ABSTRACT
Objectives@#Although the World Health Organization (WHO) initiative “My 5 Moments for Hand Hygiene” has been lauded as effective in preventing hospital-associated infections, little is known about healthcare workers (HCWs)’ hand hygiene behavior. In this study, we sought to assess knowledge and attitudes towards the concepts in this initiative, as well as associated factors, among Vietnamese HCWs at a general hospital. @*Methods@#A structured questionnaire was administered to HCWs at a central Vietnamese general hospital in 2015. Multiple logistic regression analysis was used to identify factors associated with HCWs’ knowledge and attitudes towards hand hygiene. @*Results@#Of 120 respondents, 65.8% and 67.5% demonstrated appropriate knowledge and a positive attitude, respectively, regarding all 5 hand hygiene moments. Logistic regression indicated better knowledge of hand hygiene in workers who were over 30 years old, who were direct HCWs (rather than managers), who had frequent access to clinical information, and who received their clinical information from training. Those who worked in infectious and tropical disease wards, who had frequent access to clinical information, and who received information from training were more likely to have a positive attitude towards hand hygiene than their counterparts. @*Conclusions@#Although many Vietnamese HCWs displayed moderate knowledge and positive attitudes towards the WHO hand hygiene guidelines, a key gap remained. Regular education and training programs are needed to increase knowledge and to improve attitudes and practices towards hand hygiene. Furthermore, a combination of multimodal strategies and locally-adapted interventions is needed for sustainable hand hygiene adherence.
ABSTRACT
BACKGROUND: Insect olfactory organs possess many olfactory receptor neurons, which detect many different sets of odorants in nature. In order to feed on blood meals, stable flies locate host animals and humans using chemical cues such as 1-octen-3-ol and butyric acid. In the present study, behavioural and electroantennogram (EAG) response patterns to repellent volatiles from essential oils (EOs) of Zanthoxylum piperitum and Z. armatum in combination with the attractants were investigated. RESULTS: Components of the EOs such as cuminaldehyde, citronellal, neral, linalool, linalool oxide, terpinen-4-ol, 1,8-cineole, and piperitone induced remarkable repellent behaviours in the stable fly. EAG responses in the fly antenna to these chemicals showed a dose-dependent manner. The patterns of behavioural and EAG responses were significantly altered depending on the ratios of 1-octen-3-ol or butyric acid to the EOs or compounds in the air mixtures. CONCLUSION: The present study demonstrated that the Zanthoxylum EOs decreased the levels of response of flight behaviours of the stable fly towards host volatile compounds. The combinations of odorant mixtures of the attractants with the EOs and their components affect the representation of behavioural and EAG responses of the flies. The summation and integration patterns of olfactory responses measured by the EAG indicated that the peripheral olfactory networks in antennae could process the odorant complexity of different odorant mixtures between attractants and repellents.
