Training's Impact on Medical Staff's KAP in Infection Prevention for Nosocomial Viral Hepatitis B&C in Erbil Teaching Hospital's Hemodialysis Unit

Authors

  • Qasim Burhan Abdullah Trainee at Infectious disease control department of Public Health, Kurdistan Higher Council of Medical specialties, Rizghary teaching Hospital, Erbil city-Kurdistan region/Iraq
  • Maaroof Tahseen Hassan Assistant Professor in Community Medicine. Program Director of Infection Disease Control Program, Deputy President of Kurdistan Board of Medical Specialties, Erbil city-Kurdistan region/ Iraq
  • Sherzad Ali Ismael Professor in Community Medicine, Head of Public Health Council, Kurdistan Board of Medical Specialties, Erbil city-Kurdistan region/ Iraq

DOI:

https://doi.org/10.56056/amj.2025.329

Keywords:

HBV, HCV, Hemodialysis, Infection prevention and control, Knowledge attitude and practice

Abstract

Background & objectives: Hemodialysis patients are susceptible to various types of infections, such as exposure to blood borne pathogens. This study aims to identify the effects of training on the incidence of nosocomial viral hepatitis B & C infection and implement an interventional program to decrease the incidence of nosocomial infection.

Methods: A quasi-experimental study design was conducted from the 1st Nov 2021-30th Nov 2022 in the hemodialysis unit of Erbil Teaching Hospital employing a pre-and post-test design. All medical staff working in the unit (48), underwent an assessment of their knowledge, attitudes, and practices regarding infection control before and after the implementation of the training program.

Results: Out of 48 staff 25 (52.1%) of them were males. Before the implementation of the training program, the mean knowledge score calculated was 13.7 and the mean attitude score was 10.9 while the mean score of the practice was only 9.3. Eventually, after the implementation of the training program, the subtended scores were 23.0, 16.5, and 14.3 respectively. The highest incidence rate of Hepatitis B was reported in 2019 which was 3.4 whereas the lowest rate was reported in 2022 which was 0.5. There was a statistically significant variation between the incidence of HBV in 2021 and its incidence in 2022, p value < 0.05.

Conclusion: Implementation of an educational program led to a notable enhancement in the knowledge of infection prevention and control principles among medical staff.

Downloads

Download data is not yet available.

References

Levey AS, Coresh J, Balk E, Kausz AT, Levin A, Steffes MW, et al. National Kidney Foundation practice guidelines for chronic kidney disease: evaluation, classification, and stratification. Ann. Intern. Med. 2003 Jul 15;139(2):137-47.

Agarwal SK, Srivastava RK. Chronic kidney disease in India: challenges and solutions. Nephron Clin Pract. 2009;111(3):c197-203;

Collins AJ, Foley RN, Chavers B, Gilbertson D, Herzog C, et al. United States Renal Data System 2011 Annual Data Report: atlas of chronic kidney disease & end-stage renal disease in the United States. Am J Kidney Dis. 2012 Jan;59(1 Suppl 1): A7, e1-420.

Klevens RM, Morrison MA, Nadle J, Petit S, Gershman K, Ray S, et al. Invasive methicillin-resistant Staphylococcus aureus infections in the United States. JAMA. 2007 Oct 17;298(15):1763-71.

Karkar A, Bouhaha BM, Dammang ML. Infection control in hemodialysis units: a quick access to essential elements. Saudi J Kidney Dis and Transpl. 2014 May 1;25(3):496.

Vicca AF. Nursing staff workload as a determinant of methicillin-resistant Staphylococcus aureus spread in an adult intensive therapy unit. J Hosp Infec. 2019 Oct 1;43(2):109-13.

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 Dec;10(1):1-2.

Park JE, Park K. Text Book of Preventive and Social Medicine, Vol. 267. India: Jabalpur; Jan.2015.

World Health Organization. Global health sector strategy on viral hepatitis 2016-2021. Towards ending viral hepatitis. WHO; 2016.available,at:https://apps.who.int/iris/bitstream/handle/10665/246177/whosequence=1/

.Yayehyirad K. Of institutions and persons. Ethiop J Health Dev. 2019; 23:172-223.

Bosch FX, Ribes J, Cléries R, Díaz M. Epidemiology of hepatocellular carcinoma. Clin Liver Dis. 2015 May 1;9(2):191-211.

Parkin DM. The global health burden of infection?associated cancers in the year 2002. Int J Cancer. 2006 Jun 15;118(12):3030-44.

Mansour-Ghanaei R, Joukar F, Souti F, Atrkar-Roushan Z. Knowledge and attitude of medical science students toward hepatitis B and C infections. Int J Clin. Exp Med. 2013;6(3):197.

Zajac BA, West DJ, McAleer WJ, Scolnick EM. Overview of clinical studies with hepatitis B vaccine made by recombinant DNA. J Infect. 2016 Jul 1; 13:39-45.

Hoffmann C, Buchholz L, Schnitzler P. Reduction of needlestick injuries in healthcare personnel at a university hospital using safety devices. J Occup Med Toxicol. 2013;8(1):20.

Allen R, Richard N. Hand Book of Dialysis Therapy. Fifth Edition. New York: Elsevier B.V.; 2017.

World Health Organization Guidelines on Core Components of Infection Prevention and Control Programmes at the National and Acute Health Care Facility Level WHO; 2016.availableat:https://www.ncbi.nlm.nih.gov/books/NBK401773/

Willits FK, Theodori GL, Luloff AE. Another look at Likert scales. J. Rural Soc. Sci. 2016;31(3):6.

Abdelwahab MA, Labah EA, Sayed LM, Elbedwey MM, Gabr HM. Impact of infection prevention and control education program on improving knowledge, attitude, and practices of the healthcare staff in hemodialysis unit at Egyptian tertiary care facility. Asian J Med Health. 2019;14(4):1-1.

Hang Pham TT, Le TX, Nguyen DT, Luu CM, Truong BD, Tran PD, et al. Knowledge, attitudes and medical practice regarding hepatitis B prevention and management among healthcare workers in Northern Vietnam. PloS One. 2019 Oct 14;14(10).

Gulilat K, Tiruneh G. Assessment of knowledge, attitude, and practice of health care workers on infection prevention in health institution Bahir Dar city administration. Sci J Public Health. 2014 Aug 7;2(5):384-93.

Ogoina D, Pondei K, Adetunji B, Chima G, Isichei C, Gidado S, et al. Knowledge, attitude and practice of standard precautions of infection control by hospital workers in two tertiary hospitals in Nigeria. J. Infect. Prev. 2015 Jan;16(1):16-22.

Yazie TD, Sharew GB, Abebe W. Knowledge, attitude, and practice of healthcare professionals regarding infection prevention at Gondar University referral hospital, northwest Ethiopia: a cross-sectional study. BMC Res Notes. 2019 Dec;12(1):1-7.

Gaikwad UN, Basak S, Kulkarni P, Sande S, Cahavan S, Mudey G, et al. educational intervention to foster best infection control practices among nursing staff. Int J Infect Dis. 2018 Jul 31;5(3).

Galal YS, Labib JR, Abouelhamd WA. Impact of an infection-control program on nurses’ knowledge and attitude in pediatric intensive care units at Cairo University hospitals. J Egypt Public Health Assoc. 2014 Apr 1;89(1):22-8.

Downloads

Published

2025-03-03

How to Cite

Abdullah, Q. B. ., Hassan, M. T. ., & Ismael, S. A. . (2025). Training’s Impact on Medical Staff’s KAP in Infection Prevention for Nosocomial Viral Hepatitis B&amp;C in Erbil Teaching Hospital’s Hemodialysis Unit. AMJ (Advanced Medical Journal), 10(1), 149–156. https://doi.org/10.56056/amj.2025.329

Issue

Section

Articles