title: Compliance with the national palestinian infection prevention and control protocol at governmental paediatric hospitals in gaza governorates.
abstract: OBJECTIVE
  Nosocomial infections are a significant burden for both patients and the healthcare system. For this reason, infection prevention and control (IPC) practices are extremely important. The Palestinian Ministry of Health adopted the national IPC Protocol in 2004. This study aimed to assess the compliance of healthcare providers (HCPs) with the Protocol in three governmental paediatric hospitals in Gaza governorates.
  
  
  METHODS
  This descriptive cross-sectional study was conducted from February to November 2010. Data were collected from a sample of doctors, nurses and physiotherapists (N = 334) using a self-administered questionnaire and observation checklists to record HCP practices and assess the hospital environment.
  
  
  RESULTS
  The response rate was 92%. The most important reasons for non-compliance with the IPC Protocol were the absence of an education programme (61.5%), lack of knowledge (52.4%) and the scarcity of required supplies (46.9%). Only 2.3% of respondents had a copy of the IPC Protocol, while 65.8% did not know of its existence. Only 16.9% had participated in training sessions regarding general IPC practices. The observation checklist regarding HCP practices revealed low levels of compliance in hand washing (45.9%), wearing gloves (40.7%) and using antiseptics/disinfectants (49.16%). The health facilities checklist indicated that there was a lack of certain essential equipment and materials, such as covered waste containers and heavy-duty gloves.
  
  
  CONCLUSIONS
  Due to the lack of HPC knowledge, the authors recommend that the IPC Protocol be made available in all hospitals. In addition, a qualified team should implement intensive IPC education and training programmes and facilities should provide the required equipment and materials.
authors.affiliation: Faculty of Nursing, Islamic University of Gaza, Gaza, Palestine.
authors.forename: Ashraf
authors.initials: A
authors.lastname: Eljedi
authors.affiliation: Faculty of Nursing, Islamic University of Gaza, Gaza, Palestine.
authors.forename: Shareef
authors.initials: S
authors.lastname: Dalo
keywords: Cross Infection; Infection; Palestine; Protocol Compliance; prevention and control
references.citation: Clin Microbiol Infect. 2006 Aug;12(8):729-37
references.pmid: 16842567
references.citation: Emerg Infect Dis. 2001 Mar-Apr;7(2):234-40
references.pmid: 11294714
references.citation: Int J Occup Environ Med. 2014 Jan;5(1):24-31
references.pmid: 24463798
references.citation: Scand J Infect Dis. 2006;38(8):620-4
references.pmid: 16857605
references.citation: East Mediterr Health J. 2007 Jul-Aug;13(4):893-906
references.pmid: 17955773
references.citation: Nurs Crit Care. 2016 Mar;21(2):e20-7
references.pmid: 24450751
references.citation: BMC Infect Dis. 2006 Aug 25;6:135
references.pmid: 16934152
references.citation: Int Arch Occup Environ Health. 2008 Jan;81(3):347-54
references.pmid: 17619897
references.citation: J Dent Educ. 2005 Jun;69(6):693-8
references.pmid: 15947216
references.citation: Am J Infect Control. 2014 Feb;42(2):193-4
references.pmid: 24485375
references.citation: BMC Public Health. 2014 Jan 30;14:96
references.pmid: 24479696
references.citation: Indian J Med Microbiol. 2007 Jul;25(3):181-7
references.pmid: 17901633
references.citation: J Egypt Soc Parasitol. 2000 Aug;30(2):511-22
references.pmid: 10946512
references.citation: East Mediterr Health J. 2006 Nov;12(6):768-74
references.pmid: 17333821
references.citation: Am J Infect Control. 1995 Aug;23(4):225-36
references.pmid: 7503434
references.citation: J Hosp Infect. 2013 Sep;85(1):69-72
references.pmid: 23910401
references.citation: Int J Infect Dis. 2013 Sep;17(9):e729-32
references.pmid: 23602356