Preventing healthcare-associated infections: Residents and attending physicians need better training in advanced isolation precautions.
2016
Abstract Objective Compliance with advanced isolation precautions (IPs) is crucial to reduce healthcare-associated infections. Our aim was to evaluate physician's knowledge and attitudes related to IPs. Methods An online questionnaire was sent to our hospital's physicians (attending physicians and residents). Results A total of 111 physicians completed the questionnaire: 60 (54%) attending physicians and 51 (46%) residents. Overall, respondents had a poor knowledge of the three types of IPs, especially droplet precautions (13 correct answers, 11.7%) and airborne IP (17 correct answers, 16.3%). We observed a statistically significant difference between attending physicians and residents for the type of IP to prescribe to a patient presenting with multidrug-resistant urinary infection: 44 residents (86%) gave the correct answer vs 42 attending physicians (70%), P = 0.04. Physicians (both residents and attending physicians) who were already familiar with the dedicated webpage available on the hospital's intranet ( n = 40) obtained a score of 4.75/10 (±2.0) compared with 4.03/10 (±1.7) for those who had never used that tool ( n = 71). The difference was statistically significant ( P = 0.04). The average score for both residents and attending physicians was 4.3/10 (±1.9, range: 1–10). Attending physicians’ and residents’ scores were 4/10 (±1.8) and 4.5/10 (±1.9), respectively, but the difference was not statistically significant ( P = 0.14). Conclusion Physicians’ knowledge of IPs was insufficient. Improvement in medical training is needed. The use of a dedicated webpage on hospitals’ intranet could help physicians acquire better knowledge on that matter.
Keywords:
- Educational measurement
- Virology
- Emergency medicine
- Health care
- Medicine
- Isolation precautions
- Family medicine
- Universal precautions
- Patient isolation
- Information seeking behavior
- Computer-assisted web interviewing
- Transmission-based precautions
- healthcare associated infections
- guideline adherence
- computer communication networks
- Medical emergency
- Correction
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