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    Compliance with universal/standard precautions among health care workers in rural north India

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    Author
    Kermode, M; Jolley, D; Langkham, B; Thomas, MS; Holmes, W; Gifford, SM
    Date
    2005-02-01
    Source Title
    AMERICAN JOURNAL OF INFECTION CONTROL
    Publisher
    MOSBY-ELSEVIER
    University of Melbourne Author/s
    Kermode, Michelle
    Affiliation
    Population Health
    Nossal Institute for Global Health
    Metadata
    Show full item record
    Document Type
    Journal Article
    Citations
    Kermode, M., Jolley, D., Langkham, B., Thomas, M. S., Holmes, W. & Gifford, S. M. (2005). Compliance with universal/standard precautions among health care workers in rural north India. AMERICAN JOURNAL OF INFECTION CONTROL, 33 (1), pp.27-33. https://doi.org/10.1016/j.ajic.2004.07.014.
    Access Status
    This item is currently not available from this repository
    URI
    http://hdl.handle.net/11343/26435
    DOI
    10.1016/j.ajic.2004.07.014
    Description

    C1 - Journal Articles Refereed

    Abstract
    BACKGROUND: Universal Precautions (UPs) and more recently Standard Precautions have been widely promoted in high-income countries to protect health care workers (HCWs) from occupational exposure to blood and the consequent risk of infection with bloodborne pathogens. In low-income countries, the situation is very different: UPs are often practiced partially, if at all, thereby exposing the HCWs to unnecessary risk of infection. The aim of this study is to describe rural north Indian HCWs knowledge and understanding of UPs and identify predictors of compliance to target intervention programs appropriately. METHODS: A cross-sectional survey was undertaken, involving 266 HCWs (response rate, 87%) from 7 rural north Indian health care settings. Information was gathered regarding compliance with UPs and a range of other relevant variables that potentially influence compliance (eg, demographic information, perception of risk, knowledge of bloodborne pathogen transmission, perception of safety climate, and barriers to safe practice). RESULTS: Knowledge and understanding of UPs were partial, and UPs compliance was suboptimal, eg, only 32% wore eye protection when indicated, and 40% recapped needles at least sometimes. After controlling for confounding, compliance with UPs was associated with being in the job for a longer period, knowledge of bloodborne pathogen transmission, perceiving fewer barriers to safe practice and a strong commitment to workplace safety climate. CONCLUSION: Interventions to improve UPs compliance among HCWs in rural north India need to address not only their knowledge and understanding but also the safety climate created by the organizations that employ them.
    Keywords
    Environmental and Occupational Health and Safety; Occupational Health (excl. Economic Development Aspects)

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