Methods: A questionnaire of 36 questions was developed and administered to assess socio-occupational characteristics, knowledge of Healthcare-associated infections, attitudes and barriers encountered in compliance with hygiene standards, self-analysis of professional behaviour, and proposals for new interventions. Variables were evaluated by univariate analysis, and multivariable logistic regression models were constructed to identify predictors of adequate knowledge, positive attitude and appropriate professional behaviour. Background: Healthcare-associated infections are the main complications of hospitalization. A bottom-up approach, where the Healthcare workers involved play a key role, can be adopted to limit the Healthcare-associated infections burden. To this end, a survey was conducted in the main intensive care unit of Umberto I Teaching Hospital of Rome, where an active surveillance system has been in place since April 2016. Results: Overall, 79/89 Healthcare workers completed the questionnaire. Multivariate analysis showed that Healthcare workers, who participated in ward meetings to share active surveillance reports, were more likely to have adequate knowledge (aOR=4.21, 95% CI: 1.36-13.07). Only job type seemed to be a predictor of adequate behaviour, since nurses and physicians were more likely to show adequate behaviour than residents in training (aOR=0.21, 95% CI: 0.06-0.74). Direct observation of compliance with standard hygiene precautions and the identification of 'local champions' to manage Healthcare-associated infections' issues were the most requested interventions. Conclusions: Our study suggests that the training of healthcare professionals is a key factor in preventing and containing the spreading of Healthcare-associated infections. Moreover, by encouraging greater Healthcare workers' involvement, we conclude that a bottom-up approach is likely to improve Healthcare-associated infections' prevention and management.
Methods: A questionnaire of 36 questions was developed and administered to assess socio-occupational characteristics, knowledge of Healthcare-associated infections, attitudes and barriers encountered in compliance with hygiene standards, self-analysis of professional behaviour, and proposals for new interventions. Variables were evaluated by univariate analysis, and multivariable logistic regression models were constructed to identify predictors of adequate knowledge, positive attitude and appropriate professional behaviour. Background: Healthcare-associated infections are the main complications of hospitalization. A bottom-up approach, where the Healthcare workers involved play a key role, can be adopted to limit the Healthcare-associated infections burden. To this end, a survey was conducted in the main intensive care unit of Umberto I Teaching Hospital of Rome, where an active surveillance system has been in place since April 2016. Results: Overall, 79/89 Healthcare workers completed the questionnaire. Multivariate analysis showed that Healthcare workers, who participated in ward meetings to share active surveillance reports, were more likely to have adequate knowledge (aOR=4.21, 95% CI: 1.36-13.07). Only job type seemed to be a predictor of adequate behaviour, since nurses and physicians were more likely to show adequate behaviour than residents in training (aOR=0.21, 95% CI: 0.06-0.74). Direct observation of compliance with standard hygiene precautions and the identification of 'local champions' to manage Healthcare-associated infections' issues were the most requested interventions. Conclusions: Our study suggests that the training of healthcare professionals is a key factor in preventing and containing the spreading of Healthcare-associated infections. Moreover, by encouraging greater Healthcare workers' involvement, we conclude that a bottom-up approach is likely to improve Healthcare-associated infections' prevention and management.
Entities:
Keywords:
Intensive care unit; healthcare workers; healthcare-associated infections; survey
Authors: Claudia Isonne; Valentina Baccolini; Giuseppe Migliara; Mariateresa Ceparano; Francesco Alessandri; Giancarlo Ceccarelli; Guglielmo Tellan; Francesco Pugliese; Maria De Giusti; Corrado De Vito; Carolina Marzuillo; Paolo Villari; Lavinia Camilla Barone; Dara Giannini; Daniela Marotta; Mattia Marte; Elena Mazzalai; Irma Germani; Arianna Bellini; Andrea Bongiovanni; Marta Castellani; Ludovica D'Agostino; Andrea De Giorgi; Chiara De Marchi; Elisa Mazzeo; Shadi Orlandi; Matteo Piattoli; Eleonora Ricci; Leonardo Maria Siena; Alessandro Territo; Stefano Zanni Journal: J Clin Med Date: 2022-03-07 Impact factor: 4.241
Authors: Mariateresa Ceparano; Valentina Baccolini; Giuseppe Migliara; Claudia Isonne; Erika Renzi; Daniela Tufi; Corrado De Vito; Maria De Giusti; Maria Trancassini; Francesco Alessandri; Giancarlo Ceccarelli; Francesco Pugliese; Paolo Villari; Maria Angiulli; Stefania Battellito; Arianna Bellini; Andrea Bongiovanni; Lucilla Caivano; Marta Castellani; Monica Coletti; Alessia Cottarelli; Ludovica D'Agostino; Andrea De Giorgi; Chiara De Marchi; Irma Germani; Dara Giannini; Elisa Mazzeo; Shadi Orlandi; Matteo Piattoli; Eleonora Ricci; Leonardo Maria Siena; Alessandro Territo; Gianluca Vrenna; Stefano Zanni; Carolina Marzuillo Journal: Microorganisms Date: 2022-03-28