Background

Tuberculosis infection control is a combination of measures designed to minimize the risk of tuberculosis transmission within populations. Healthcare workers are not sufficiently protected from tuberculosis infection in healthcare facilities where infection control protocols are not followed completely. Studies conducted in Ethiopia about tuberculosis infection control practices were self-report.

Objective

To assess tuberculosis infection control practices and associated factors among health care workers in hospitals of Gamo Gofa Zone, Southern Ethiopia.

Method

A facility-based cross-sectional study was conducted from March 6 to April 2, 2019. The sample size was 422. The sample was proportionally allocated to each hospital and the respective discipline. Simple random sampling was used to select participants from each discipline. Data were entered into EpiData version 4.4.2.1 and analyzed using SPSS Version 21 software. Multicollinearity and Model goodness-of-fit was checked. A multivariate logistic regression model at 95% CI was used to identify the predictors.

Result

The response rate was 97.4%. The proportion of good tuberculosis infection control practice was 39.9% [95% CI (35.5, 44.9)]. Knowledge on tuberculosis infection control measures [AOR = 3.65, 95% CI (2.07, 6.43)], educational level of degree and above [AOR = 2.78, 95% CI (1.7, 4.53)] and ever having tuberculosis-related training [AOR = 2.02, 95% CI (1.24, 3.31)] were significantly associated with good tuberculosis infection control practice.

Conclusion and recommendation

The proportion of good tuberculosis infection control practice among healthcare workers in hospitals of the Gamo Gofa Zone was 39.9%. The good practice of tuberculosis infection control was determined by educational level, working department, knowledge on tuberculosis infection control measures, and having tuberculosis-related training. Hence, training of healthcare workers, targeting diploma-holders in upgrading educational level programs, developing knowledge on tuberculosis infection control measures, and qualitative research to explore reasons for not practicing infection control measures is recommended.

中文翻译：

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基于机构的横断面研究，埃塞俄比亚南部加莫戈法区医院的医护人员中的结核病感染控制措施及相关因素。

背景

结核病感染控制是旨在最小化人群中结核病传播风险的多种措施的组合。在未完全遵循感染控制协议的医疗机构中，医护人员未得到充分的保护，免受结核病的感染。在埃塞俄比亚进行的有关结核病感染控制措施的研究是自我报告。

目的

评估埃塞俄比亚南部加莫戈法区医院医务人员的结核病感染控制措施和相关因素。

方法

2019年3月6日至4月2日进行了基于设施的横断面研究。样本量为422。样本按比例分配给每个医院和各自的学科。使用简单的随机抽样从每个学科中选择参与者。数据输入EpiData版本4.4.2.1，并使用SPSS 21版本软件进行分析。检查多重共线性和模型拟合优度。使用95％CI的多元logistic回归模型来确定预测变量。

结果

回应率为97.4％。良好的结核病感染控制措施的比例为39.9％[95％CI（35.5，44.9）]。对结核病感染控制措施的知识[AOR = 3.65，95％CI（2.07，6.43）]，学历及以上程度[AOR = 2.78，95％CI（1.7，4.53）]并接受过与结核病相关的培训[AOR = 2.02，95％CI（1.24，3.31）]与良好的结核病感染控制措施显着相关。

结论与建议

Gamo Gofa地区医院的医护人员中，良好的结核病感染控制措施比例为39.9％。结核病感染控制的良好做法取决于教育程度，工作部门，结核病感染控制措施的知识以及接受结核病相关的培训。因此，建议对医护人员进行培训，以文凭持有者为对象，以提高学历水平，发展有关结核感染控制措施的知识，并进行定性研究，以探索不实行感染控制措施的原因。