Fathy, A., Rezk, S., Elsheredy, A., ElSherbini, E. (2023). The Role of Educational Program in Eliminating Infection Potential Hazards inside Gynecology and Obstetrics Clinic in Alexandria. The Egyptian Journal of Hospital Medicine, 90(1), 1169-1175. doi: 10.21608/ejhm.2023.280996
Amira Fathy; Shahinda Rezk; Amel Elsheredy; Eglal ElSherbini. "The Role of Educational Program in Eliminating Infection Potential Hazards inside Gynecology and Obstetrics Clinic in Alexandria". The Egyptian Journal of Hospital Medicine, 90, 1, 2023, 1169-1175. doi: 10.21608/ejhm.2023.280996
Fathy, A., Rezk, S., Elsheredy, A., ElSherbini, E. (2023). 'The Role of Educational Program in Eliminating Infection Potential Hazards inside Gynecology and Obstetrics Clinic in Alexandria', The Egyptian Journal of Hospital Medicine, 90(1), pp. 1169-1175. doi: 10.21608/ejhm.2023.280996
Fathy, A., Rezk, S., Elsheredy, A., ElSherbini, E. The Role of Educational Program in Eliminating Infection Potential Hazards inside Gynecology and Obstetrics Clinic in Alexandria. The Egyptian Journal of Hospital Medicine, 2023; 90(1): 1169-1175. doi: 10.21608/ejhm.2023.280996
The Role of Educational Program in Eliminating Infection Potential Hazards inside Gynecology and Obstetrics Clinic in Alexandria
Background: Over the past several decades, we have witnessed a significant shift in healthcare delivery from the acute, inpatient hospital setting to a variety of outpatient settings. Much of the inpatient care is now delivered in outpatient settings, using invasive procedures and advanced technologies, which increase the risk for HCAIs. Objective: To evaluate the role of educational program in eliminating infection potential hazards inside gynecology and obstetrics clinic. Material and Methods: Three phases interventional study included before education (phase I) for 3 months, after education (phase III) for 3 months, and interventional phase of 1-month (phase II) in which educational sessions about IC standard precautions, environmental cleaning and reprocessing medical devices done. Result: Contamination level in phase I was 77.8% in bed, 83.3% in table, 63.9% in stethoscope, 80.6% in U/S abdominal probe, 50% in vaginal speculum after cleaning, and 16.7% in vaginal speculum after sterilization. This level decreased in phase III to 38.9% in bed, 38.9% in table, 30.6% in stethoscope, 27.8% in U/S abdominal probe, 13.9% in vaginal speculum after cleaning, and 0% in vaginal speculum after sterilization. The indicator organisms isolated were [MRSA, Pseudomonas spp., Acinetobacter spp. E. coli, and Klebsiella spp.]. (100%) S. aureus isolates (48/48) were MRSA, (100%) Acinetobacter spp. (15/15), E. coli (5/5), and Klebsiella spp. (3/3) were multidrug resistant (MDR), and 88.2% (15/17) of Pseudomonas spp. isolates were MDR. Conclusion: The educational program in phase II succeeded in achieving a statistically significant reduction in contamination level (p≤0.05 at all sites), also achieved a decrease in number of indicator organisms found in all sample sites.