Journal of Isfahan Medical School

Journal of Isfahan Medical School

Determining and Comparison of Infection-Control Status before and after Educational Intervention among Patients and Staff in Hemodialysis Ward

Document Type : Original Article (s)

Authors
Shiva Seirafian 1
Shahram Taheri 1
Mojgan Mortazavi 1
Afsoon Emami-Naeini 1
Wael Mohammad Bahbouh 2
1 Associate Professor, Kidney Diseases Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
2 Student of Medicine, School of Medicine AND Students Research Committee, Isfahan University of Medical Sciences, Isfahan, Iran
Abstract
Background: There are a lot of patients with end-stage renal disease in our country and the number is increasing. Some of variables such as patient health and infection control in hemodialysis ward have important role in patients’ hospitalization. Due to access infection or fever of unknown origin, the length of hospital staying may be increased. Also, mortality and hospital cost may be increased too. The aim of this study was determining infection-control status before and after educational intervention in hemodialysis ward of Alzahra hospital, Isfahan, Iran.Methods: This quasi-experiment study was done by a method of assessment 1 month before and after a 2-month educational intervention among patients and staff of hemodialysis ward. The checklist for assessment was achieved from the latest CDC (Centers for diseases control and prevention) guideline. The data were analyzed using chi-square and Fisher’s exact tests.Findings: Before the intervention, 6 employees (46.1%) did hand washing and 8 (61.5%) did aseptic behavior; fistula or graft-site washing before dialysis was done by 13 (76.9%) patients; and disinfection of instruments was done by 10 employees (76.9%). After the intervention, hand washing was done by 13 (100%) and aseptic behavior by 12 employees (92.3%); fistula or graft-site washing was done by 22 patients (63.6%); and disinfection of instruments was done by 12 employees (92.3%). Only doing hand washing by staff was statistically difference after of intervention.Conclusion: According to results of this study, advanced level of education among hemodialysis staff is needed. Improving staff awareness during routine educational programs with practical education must be done, too.
Keywords
Infection control
Hemodialysis
Health key
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Journal of Isfahan Medical School
Volume 31, Issue 237 - Serial Number 237
March and April 2013
Pages 675-683

  • Receive Date 17 June 2013
  • Accept Date 06 April 2022