[Preventing nosocomial infection transmit in gynecology and midwifery service providers in Tabriz [experience of educational interventions]]

ABSTRACT

Ignorance in infection control precautions and great number of women's seeking health services necessitate conducting of effective educational interventions in order to improving performance of outpatient units in prevention of transmission of infectious agents. This study compared two educational methods, including seminar with printed materials and printed materials only. In this interventional study, gynecologists and midwives of both public and private sections were studied. Data were gathered by questionnaire, checklist and microbiologic studies. After primary data gathering, methods of seminar with printed materials and printed materials only were performed in 81 and 67 subjects, respectively. After three months, results were compared with primary data. Regular controlling of dry heat or autoclave by medical engineers, using disposable speculum, proper disinfectant solution and reducing the number of positive microbial samples were highly influenced by printed materials method. While, in meeting standard time and temperate limit of sterilization and using proper disinfectant solution, the first method had better influence. In the most items, printed materials had higher result compared with participate in seminar and receiving printed materials. Performance indicator increased from 65% to 78% in first method and 80% in second method [p < 0.001]. Our findings are compatible with recent studies published in Iran and other countries. It showed the less effect of traditional presentations alone and high effects of audit and feedback on professional practice and health care outcomes. Therefore policy making on effective medical education and audit and feedback for infection prevention is recommended