Beta
280996

The Role of Educational Program in Eliminating Infection Potential Hazards inside Gynecology and Obstetrics Clinic in Alexandria

Article

Last updated: 03 Jan 2025

Subjects

-

Tags

-

Abstract

Background: Over the past several decades, we have witnessed a significant shift in healthcare delivery from the acute, inpatient hospital setting to a variety of outpatient settings. Much of the inpatient care is now delivered in outpatient settings, using invasive procedures and advanced technologies, which increase the risk for HCAIs. Objective: To evaluate the role of educational program in eliminating infection potential hazards inside gynecology and obstetrics clinic. Material and Methods: Three phases interventional study included before education (phase I) for 3 months, after education (phase III) for 3 months, and interventional phase of 1-month (phase II) in which educational sessions about IC standard precautions, environmental cleaning and reprocessing medical devices done. Result: Contamination level in phase I was 77.8% in bed, 83.3% in table, 63.9% in stethoscope, 80.6% in U/S abdominal probe, 50% in vaginal speculum after cleaning, and 16.7% in vaginal speculum after sterilization. This level decreased in phase III to 38.9% in bed, 38.9% in table, 30.6% in stethoscope, 27.8% in U/S abdominal probe, 13.9% in vaginal speculum after cleaning, and 0% in vaginal speculum after sterilization. The indicator organisms isolated were [MRSA, Pseudomonas spp., Acinetobacter spp. E. coli, and Klebsiella spp.]. (100%) S. aureus isolates (48/48) were MRSA, (100%) Acinetobacter spp. (15/15), E. coli (5/5), and Klebsiella spp. (3/3) were multidrug resistant (MDR), and 88.2% (15/17) of Pseudomonas spp. isolates were MDR. Conclusion: The educational program in phase II succeeded in achieving a statistically significant reduction in contamination level (p≤0.05 at all sites), also achieved a decrease in number of indicator organisms found in all sample sites.  

DOI

10.21608/ejhm.2023.280996

Keywords

Gynecology, Obstetric clinic, MDR bacteria, Infection control, Educational Program

Authors

First Name

Amira

Last Name

Fathy

MiddleName

-

Affiliation

-

Email

mrmr.egypt2011@gmail.com

City

-

Orcid

-

First Name

Shahinda

Last Name

Rezk

MiddleName

-

Affiliation

-

Email

shahinda.rezk@alexu.edu.eg

City

-

Orcid

0000-0003-2916-6226

First Name

Amel

Last Name

Elsheredy

MiddleName

-

Affiliation

-

Email

amel.elsheredy@alexu.edu.eg

City

-

Orcid

-

First Name

Eglal

Last Name

ElSherbini

MiddleName

-

Affiliation

-

Email

eglalsher@yahoo.com

City

-

Orcid

-

Volume

90

Article Issue

1

Related Issue

38787

Issue Date

2023-01-01

Receive Date

2023-01-19

Publish Date

2023-01-01

Page Start

1,169

Page End

1,175

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_280996.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=280996

Order

174

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

The Role of Educational Program in Eliminating Infection Potential Hazards inside Gynecology and Obstetrics Clinic in Alexandria

Details

Type

Article

Created At

22 Jan 2023