title: Adherence to adult intramuscular injection protocol at Civil Hospital Karachi.
abstract: OBJECTIVE
  To assess the level of adherence to Adult Intramuscular Injections Protocol by health care providers of Civil Hospital Karachi.
  
  
  METHODS
  This analytical cross sectional study was conducted in July and August of 2009, at Civil Hospital Karachi after institutional permission. Data was collected with a pre tested data collection tool. Two hundred and seventeen house officers and nurses were interviewed. SPSSv16.0 was used for descriptive and scoring analysis.
  
  
  RESULTS
  With a 94% response rate, 156 (76%) interns and 49 (24%) nurses were interviewed. Majority scored well regarding preparation of intramuscular injections with 40 (19.5%) participants scoring 12 out of 15 marks. Highest score about administration of intramuscular injects questions.was 7 in 43 (21%) of the participants. Twenty three (11%) failed to reply about contraindications and 14 (20%) mentioned that there are no contraindications.
  
  
  CONCLUSIONS
  Health care providers at Civil Hospital Karachi are partially adhering to Adult Intramuscular Injections protocol, which calls for intensive training.
authors.affiliation: Dow University of Health Sciences, Karachi, Pakistan.
authors.forename: Arif
authors.initials: A
authors.lastname: Valliani
authors.forename: Bilawal
authors.initials: B
authors.lastname: Ahmed
authors.forename: Mohammad Azfar
authors.initials: MA
authors.lastname: Saleem
authors.forename: Rabeea
authors.initials: R
authors.lastname: Mirza
authors.forename: Kiran
authors.initials: K
authors.lastname: Ejaz
mesh_terms: D000328:Adult; D002985:Clinical Protocols; D003430:Cross-Sectional Studies; D019983:Guideline Adherence / Q000706:statistics & numerical data*; D006801:Humans; D007273:Injections, Intramuscular / Q000592:standards*; D007396:Internship and Residency / Q000706:statistics & numerical data*; D009741:Nursing Staff, Hospital / Q000706:statistics & numerical data*; D010154:Pakistan; D017410:Practice Guidelines as Topic; D036301:Qualitative Research