Volume 24, Issue 104, July - August, 2020

Adherence to surgical site infection prevention practices in 7A Military Hospital in 2019

Thanh- Tam Vu¹, Quang-Tri Le^2♦

¹Scientific Research Department, 7A Military Hospital, 466 Nguyen Trai Street, Ward 8, District 5, Ho Chi Minh City, 72706, Viet Nam; Email: thanhtam39ytcc11@gmail.com.
²Department of Orthopedics and Department of High-Tech Diagnostics, 7A Military Hospital, 466 Nguyen Trai Street, Ward 8, District 5, Ho Chi Minh City, 72706, Viet Nam; Email: lqtri@ntt.edu.vn

^♦Corresponding author
Department of Orthopedics and Department of High-Tech Diagnostics, 7A Military Hospital, 466 Nguyen Trai Street, Ward 8, District 5, Ho Chi Minh City, 72706, Viet Nam; Email: lqtri@ntt.edu.vn / tsbstri@yahoo.com

ABSTRACT

Background: Surgical site infection (SSI) is a common nosocomial ones results in many negative effects. Issues in compliance with SSI prevention guides are reported worldwide and need to be assessed for improvement in practices. Objectives: The study aimed to make a description and evaluation of the compliance with surgical site infection control practices amongst the medical staffs in 7A Military Hospital from March to September 2019. Material and methods: The sampling of investigated staffs was done by convenience with the sample size estimated as 240 people. The data of surveyed staffs was collected by monitoring and recording by specialized personnel with a predesigned survey form. The correct practice percentage was calculated as the ratio of correct practice instances to total observed practice instances and the Likert scale was used to assess the adherence level. The data was input by EpiData 3.1. Software and processed by Stata 13. Chi-square test was used to test the difference between the percentages (p< 0.001). Results: Compliance rate was at “very good” and “good” level in most aspect except the proper use of surgical hand brush (54.6%). Compliance of hand antiseptic and wound was significantly different between professions and Departments, respectively. Discipline rate was 100% for hand antiseptic and wound dressing in nurse in training and in the Department of Odontostomatology, Otorhinolaryngology and Ophthalmology, respectively, but the sample size in these groups was too small. Compliance in doctors and in Department of Intensive Care took the second place in their corresponding aspects. Discussion: Compliance rate was high in comparison with other studies. Poor adherence in use of hand brush was due to misidentification and was solvable by implementation of more visible signs. Studies in larger scale of the abovementioned under populated professions and units are advisable. Conclusion: Discipline amongst the medical staff in surgical site infection control is satisfactory, nonetheless it is necessary to improve the intervention measures and perform further studies for maintaining the quality of practices. Active participation from the patients is useful in SSI control.

Keywords: SSI, compliance, adherence, practice, infection

Medical Science, 2020, 24(104), 2320-2328

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