RESUMO
Background: Ensuring safe injection practice is one of the greatest challenges for healthcare system in developing countries
Objectives: to assess the injection safety practices by evaluating knowledge and practices of HealthCare Workers [HCWs] towards injection safety before and after training program, and to determine the incidence of needle stick injuries [NSIs] among HCWs
Methodology: A cross-sectional study was conducted at Fayoum University Hospitalsfrom October 2016 to June 2017. Two hundreds HCWs working in eighteen departments were included. Questionnairewas used to collect information about knowledge, and 395 injection opportunities were observed using a standardized observation check list to detect practices of HCWs towards injection safety before and after training program
Results:Significant change in knowledge of HCWs was detected between pre and post training intervention [p <0.05]. Regarding the practices, significant improvement nearly in all items of observation checklist [p<0.05] were observed. The incidence rate of NSI was 27/200 [13.5%].The best knowledge and practices mean percentage was obtained from neonatology staff [p< 0.001], and the poor knowledge [p< 0.04] and practices [p< 0.02] mean percentage were from internal medicine staff either pre or post training
Conclusion: Educational Intervention found to be effective in improvement of safety injection practices
RESUMO
Background: The rising incidence .of acinetobacter infection in the intensive care units [1CUs] causes a great concern to all clinicians worldwide. Acinetobacter species have an extraordinary ability to develop resistance to multiple classes of antibiotics, which limit array of the therapeutic options. Objective is to determine the prevalence of acinetobacter infection in ICUs of Kasr EL-Aini Hospital, its demographic features, speciation and antibiotic sensitivity pattern
Methods: 166 specimens, collected from 140 infected patients in ICUs, were subjected to direct microscopic examination and culture on blood, MacConkey and Herellea media. Microbact 12A [12E] Gram-negative identification system was used. Susceptibility patterns were done by Modified Kirby Bauer disc-diffusion methods
Results: 30/140 infected patients [21.4 %] were found to be infected with acinetobacter spp. Acinetobacter was responsible for 26.3% of LRTls, 20% of wound infections and 16.2% of UTls. A. baumannii was the most predominant species [93.3%]. Prolonged stay in ICU [p=0.03] and stroke [p=0.005] were significantly associated with acinetobacter infections. The most effective antibiotics were cefoperazone/sulbactam [40%], imipenem [36.7%] and amikaein [30%]
Conclusion: 21.4% of the studied patients suffered from acinetobacter infections. Invasive procedures, prolonged stay in ICU as well as previous antibiotic treatment are associated with higher rate of infection. Eradication of acinetobacter spp. requires adherence to good infection control practices and prudent antibiotic use