rfhealthЗдравоохранение Российской ФедерацииHealth care of the Russian Federation0044-197X2412-0723Federal Scientific Center of Hygiene named after F.F. Erisman10.47470/0044-197X-2024-68-4-282-290tzteagrfhealth-1630Research ArticleОРГАНИЗАЦИЯ ЗДРАВООХРАНЕНИЯHEALTH CARE ORGANIZATIONЗнания, отношение и практика стандартных мер профилактики у медицинских сестёр в Южном ТунисеKnowledge, attitudes and practices towards standard precautions among nurses in Southern Tunisiahttps://orcid.org/0000-0003-4783-6027БаклутиМоунаBakloutiMouna

Врач, Отделение общественного здравоохранения и эпидемиологии, Университетская больница Хеди Чакер, Сфакский университет, Сфакс, Тунисская Республика

e-mail: mouna.baklouti92@gmail.com

Medical doctor, Community Health and Epidemiology Department, Hedi Chaker University Hospital, University of Sfax, Tunisia

e-mail: mouna.baklouti92@gmail.com

mouna.baklouti92@gmail.comhttps://orcid.org/0000-0002-8611-1486МедждубЙосраMejdoubYosra

Врач, Отделение общественного здравоохранения и эпидемиологии, Университетская больница Хеди Чакер, Сфакский университет, Сфакс, Тунисская Республика

e-mail: yosra.mejdoub85@yahoo.fr

Medical doctor, Community Health and Epidemiology Department, Hedi Chaker University Hospital, University of Sfax, Tunisia

e-mail: yosra.mejdoub85@yahoo.fr

yosra.mejdoub85@yahoo.frhttps://orcid.org/0009-0005-3978-9269МааледжСальмаMaalejSalma

Врач-фармацевт, Фармацевтический университет, Университет Монастира, Тунисская Республика

e-mail: maalejsalma91@yahoo.fr

Pharmacist doctor, Pharmacy University, University of Monastir, Tunisia

e-mail: maalejsalma91@yahoo.fr

maalejsalma91@yahoo.frhttps://orcid.org/0000-0002-0129-8481Бен ДжмааМаиссаBen JmaaMaissa

Врач, Отделение общественного здравоохранения и эпидемиологии, Университетская больница Хеди Чакер, Сфаксский университет, Сфакс, Тунисская Республика

e-mail: benjmaa_maissa@medecinesfax.org

Medical doctor, Community Health and Epidemiology Department, Hedi Chaker University Hospital, University of Sfax, Tunisia

e-mail: benjmaa_maissa@medecinesfax.org

benjmaa_maissa@medecinesfax.orghttps://orcid.org/0000-0001-5323-0844СмауиСальмаSmaouiSalma

Врач-фармацевт, Фармацевтический университет, Университет Монастира, Тунисская Республика

e-mail: smaoui_salma@yahoo.fr

Pharmacist doctor, Pharmacy University, University of Monastir, Tunisia

e-mail: smaoui_salma@yahoo.fr

smaoui_salma@yahoo.frhttps://orcid.org/0009-0001-0551-2860БельмабрукМариемBelmabroukMariem

Менеджер по запасам, Управление запасами, Университетская больница Хабиба Бургибы, Сфакс, Тунисская Республика

e-mail: belmabrouk.mariem@gmail.com

Inventary manager, Inventory management, Habib Bourguiba University Hospital, Sfax, Tunisia

e-mail: belmabrouk.mariem@gmail.com

belmabrouk.mariem@gmail.comhttps://orcid.org/0000-0003-3806-7254КетатаНухаKetataNouha

Врач, Отделение общественного здравоохранения и эпидемиологии, Университетская больница Хеди Чакер, Сфаксский университет, Сфакс, Тунисская Республика

e-mail: ketatanouha@gmail.com

Medical doctor, Community Health and Epidemiology Department, Hedi Chaker University Hospital, University of Sfax, Tunisia

e-mail: ketatanouha@gmail.com

ketatanouha@gmail.comhttps://orcid.org/0000-0003-1904-8744ЖдидиДжихенJdidiJihen

Врач, Отделение общественного здравоохранения и эпидемиологии, Университетская больница Хеди Чакер, Сфаксский университет, Сфакс, Тунисская Республика

e-mail: jdiditrabelsijihen@gmail.com

Medical doctor, Community Health and Epidemiology Department, Hedi Chaker University Hospital, University of Sfax, Tunisia

e-mail: jdiditrabelsijihen@gmail.com

jdiditrabelsijihen@gmail.comhttps://orcid.org/0009-0009-8871-7877Мессади-АкрутФериэльMessadi-AkroutFerièle

Врач-фармацевт, Фармацевтический университет, Университет Монастира, Тунисская Республика

e-mail: ferielemessadi@yahoo.fr

Pharmacist doctor, Pharmacy University, University of Monastir, Tunisia

e-mail: ferielemessadi@yahoo.fr

ferielemessadi@yahoo.frhttps://orcid.org/0000-0002-2269-0837ЯичСурурYaichSourour

Врач, Отделение общественного здравоохранения и эпидемиологии, Университетская больница Хеди Чакер, Сфаксский университет, Тунисская Республика

e-mail: yaich.sourour@gmail.com

Medical doctor, Community Health and Epidemiology Department, Hedi Chaker University Hospital, University of Sfax, Tunisia

e-mail: yaich.sourour@gmail.com

yaich.sourour@gmail.comУниверситетская больница Хеди Чакер, Университет СфаксаТунисHedi Chaker University Hospital, University of SfaxTunisiaФармацевтический университет, Университет МонастираТунисPharmacy University, University of MonastirTunisiaУниверситетская больница Хабиба БургибыТунисHabib Bourguiba University HospitalTunisia202430082024684282290Copyright © Баклути М., Медждуб Й., Мааледж С., Бен Джмаа М., Смауи С., Бельмабрук М., Кетата Н., Ждиди Д., Мессади-Акрут Ф., Яич С., 20242024Баклути М., Медждуб Й., Мааледж С., Бен Джмаа М., Смауи С., Бельмабрук М., Кетата Н., Ждиди Д., Мессади-Акрут Ф., Яич С.Baklouti M., Mejdoub Y., Maalej S., Ben Jmaa M., Smaoui S., Belmabrouk M., Ketata N., Jdidi J., Messadi-Akrout F., Yaich S.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.rfhealth.ru/jour/article/view/1630Введение

Введение. Стандартные меры профилактики (СМП) являются основой профилактики внутрибольничных инфекций. Настоящее исследование направлено на обеспечение безопасности путём введения мер профилактики, которые обязаны знать и соблюдать медсёстры, осуществляющие уход за больными.

Цель исследования — определить распространённость и факторы, определяющие наличие надёжных знаний, позитивного отношения и передовой практики соблюдения СМП медсёстрами в Южном Тунисе.

Материалы и методы

Материалы и методы. Проведено перекрёстное исследование посредством самостоятельного заполнения анонимной анкеты включённых в репрезентативную выборку медсестёр, работавших в университетских больницах Хеди Чакера и Хабиба Бургибы на Юге Туниса с 01.03.2022 по 30.04.2022.

Результаты

Результаты. Средние значения балльной оценки знаний, отношения и практики СМП среди медсестёр составили 62,5 ± 13,5; 59,6 ± 12,6 и 61,1 ± 13,9 из 100 соответственно. Мы отметили хорошие знания у 55 (42,3%) медсестёр, положительное отношение — у 56 (43,1%), передовой опыт в соблюдении СМП — у 62 (47,7%). Многофакторный анализ показал независимую связь хороших знаний с возрастом > 30 лет (скорректированное отношение шансов (СОШ) = 0,2; p = 0,009) и постоянным обучением СМП (СОШ = 3,1; p = 0,012).

Отмечена независимая связь положительного отношения с наличием начальной академической подготовки по СМП (СОШ = 3,02; p = 0,013) и непрерывного обучения СМП (СОШ = 6,6; p < 0,001), возрастом > 30 лет (СОШ = 0,3; p = 0,034) и наличием хронических заболеваний (СОШ = 2,8; р = 0,027).

Установлена независимая связь передовой практики с позитивным отношением (СОШ = 3,42; p < 0,001), но не с хорошими знаниями.

Ограничения исследования обусловлены перекрёстным типом исследования, позволяющего оценить только связь между фактами, но не подтвердить причинно-следственные связи и временные характеристики.

Заключение

Заключение. У медсестёр в Южном Тунисе обнаружен довольно низкий уровень хороших знаний, позитивного отношения и передовой практики соблюдения СМП. Тунисским политикам в секторе здравоохранения следует планировать постоянные учебные занятия по СМП, чтобы повысить безопасность здравоохранения в стране.

Соблюдение этических норм. Исследование не требует предоставления заключения комитета по биомедицинской этике или других документов.

Участие авторов

Участие авторов:Баклути М., Медждуб Й. — написание рукописи и/или коррекция текста;Баклути М., Медждуб Й., Мааледж С., Маисса Бен Джмаа, Смауи С., Бельмабрук М., Кетата Н., Ждиди Дж., Мессади-Акрут Ф., Яич С.. — чтение и утверждение окончательного варианта рукописи.

Финансирование

Финансирование. Исследование не имело спонсорской поддержки.

Конфликт интересов

Конфликт интересов. Авторы заявляют об отсутствии конфликта интересов.

Поступила 03

Поступила 03.08.2023 / Принята к печати 20.12.2023 / Опубликована 29.08.2024

Introduction

Introduction. Standard precautions (SP) are the pillar of hospital-associated infections prevention. Nurses as caregivers must be aware and apply those precautions in order to do their work in complete safety.

The purpose of the study

The purpose of the study. To determine the prevalence and the determinants of good knowledge, positive attitudes and good practices towards SP among nurses in Southern Tunisia.

Materials and methods

Materials and methods. This was a cross-sectional study using an anonymous self-administered questionnaire, including a representative sample of nurses working at Hedi Chaker and Habib Bourguiba University Hospitals in Southern Tunisia, from March, 1st to April, 30th, 2022.

Results

Results. The scores’ mean values of SP knowledge, attitudes and practices among nurses were 62.5 ± 13.5, 59.6 ± 12.6 and 61.1 ± 13.9 out of 100, respectively. We noted that 55 nurses (42.3%) had good knowledge, 56 participants (43.1%) had positive attitudes and 62 subjects (47.7%) had good practices towards SP. Multivariate analysis showed that good knowledge was independently associated with age > 30 years (adjusted odds ratio (AOR) = 0.2; p = 0.009) and continuous training about SP (AOR = 3.1; p = 0.012).

Positive attitudes were independently associated with the presence of initial academic training about SP (AOR = 3.02; p = 0.013) and continuous training about SP (AOR = 6.6; p < 0.001), age > 30 years (AOR = 0.3; p = 0.034) and the presence of chronic diseases (AOR = 2.8; p = 0.027).

Good practices were independently associated with positive attitudes (AOR = 3.42; p < 0.001), however they were not associated with good knowledge.

Research limitations

Research limitations. It included the cross-sectional design, through which it was possible to assess only the association between facts, but not to confirm causal relationships and temporality.

Conclusions

Conclusions. A relatively low rates of good knowledge, positive attitudes and good practices regarding SP were observed among nurses in Southern Tunisia. Tunisian policymakers in the health sectors should plan continuous training sessions about SP in order to promote health security in our country.

Compliance with ethical standards. The study does not require submission of the opinion of the biomedical ethics committee or other documents.

Contribution of the authors:Mouna Baklouti, Yosra Mejdoub — wrote the article and/or revised the article for important intellectual content;Mouna Baklouti, Yosra Mejdoub, Salma Maalej, Maissa Ben Jmaa, Salma Smaoui, Mariem Belmabrouk, Nouha Ketata, Jihen Jdidi, Férièle Messadi-Akrout, Sourour Yaich — read and approved the final version of the submitted manuscript.

Acknowledgment

Acknowledgment. The study had no sponsorship.

Conflict of interest

Conflict of interest. The authors declare no conflict of interest.

Received

Received: August 3, 2023 / Accepted: December 20, 2023 / Published: August 29, 2024

знанияотношениепрактикастандартные меры профилактикимедицинские сёстрыknowledgeattitudespracticesstandard precautionsnursesReferencesAskarian M., Shiraly R., Aramesh K., McLaws M.L. Knowledge, attitude, and practices regarding contact precautions among Iranian physicians. Infect. Control Hosp. Epidemiol. 2006; 27(8): 868–72. https://doi.org/10.1086/506411Askarian M., Shiraly R., Aramesh K., McLaws M.L. Knowledge, attitude, and practices regarding contact precautions among Iranian physicians. Infect. Control Hosp. Epidemiol. 2006; 27(8): 868–72. https://doi.org/10.1086/506411Centers for Disease Control and Prevention. HAIs: Reports and Data. Available at: https://cdc.gov/healthcare-associated-infections/php/data/Centers for Disease Control and Prevention. HAIs: Reports and Data. Available at: https://cdc.gov/healthcare-associated-infections/php/data/Haut Autorité de Santé (HAS). Évaluation De La Prévention Des Infections Associées Aux Soins. Available at: https://www.has-sante.fr/jcms/p_3219388/fr/prevention-ias-evaluation-de-la-prevention-des-infections-associees-aux-soins (in French)Haut Autorité de Santé (HAS). Évaluation De La Prévention Des Infections Associées Aux Soins. Available at: https://www.has-sante.fr/jcms/p_3219388/fr/prevention-ias-evaluation-de-la-prevention-des-infections-associees-aux-soins (in French)Ketata N., Ben Ayed H., Ben Hmida M., Trigui M., Ben Jemaa M., Yaich S., et al. Point prevalence survey of health-care associated infections and their risk factors in the tertiary-care referral hospitals of Southern Tunisia. Infect. Dis Heal. 2021; 26(4): 284–91. https://doi.org/10.1016/j.idh.2021.06.004Ketata N., Ben Ayed H., Ben Hmida M., Trigui M., Ben Jemaa M., Yaich S., et al. Point prevalence survey of health-care associated infections and their risk factors in the tertiary-care referral hospitals of Southern Tunisia. Infect. Dis Heal. 2021; 26(4): 284–91. https://doi.org/10.1016/j.idh.2021.06.004Mahjoub M., Bouafia N., Bannour W., Masmoudi T., Bouriga R., Hellali R., et al. Healthcare-associated infections in a Tunisian university hospital: From analysis to action. Pan. Afr. Med. J. 2015; 20: 197. https://doi.org/10.11604/pamj.2015.20.197.4062Mahjoub M., Bouafia N., Bannour W., Masmoudi T., Bouriga R., Hellali R., et al. Healthcare-associated infections in a Tunisian university hospital: From analysis to action. Pan. Afr. Med. J. 2015; 20: 197. https://doi.org/10.11604/pamj.2015.20.197.4062Ayed H.B., Yaich S., Trigui M., Jemaa M.B., Hmida M.B., Karray R., et al. Prevalence and risk factors of health care-associated infections in a limited resources country: A cross-sectional study. Am. J. Infect. Control. 2019; 47(8): 945–50. https://doi.org/10.1016/j.ajic.2019.01.008Ayed H.B., Yaich S., Trigui M., Jemaa M.B., Hmida M.B., Karray R., et al. Prevalence and risk factors of health care-associated infections in a limited resources country: A cross-sectional study. Am. J. Infect. Control. 2019; 47(8): 945–50. https://doi.org/10.1016/j.ajic.2019.01.008Bearman G., Doll M., Cooper K., Stevens M.P. Hospital infection prevention: how much can we prevent and how hard should we try? Curr. Infect. Dis. Rep. 2019; 21(1): 2. https://doi.org/10.1007/s11908-019-0660-2Bearman G., Doll M., Cooper K., Stevens M.P. Hospital infection prevention: how much can we prevent and how hard should we try? Curr. Infect. Dis. Rep. 2019; 21(1): 2. https://doi.org/10.1007/s11908-019-0660-2Curran E.T. Standard precautions what is meant and what is not. J. Hosp. Infect. 2015; 90(1): 10–1. https://doi.org/10.1016/j.jhin.2014.12.020Curran E.T. Standard precautions what is meant and what is not. J. Hosp. Infect. 2015; 90(1): 10–1. https://doi.org/10.1016/j.jhin.2014.12.020Ducel G., Fabry J., Nicolle L. Prévention des infections nosocomiales: Guide pratique. 2e édition. OMS; 2002: 51–5.Ducel G., Fabry J., Nicolle L. Prévention des infections nosocomiales: Guide pratique. 2e édition. OMS; 2002: 51–5.Moralejo D., El Dib R., Prata R.A., Barretti P., Corrêa I. Improving adherence to Standard Precautions for the control of health care-associated infections. Cochrane Database Syst. Rev. 2018; 2(2): CD010768. https://doi.org/10.1002/14651858.cd010768.pub2Moralejo D., El Dib R., Prata R.A., Barretti P., Corrêa I. Improving adherence to Standard Precautions for the control of health care-associated infections. Cochrane Database Syst. Rev. 2018; 2(2): CD010768. https://doi.org/10.1002/14651858.cd010768.pub2Abiteboul D., Lamontagne F., Lolom I., Tarantola A., Descamps J.M., Bouvet E. Incidence des accidents exposant au sang chez le personnel infirmier en France métropolitaine, 1999-2000: Résultats d’une enquête multicentrique dans 32 hôpitaux. Feuill. Biol. 2003; 44(252): 77–83. (in French)Abiteboul D., Lamontagne F., Lolom I., Tarantola A., Descamps J.M., Bouvet E. Incidence des accidents exposant au sang chez le personnel infirmier en France métropolitaine, 1999-2000: Résultats d’une enquête multicentrique dans 32 hôpitaux. Feuill. Biol. 2003; 44(252): 77–83. (in French)Benbouker M., El Marnissi B., Nhili A., El Rhazi K. Connaissances, attitudes and pratiques vis-a-vis des precautions standard chez les soignants du Centre hospitalier universitaire Hassan II de Fes (Maroc). East. Mediterr. Health J. 2017; 23(1): 5–12. (in French)Benbouker M., El Marnissi B., Nhili A., El Rhazi K. Connaissances, attitudes and pratiques vis-a-vis des precautions standard chez les soignants du Centre hospitalier universitaire Hassan II de Fes (Maroc). East. Mediterr. Health J. 2017; 23(1): 5–12. (in French)Abuduxike G., Acar Vaizoglu S., Asut O., Cali S. An assessment of the knowledge, attitude, and practice toward standard precautions among health workers from a hospital in Northern Cyprus. Saf. Health Work. 2021; 12(1): 66–73. https://doi.org/10.1016/j.shaw.2020.09.003Abuduxike G., Acar Vaizoglu S., Asut O., Cali S. An assessment of the knowledge, attitude, and practice toward standard precautions among health workers from a hospital in Northern Cyprus. Saf. Health Work. 2021; 12(1): 66–73. https://doi.org/10.1016/j.shaw.2020.09.003Askarian M., McLaws M.L., Meylan M. Knowledge, attitude, and practices related to standard precautions of surgeons and physicians in university-affiliated hospitals of Shiraz, Iran. Int. J. Infect. Dis. 2007; 11(3): 213–9. https://doi.org/10.1016/j.ijid.2006.01.006Askarian M., McLaws M.L., Meylan M. Knowledge, attitude, and practices related to standard precautions of surgeons and physicians in university-affiliated hospitals of Shiraz, Iran. Int. J. Infect. Dis. 2007; 11(3): 213–9. https://doi.org/10.1016/j.ijid.2006.01.006Thomsen K. Standard precautions. Essent. Clin. Proced. 2007; 11–22. https://doi.org/10.1016/B978-1-4160-3001-0.50006-XThomsen K. Standard precautions. Essent. Clin. Proced. 2007; 11–22. https://doi.org/10.1016/B978-1-4160-3001-0.50006-XCruz J.P., Colet P.C., Al-Otaibi J.H., Soriano S.S., Cacho G.M., Cruz C.P. Validity and reliability assessment of the Compliance with Standard Precautions Scale Arabic version in Saudi nursing students. J. Infect. Public Health. 2016; 9(5): 645–53. https://doi.org/10.1016/j.jiph.2016.01.010Cruz J.P., Colet P.C., Al-Otaibi J.H., Soriano S.S., Cacho G.M., Cruz C.P. Validity and reliability assessment of the Compliance with Standard Precautions Scale Arabic version in Saudi nursing students. J. Infect. Public Health. 2016; 9(5): 645–53. https://doi.org/10.1016/j.jiph.2016.01.010Khubrani A., Albesher M., Alkahtani A., Alamri F., Alshamrani M., Masuadi E. Knowledge and information sources on standard precautions and infection control of health sciences students at King Saud bin Abdulaziz University for Health Sciences, Saudi Arabia, Riyadh. J. Infect. Public Health. 2018; 11(4): 546–9. https://doi.org/10.1016/j.jiph.2017.10.013Khubrani A., Albesher M., Alkahtani A., Alamri F., Alshamrani M., Masuadi E. Knowledge and information sources on standard precautions and infection control of health sciences students at King Saud bin Abdulaziz University for Health Sciences, Saudi Arabia, Riyadh. J. Infect. Public Health. 2018; 11(4): 546–9. https://doi.org/10.1016/j.jiph.2017.10.013Askarian M., Aramesh K., Palenik C.J. Knowledge, attitude, and practice toward contact isolation precautions among medical students in Shiraz, Iran. Am. J. Infect. Control. 2006; 34(9): 593–6. https://doi.org/10.1016/j.ajic.2006.03.005Askarian M., Aramesh K., Palenik C.J. Knowledge, attitude, and practice toward contact isolation precautions among medical students in Shiraz, Iran. Am. J. Infect. Control. 2006; 34(9): 593–6. https://doi.org/10.1016/j.ajic.2006.03.005Zhu S., Kahsay K.M., Gui L. Knowledge, attitudes and practices related to standard precautions among nurses: A comparative study. J. Clin. Nurs. 2019; 28(19–20): 3538–46. https://doi.org/10.1111/jocn.14945Zhu S., Kahsay K.M., Gui L. Knowledge, attitudes and practices related to standard precautions among nurses: A comparative study. J. Clin. Nurs. 2019; 28(19–20): 3538–46. https://doi.org/10.1111/jocn.14945Sharif F., Khan A., Samad M.A., Hamid A., Aijaz A., Asad I., et al. Knowledge, attitude, and practices regarding infection control measures among medical students. J. Pak. Med. Assoc. 2018; 68(7): 1065–9.Sharif F., Khan A., Samad M.A., Hamid A., Aijaz A., Asad I., et al. Knowledge, attitude, and practices regarding infection control measures among medical students. J. Pak. Med. Assoc. 2018; 68(7): 1065–9.Suliman M., Aloush S., Aljezawi M., AlBashtawy M. Knowledge and practices of isolation precautions among nurses in Jordan. Am. J. Infect. Control. 2018; 46(6): 680–4. https://doi.org/10.1016/j.ajic.2017.09.023Suliman M., Aloush S., Aljezawi M., AlBashtawy M. Knowledge and practices of isolation precautions among nurses in Jordan. Am. J. Infect. Control. 2018; 46(6): 680–4. https://doi.org/10.1016/j.ajic.2017.09.023Chan M.F., Ho A., Day M.C. Investigating the knowledge, attitudes and practice patterns of operating room staff towards standard and transmission-based precautions: Results of a cluster analysis. J. Clin. Nurs. 2008; 17(8): 1051–62. https://doi.org/10.1111/j.1365-2702.2007.01998.xChan M.F., Ho A., Day M.C. Investigating the knowledge, attitudes and practice patterns of operating room staff towards standard and transmission-based precautions: Results of a cluster analysis. J. Clin. Nurs. 2008; 17(8): 1051–62. https://doi.org/10.1111/j.1365-2702.2007.01998.xSalwa M., Haque M.A., Islam S.S., Islam M.T., Sultana S., Khan M.M.H., et al. Compliance of healthcare workers with the infection prevention and control guidance in tertiary care hospitals: quantitative findings from an explanatory sequential mixed-methods study in Bangladesh. BMJ Open. 2022; 12(6): e054837. https://doi.org/10.1136/bmjopen-2021-054837Salwa M., Haque M.A., Islam S.S., Islam M.T., Sultana S., Khan M.M.H., et al. Compliance of healthcare workers with the infection prevention and control guidance in tertiary care hospitals: quantitative findings from an explanatory sequential mixed-methods study in Bangladesh. BMJ Open. 2022; 12(6): e054837. https://doi.org/10.1136/bmjopen-2021-054837Lai X., Wang X., Yang Q., Xu X., Tang Y., Liu C., et al. Will healthcare workers improve infection prevention and control behaviors as COVID-19 risk emerges and increases, in China? Antimicrob. Resist. Infect. Control. 2020; 9(1): 1–9. https://doi.org/10.1186/s13756-020-00746-1Lai X., Wang X., Yang Q., Xu X., Tang Y., Liu C., et al. Will healthcare workers improve infection prevention and control behaviors as COVID-19 risk emerges and increases, in China? Antimicrob. Resist. Infect. Control. 2020; 9(1): 1–9. https://doi.org/10.1186/s13756-020-00746-1Audit précautions standard Rapport national 2011. Groupe d’évaluation des pratiques en hygiène hospitalière. Available at: https://preventioninfection.fr (in French)Audit précautions standard Rapport national 2011. Groupe d’évaluation des pratiques en hygiène hospitalière. Available at: https://preventioninfection.fr (in French)Hosoglu S., Akalin S., Sunbul M., Otkun M., Ozturk R. Healthcare workers’ compliance with universal precautions in Turkey. Med. Hypotheses. 2011; 77(6): 1079–82. https://doi.org/10.1016/j.mehy.2011.09.007Hosoglu S., Akalin S., Sunbul M., Otkun M., Ozturk R. Healthcare workers’ compliance with universal precautions in Turkey. Med. Hypotheses. 2011; 77(6): 1079–82. https://doi.org/10.1016/j.mehy.2011.09.007Hesse A., Adu-Aryee N., Entsua-Mensah K., Wu L. Knowledge, attitude and practice universal basic precautions by medical personnel in a Teaching Hospital. Ghana Med. J. 2006; 40(2): 61–4. https://doi.org/10.4314/gmj.v40i2.36019Hesse A., Adu-Aryee N., Entsua-Mensah K., Wu L. Knowledge, attitude and practice universal basic precautions by medical personnel in a Teaching Hospital. Ghana Med. J. 2006; 40(2): 61–4. https://doi.org/10.4314/gmj.v40i2.36019Balkhy H.H., El Beltagy K.E., El-Saed A., Sallah M., Jagger J. Benchmarking of percutaneous injuries at a teaching tertiary care center in Saudi Arabia relative to United States hospitals participating in the Exposure Prevention Information Network. Am. J. Infect. Control. 2011; 39(7): 560–5. https://doi.org/10.1016/j.ajic.2010.10.022Balkhy H.H., El Beltagy K.E., El-Saed A., Sallah M., Jagger J. Benchmarking of percutaneous injuries at a teaching tertiary care center in Saudi Arabia relative to United States hospitals participating in the Exposure Prevention Information Network. Am. J. Infect. Control. 2011; 39(7): 560–5. https://doi.org/10.1016/j.ajic.2010.10.022Danaei M., McLaws M.L., Shayan Z., Momeni M., Aminnia S., Yaghout Y., et al. Knowledge, attitudes, and practice toward isolation precautions amongst nurses and auxiliary nurses in Nemazee Hospital, Shiraz, Iran. Shiraz E-Med. J. 2022; 23(2): e117459. https://doi.org/10.5812/semj.117459Danaei M., McLaws M.L., Shayan Z., Momeni M., Aminnia S., Yaghout Y., et al. Knowledge, attitudes, and practice toward isolation precautions amongst nurses and auxiliary nurses in Nemazee Hospital, Shiraz, Iran. Shiraz E-Med. J. 2022; 23(2): e117459. https://doi.org/10.5812/semj.117459Barikani A., Afaghi A. Knowledge, attitude and practice towards standard isolation precautions among Iranian medical students. Glob. J. Health Sci. 2012; 4(2): 142–6. https://doi.org/10.5539/gjhs.v4n2p142Barikani A., Afaghi A. Knowledge, attitude and practice towards standard isolation precautions among Iranian medical students. Glob. J. Health Sci. 2012; 4(2): 142–6. https://doi.org/10.5539/gjhs.v4n2p142

The authors declare that there are no conflicts of interest present.