IJCM  Vol.8 No.9 , September 2017
Knowledge Attitude and Practice towards Infection Control Measures amongst Medical Students in a Medical Teaching Tertiary Care Hospital
Abstract: Introduction: Health care associated infections (HAIs) are likely to be the most common complication of hospital care. World Health Organization (WHO) estimates these infections to occur among 7% - 12% of the hospitalized patients globally, with more than 1.4 million people suffering from infectious complications acquired in the hospital at any time. Keeping this in mind, the present study was conducted to delineate the level of knowledge, attitudes, and practices (KAP) for the use of proper disinfection procedures among the final year undergraduate medical students in a tertiary care hospital and teaching institute. Methodology: Present study was conducted at Government Medical College, Surat, a tertiary care hospital and teaching institute. The participants who gave consent were provided with a pre-tested questionnaire that included several questions on knowledge attitude and practices on hospital acquired infections and its control practices. Analysis of the answers was done based on KAP score. Result: 80 students who consented were included in the study. 75% of the study population had correct knowledge about the most common health care associated infections (HAIs), being infection of venous access, urinary tract infection, respiratory infections and surgical site infections, based on their current knowledge on hospital acquired infections. Majority of study participants agreed with the fact that the inappropriate application of disinfection procedures increases the risk for a health care worker of either acquiring or transmitting a HAI from/to a patient. >90% participants had a good attitude towards risk of getting or transmitting any infectious disease by a Health care worker (HCW) while working and the utility of the application of disinfection procedures during work would reduce the rates of HAI. Practices of the students towards disinfection during performance of certain medical procedures ranged from 10% to 88% of the times showing poor practices of the medical students in following disinfection practices. Conclusion: In the present study the knowledge of medical students for the most common cause of hospital acquired infection was satisfactory. The overall attitude of the students was satisfactory as the mean score was 8. The practices of the students for the application of disinfection during performance of certain medical procedures were also satisfactory, although time to time training and tutorials of these students can help in increasing their knowledge, attitude and practices.
Cite this paper: Chauhan, K. (2017) Knowledge Attitude and Practice towards Infection Control Measures amongst Medical Students in a Medical Teaching Tertiary Care Hospital. International Journal of Clinical Medicine, 8, 534-542. doi: 10.4236/ijcm.2017.89050.

[1]   WHO (2002) Prevention of Hospital Acquired Infections. A practical Guide. 2nd Edition, WHO, Geneva.

[2]   Patel, D.A., Patel, K.B., Bhatt, S.K. and Shah, H.S. (2011) Surveillance of Hospital Acquired Infection in Surgical Wards in Tertiary Care Centre Ahmedabad, Gujarat. Nat J Commun Med, 2, 340-345.

[3]   Chugh, T.D. (2012) Hospital Infection Control—Are We Serious?

[4]   The Hospital Infection Society of India (HISI) (2007) Newsletter, Volume 3(2).

[5]   Saleem, M., et al. (2012) Prevalence of Nosocomial Infections in Surgical Wards of Tertiary Care Hospital at Lucknow. Indian Journal of Scientific Research, 3, 79-84.

[6]   Allegranzi, B., Bagheri Nejad, S., Combescure, C., Graafmans, W., Attar, H., Donaldson, L., et al. (2011) Burden of Endemic Health-Care-Associated Infection in Developing Countries: Systematic Review and Meta-Analysis. Lancet, 377, 228-241.

[7]   Mehta, A., Rosenthal, V.D., Mehta, Y., Chakravarthy, M., Todi, S.K., Sen, N., et al. (2007) De-vice-Associated Nosocomial Infection Rates in Intensive Care Units of Seven Indian Cities. Findings of the International Nosocomial Infection Control Consortium (INICC). Journal of Hospital Infection, 67, 168-174.

[8]   Ganguly, N.K., Arora, N.K., Chandy, S.J., Fairoze, M.N., Gill, J.P., Gupta, U., et al. (2011) Global Antibiotic Resistance Partnership (GARP)—India Working Group. Rationalizing Antibiotic Use to Limit Antibiotic Resistance in India. Indian Journal of Medical Research, 134, 281-294.

[9]   Askarian, M., Honarvr, B., Tabatabaee, H.R. and Assadian, O. (2004) Knowledge, Practice and Attitude towards Standard Isolation Precaution in Iranian Medical Students. Journal of Hospital Infection, 58, 292-296.

[10]   Mann, C.M. and Wood, A. (2006) How Much Do Medical Students Know about Infection Control? Journal of Hospital Infection, 64, 366-370.

[11]   Koenig, S. and Chu, J. (1993) Senior Medical Students Knowledge of Universal Precautions. Academic Medicine, 68, 372-374.

[12]   Suchitra, J.B. and Lakshmidevi, N. (2007) Impact of Education on Knowledge, Attitudes and Practices among Various Categories of Health Care Workers on Nosocomial Infections. Indian Journal of Medical Microbiology, 25, 181-187.

[13]   Angtuaco, T.L., Oprescu, F.G., Lal, S.K., Pennington, J.H., Russell, B.D., Co, J.M., et al. (2003) Universal Precautions Guideline: Self-Reported Compliance by Gastroenterologists and Gastrointestinal Endoscopy Nurses—A Decade’s Lack of Progress. The American Journal of Gastroenterology, 98, 2420-2423.

[14]   Huang, J.J., Lee, W.C., Ruaan, M.K., Wang, M.C., Chang, T.T. and Young, K.C. (2001) Incidence, Transmission, and Clinical Significance of Hepatitis G Virus Infection in Hemodialysis Patients. European Journal of Clinical Microbiology and Infectious Diseases, 20, 374-379.

[15]   Masavkar, S.P. and Naikwadi, A.M. (2016) Knowledge, Attitude and Practice Regarding Nosocomial Infections among General Health Practitioners and Medical College Students. Scholars Journal of Applied Medical Sciences, 4, 1852-1856.