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. 2023 Nov 2;5(4):100323.
doi: 10.1016/j.infpip.2023.100323. eCollection 2023 Dec.

Awareness of health care workers with appropriate infection control practices related to multi-patient use of Close Loop Medication Administration device

Kassem Abou Yassine  1 , Aiman El-Saed  1   2   3 , Fatmah Othman  2   3 , Sarr Ramou  4 , Bassam H Al Alwan  4 , Kholoud Ameer  1 , Mustafa Hawthan  1 , Mohammed Al Zunitan  1   3 , Majid M Alshamrani  1   2   3
Affiliations

Awareness of health care workers with appropriate infection control practices related to multi-patient use of Close Loop Medication Administration device

Kassem Abou Yassine et al. Infect Prev Pract. .

Abstract

Background: Portable computerized devices represent a potential source of healthcare infections. The objective was to assess the knowledge, attitudes, and practices (KAP) of healthcare workers (HCWs) toward infection control practices used with Close Loop Medication Administration (CLMA) devices. Additionally, to quantify the impact of education and training on the bacterial burden on CLMA devices.

Methods: The study design consisted of two steps: a cross-sectional study was conducted among HCWs working in a tertiary care center in Riyadh, Saudi Arabia. A 32-item questionnaire was used to assess KAP information. The second step was environmental samples collected from the surfaces of CLMA devices before and after implementing a multifaceted intervention.

Result: A total of 325 HCWs were included in the study. The mean age was 32.6±7.4 years. The majority were females (92%) and nurses (91.3%). The overall KAP score was 74.8%, 74.2% adequate knowledge, 79.3% positive attitude, and 71.3% appropriate practices. KAP score was better (≥ median KAP score) among HCWs working in laboratory and organ transplant units (P<0.001). It was also better among those with a longer duration of work experience (P<0.001) and those who received related training (P<0.001). Approximately 75% of HCWs expressed their need for more information about CLMA. Post-interventional samples had much lower bacterial burden, with the positive rate reduced from 51.4% before intervention to 16.8% after intervention (P<0.001).

Conclusions: Awareness and behavior of HCWs about appropriate infection control practices related to portable devices is still inadequate. A multifaceted intervention including education and training significantly reduces the bioburden on portable devices.

Keywords: Awareness; Healthcare workers; Infection; Infection control; Portable computerized devices; Saudi Arabia.

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Figures

Figure 1
Figure 1
Average total and individual scores of CLMA-related knowledge, attitude, and practices before the implementation of the multifaceted intervention (CLMA, closed-loop medication administration devices).
Figure 2
Figure 2
Microbiological results of samples collected from CLMA before and after the intervention.
Figure 3
Figure 3
Types of bacteria detected in the samples collected from CLMA before and after the intervention.
See this image and copyright information in PMC

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