title: [Perception of nosocomial risk among healthcare workers at "Hopital Principal" in Dakar, Senegal (survey 2004)].
abstract: Nosocomial Infection (NI) is also observed in healthcare facilities in non-Western countries. The purpose of this report is to describe the findings of a survey undertaken to evaluate hygiene procedures implemented at the "Hopital Principal" in Dakar, Senegal and to assess perception and awareness of nosocomial risk among the hospital staff. A total of 264 healthcare workers were interviewed. Mean age was 39 years (range, 18-60) and the sex ratio was 1.3 (150 men/114 women). Sixty (22.7%) had university degrees, 106 (40.2%) had secondary school diplomas, 50 (18.9%) had attended middle school, and 13 (4.9%) had no schooling. Analysis of interview data showed that 56.1% (157/264) defined NI as infection acquired at the hospital but that only 9.8% (n=26) knew that a minimum 48-hour delay was necessary to distinguish nosocomial from community acquired infection. While understanding about NI was correlated with education level, data showed that 1 out of 3 physicians (13/39) failed to give the exact definition. Hand contact was cited as the second route of transmission. Isolation precautions were understood by 22.7% of personnel (60/264). Systematic handwashing was reported by 363% (96/264) but observation demonstrated that it was not performed properly regardless of the category of personnel. Care protocols were understood by 54.6% of persons interviewed (144/264). A hygiene-training course had been attended by 52.2% (n=138). Two thirds of the staff (69.7%: 54/264) was able to identify the hygiene nurse. Ninety-eight health care providers (37.1%) were familiar with the CLIN (Comités de Lutte contre les Infections Nosocomiales).
authors.affiliation: Service de biologie de l'hôpital Principal de Dakar, Sénégal. be.chevalier@orange.fr
authors.forename: B
authors.initials: B
authors.lastname: Chevalier
authors.forename: J
authors.initials: J
authors.lastname: Margery
authors.forename: B
authors.initials: B
authors.lastname: Wade
authors.forename: S
authors.initials: S
authors.lastname: Ka
authors.forename: B
authors.initials: B
authors.lastname: Diatta
authors.forename: M
authors.initials: M
authors.lastname: Gueye
authors.forename: P S
authors.initials: PS
authors.lastname: Mbaye
authors.forename: J M
authors.initials: JM
authors.lastname: Debonne
mesh_terms: D000293:Adolescent; D000328:Adult; D002983:Clinical Competence; D003428:Cross Infection / Q000517:prevention & control*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D017053:Infection Control; D008297:Male; D008875:Middle Aged; D010564:Personnel, Hospital; D012306:Risk; D012675:Senegal