Importance of Tuberculosis (TB) Infection Prevention among Nurses and Patients at St. Dominic Mission Hospital

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DOI: 10.21522/TIJNR.2015.03.02.Art019

Authors : Elizabeth Njovu

Abstract:

Tuberculosis infection control is the topic of great importance especially in developing countries where poor immunity, overcrowding, and some infections are a predisposing factor for Tuberculosis infection. The most common predisposing factors and measures to reduce the spread of TB infection from one person to the other are elaborated in this study. The findings reveal that even nurses taking care of the TB patients are at great risk of contracting the infection, hence strong TB infection prevention guidelines need to be strictly followed at all level of care.

Main Objective: To explore the knowledge and understanding of the qualified Nurses working in the out-patient department and medical ward in relation to Tuberculosis infection control and its impact on the hospital stay and patients outcome.

The method used: A cross-sectional study was conducted to identify predisposing factors to TB Infection. Data was collected by self-structured questionnaire of both closed and open-ended questions. A purposeful sample of 30 nurses from an out-patient department and male medical ward participated on a voluntary basis. I personally worked in these two departments to get the experience of what and how TB infection control is observed by nurses.

Results: 30 nurses participated: 19 females and 11 males; aged 21 to 50 years. Majority (82%) diploma Holders, did registered nursing. Findings revealed that (75%) appreciates the use of protective clothing - Masks while attending to TB infected patients while 25% did not, 45% finds it important to isolate those who are suspected to have TB and those having active TB, 100% observed the guideline of keeping the doors and windows open for free movement of air.

Keywords: TB infection prevention, Environment control, Protective clothing, Isolation of the infected.

References:

 [1].Ajay K. Sethi, Charles W. Acher, Bruce Kirenga, Scott Mead, Curtis J. Donskey, Achilles Katamba M, 2012. Infection Control Knowledge, Attitudes, and Practices among Healthcare Workers, Kampala, Uganda.

 [2].Brown, B., Crawford, P., Nerlich, B. & Koteyko, N 2008. The habitus of hygiene: Discourses of cleanliness and infection control in nursing work, Social Science & Medicine, Vol. 67, pp. 1047-1055.

 [3].Claasens MM, van Schalkywk C, du Tolt E, Roest E, Lombard CJ, et al. Tuberculosis in health care workers and infection control measures at primary health care facilities in South Africa. PLoS One. 2013;8:e76272. doi: 10.1371/journal.pone.0076272.

 [4].Dorothy Osigwe Chanda. Infection prevention manual for community and health care institutions in Developing countries.

 [5].Infection control committee 2011. St. Dominic Mission Hospital TB infection control plan and policy.

 [6].Katowa P. Muka to, C.M. Ngoma, M. Maimbolwa, 2007. Compliance with Infection Prevention Guidelines by Health Care Workers at Ronald Ross General Hospital, Mufulira district.

 [7].Khaled M. Abd Elaziz and Iman M. Bakr, 2008, Cairo. Assessment of knowledge, Attitude.

 [8].Kozier, Barbara F., et al., 2004. Fundamentals of Nursing: Concepts, Process, and Practice, 7th ed., Pearson Education South Asia, Pte Ltd.

 [9].WHO policy on TB infection control in health-care facilities, congregate settings and households. Geneva: World Health Organization; 2009.

[10].Zambia Ministry of Health. National TB and leprosy control program manual 2009.