513.
Haque M, Sartelli M, McKimm J, Abu Bakar M. Health care-associated infections - An overview. Infection and Drug Resistance. 2018;11:2321–2333.
Allegranzi B, et al. Burden of endemic health-care-associated infection in developing countries: Systematic review and meta-analysis. Lancet (London, England). 2011;377:228–41.
Vaz K, Mcgrowder D. Compliance with universal care workers at the University Hospital of the West Indies, Jamaica IJOEM. 2010;1(4):171–81.
Hesse A, Adu-Aryee N, Entsua-Mensah K, Wu L. Knowledge, attitude and practice universal basic precautions by medical personnel in a teaching hospital. Ghana Med J. 2006;40(2):61–4.
Askarian M, McLaws ML, Meylan M. Knowledge, attitude, and practices related to standard precautions of surgeons and physicians in university-affiliated hospitals of Shiraz, Iran. Int J Infect Dis. 2007;11(3): 213–9.
Garner JS. Guideline for isolation precautions in hospitals. Infect Control Hosp. Epidemiology. 1996;17(1):53–80.
World Health Organization Regional Office for South-East Asia and Regional Office for Western Pacific. Practical Guidelines for Infection Control in Health Care Facilities Practical Guidelines for Infection Control in Health Care Facilities; 2004.
[Accessed July 15, 2016]
CDC. Guide to Infection prevention for outpatient settings: Minimum expectations for safe care. Centers Dis Control Prev. 2013;1–17.
CDC, Committee A, Apic S. Morbidity and mortality weekly report guideline for hand hygiene in health-care settings recom-menddations of the healthcare infection control practices centers for disease control and prevention TM. 2002;51(RR-16):1–45.
Danasekaran R, Mani G, Annadurai K. Prevention of healthcare-associated infections: Protecting patients, saving lives. Int J Community Med Public Health. 2014; 1(1):67–68.
Nuvials X, Palomar M, Alvarez-Lerma F, et al. Health-care associated infections. Patient characteristics and influence on the clinical outcome of patients admitted to ICU. Envin-Helics registry data. Intensive Care Med Exp. 2015;3(Suppl 1):A82.
Efstathiou G, Papastavrou E, Raftopoulos V, Merkouris A. Factors influencing nurses’ compliance with Standard Precautions in order to avoid occupational exposure to microorganisms: A focus group study. BMC Nurs. 2011;10:1.
Kermode M, Jolley D, Langkham B, Thomas MS, Holmes W GS. Compliance with universal/standard precautions among health care workers in rural north India. Am J Infect control. 2005;33(1):27–33.
World Health Organisation (WHO): Ebola Response Roadmap Situation Report 8 [internet]; 2014.
[Accessed April 5, 2016]
Rapiti E, Prüss-üstün A, Hutlin Y, Campbell-lendrum D, Corvalán C, Woodward A. Sharps injuries: Assessing the burden of disease from sharps injuries to health-care workers at national and local levels. World Heal Organ Environ Burd Dis Ser No 11. 2005;11:1–50.
Dioso RP. Factors affecting doctors’ and nurses’ compliance with standard precautions on all areas of hospital settings worldwide — A meta-analysis. ASM Sci J. 2014;8(2):134–42.
Duerink DO, Hadi U, Lestari ES, Roeshadi D, Wahyono H, Nagelkerke NJ, et al. A tool to assess knowledge, attitude and behavior of Indonesian health care workers regarding infection control. Acta Med Indones. 2013;45:206–15.
Dimie O, Kemebradikumo P, Babatunde A, George C, Christian I, Sanusi G. Knowledge, attitude and practice of standard precautions of infection control by hospital workers in two tertiary hospitals in Nigeria. Journal of Infection Prevention. 2015;16(1):16–22.
Okechukwu EF, Modteshi C. Knowledge and practice of standard precautions in public health facilities in Abuja, Nigeria. Int J Infect Control. 2012;8(3):1–7.
Health and Human services secretariat. FCT. Federal Capital Territory Health Bulletin. Abuja, Nigeria; 2011.
Jaykaran Charan, Tamoghna Biswas. How to calculate sample size for different study designs in medical research. Indian J Psychol Med. doi: 2013;10(41):121–126.
Luntsi G, Nwobi IC, Ochie K, Nkubli FB, Abubakar MG, Njiti MAS. The practice of universal precautions against body fluid borne infection among radiology staff in some Teaching Hospital in Northern Nigeria. J Biol Agric Heal. 2014;4(24):80–4.
Labrague LJ, Rosales RA, Tizon MM. Knowledge and compliance of standard precautions among student nurses. Int J Adv Nurs Stud. 2012;1(2):84–97.
Cantrell D, Shamriz O, Cohen MJ, Stern Z, Block C, Brezis M. Hand hygiene compliance by physicians: Marked heterogeneity due to local culture? Am J Infect Control. 2009;37(4):301–5.
Moralejo D, El Dib R, Prata RA, Barretti P, Corrêa I. Improving adherence to standard precautions for the control of health care-associated infections. Cochrane Database Syst Rev. 2018;2:CD010768.
Helfgott AW, Taylor-Burton J, Garcini FJ, Eriksen NL, Grimes R. Compliance with universal precautions: Knowledge and behavior of residents and students in a department of obstetrics and gynecology. Infect. Dis. Obstet. Gynecol. 1998;6:123–128.
Foluso O, Makuochi IS. Nurses and midwives compliance with standard precautions in Olabisi Onabanjo University Teaching Hospital , Sagamu Ogun State. 2015;1:193–200.
Abdulraheem IS, Amodu MO, Saka MJ, et al. Knowledge, awareness and compliance with standard precautions among health workers in north eastearn Nigeria. J Community Med Hea Edu. 2012;2:1–5.
Porto JS, Marziale MH. Reasons and consequences of low adherence to standard precautions by the nursing team. Revista Gaucha de Enfermagem 2016;37(2):e57395.
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