Transmission Based Precaution Practices among Nurses in Edo State, Nigeria during COVID-19 Pandemic

Juliana A. Afemikhe, Roselyd E. Esewe, Christie A. Enuku, Timothy A. Ehwarieme

Abstract

The novel covid-19 pandemic is a highly infectious disease without known specific treatment and vaccine. Transmission based precautions are important in the fight against the virus. This study investigated the level of transmission-based precautions practiced, the predictors of correct practices, and the challenges experienced by nurses in public health facilities in Edo State during the outbreak of the Covid-19 pandemic. The study employed a descriptive cross-sectional survey to elicit responses from 367 front line nurses using a Google online questionnaire. Data analysis involved descriptive statistics and logistic regression analysis. The majority 314(85.6%) of the respondents maintained a good level of transmission-based precautions practice. Hand hygiene was performed by 327(89.1%) of the respondents. Academic qualification was a significant predictor of good practice in favour of respondents with a degree in nursing. Challenges identified were lack of financial motivation, fear of infecting family members and fear of contracting the virus (93.5%). It was concluded that nurses in Edo State Nigeria have good transmission-based practices in relation to covid-19 however efforts should be made to ensure 100% compliance and sustain practices. (Afr J Reprod Health 2020 (Special Edition); 24[2]: 98-107).

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References

World Health Organization. Modes of transmission of

virus causing COVID-19: implications for IPC precaution recommendations 2020, viruscausing-COVID-19-implicationsfor-ipc-precautionrecommendations Accessed April, 2020

World Health Organization. Protocol for assessment of

potential risk factors for 2019-novel coronavirus (2019-nCoV) infection among health care workers in a health care setting 2020 Version: 1

World Health Organization (WHO). Statement on the

second meeting of the International Health Regulations (2005) Emergency Committee regarding the outbreak of novel coronavirus (2019-nCoV). https://www.who.int/news-room/detail/30-01-2020

United State Centers for Disease Control and Prevention

(CDC), Symptoms of Coronavirus 2020, Available at: https://www.cdc.gov/coronavirus/ 2019-ncov/symptoms testing/symptoms.html

Hui DS, Azhar E, Madani TA, Ntoumi F, Kock R, Dar

O, Ippolito G, Mchugh TD, Memish ZA, Drosten C, Zumla A and Petersen E. The continuing 2019-nCoV epidemic threat of novel coronaviruses to global health— The latest 2019 novel coronavirus outbreak in Wuhan, China. International Journal of

Infectious Diseases 2020, 91:264–266.

Velavan TP and Meyer CG. The COVID-19 epidemic,

Tropical Medicine & International Health, 2020: 278–80

Centers for Disease Control and Prevention (CDC) How

COVID-19 Spreads, Available at: https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting sick/how-covid-spreads.htm 2020

Politi D. WHO Investigating Reports of Coronavirus

Patients Testing Positive Again After Recovery, Slate 2020, Available at: https://slate.com/news-andpolitics/2020/04/who-reportscoronavirus-testing-positiverecovery.htm

Salehi S, Abedi A, Balakrishnan S and

Gholamrezanezhad A. Coronavirus Disease 2019 (COVID-19): A Systematic Review of Imaging Findings in 919 Patients, American Journal of Roentgenology 2020; 1–7.

Feng S, Shen C, Xia N, Song W, Fan M and Cowling BJ.

Rational use of face masks in the COVID19 pandemic, The Lancet Respiratory Medicine, 2020

Center of Control (CDC) Glossary of Terms. Atlanta,

USA. 2012.

Denton A and Hallam CA. Guide to patient isolation and

transmission-based precautions. Nursing Times [online] 2020; 116: 5, 26-28

Siegel JD, Rhinehart E, Jackson M and Chiarello L.

Healthcare Infection Control Practices Advisory Committee, 2007 Guideline for isolation precautions: preventing transmission of infectious agents in healthcare settings American Journal of Infection Control. 2007; 35, S65-S164

Wilson J. Infection Control in Clinical Practice. Elsevier

Department of Health and Social Care. COVID-19:

Guidance for infection prevention and control in healthcare settings. 2020; 1:1. DHSC.

Park HY, Lee EJ, Ryu YA, Kim Y, Kim H, Lee H and

Yi SJ. Epidemiological investigation of MERS-CoV spread in a single hospital in South Korea, May to June 2015. Euro Surveillance 2015; 20, 1-6.

Fagbo SF, Skakni L, Chu DKW, Garbati MA, Joseph M,

Peiris M and Hakawi AM. Molecular Epidemiology of Hospital Outbreak of Middle East Respiratory Syndrome, Riyadh, Saudi Arabia, 2014 Emerging Infectious Diseases, 2015; 21, 11; 1981-1988

Fayaz SH, Higuchi M, Hirosawa T, Sarker MAB,

Djabbarova Z and Hamajima N. Knowledge and practice of universal precautions among health care workers in four national hospitals in Kabul, Afghanistan, Journal of Infection in Developing Countries, 2014; 8 ,4, 535–542,

Efstathiou G, Papastavrou E, Raftopoulos V and

Merkouris A. Factors influencing nurses' compliance with Standard Precautions in order to avoid occupational exposure to microorganisms: a focus group study, BMC Nursing, 2011; 10,1

Felix AMS, Victor E, Malagutti SET and Gir E.

Individual, work-related and institutional factors associated with adherence to standard precautions, Journal of Infection Control, 2013;2,2,106–111,

Haile TG, Engeda EH and Abdo AA. Compliance with

Standard Precautions and Associated Factors among Healthcare Workers in Gondar University Comprehensive Specialized Hospital, Northwest Ethiopia, Journal of Environmental and Public Health, 2017; ID 2050635, https://doi.org/10.1155/2017/2050635 Accessed April 2020

Gebresilassie A, Kumei A and Yemane D. Standard

Precautions Practice among Health Care Workers in Public Health Facilities of Mekelle Special Zone, Northern Ethiopia. J Community Med Health Educ 2014;4,286. doi:10.4172/2161-0711.1000286

Alice TR, Akhere AD, Ikponwonsa O and Grace E.

Knowledge and practice of infection control among health workers in a tertiary hospital in Edo state, Nigeria, Direct Research Journal of Health and Pharmacology, 2013;1, 2,20–27

Thu TA, Anh NQ, Chau NQ and Hung NV. Knowledge,

Attitude and Practices Regarding Standard and Isolation Precautions among Vietnamese Health Care Workers: A Multi Center Cross-Sectional Survey. Internal Medicine 2012;2,4. Accessed March 2020

Saqlain M, Munir M, Rehman S, Gulzar A, Naz S,

Ahmed Z, Tahir A and Mashhood M. Knowledge, attitude and practice among healthcare professionals regarding COVID-19: A cross-sectional survey from Pakistan. Journal of hospital infection 2020. doi.org/10./1016/j.jhin/2020.05.007

Asahafi A and Cheng A. Knowledge, attitudes and

behavior of healthcare workers in the kingdom of Saudi Arabia to MERS Coronavirus and other emergency infectious diseases. International Journal of Environmental Research and Public Health. 2016; 13,124, 1-8.

Johnson OE, Asuzu MC and Adebiyi AO. Knowledge

and Practice of Universal Precautions among Professionals in Public and Private Health Facilities in Uyo, Southern Nigeria- A Comparative Study. Ibom Medical Journal 2012; 5,1.

Ogonia, D, Pondei K, Adetunji B, Chimu GM, Isichei C

and Gidado S. Knowledge attitude and practice of standard precautions of infection control by hospital workers in two tertiary hospitals in Nigeria. Journal of Infection Prevention. 2015; 16,1, 16-22.

Punia S, Nair S, Ranjitha S and Shetty RE. Health Care

Workers and Standard Precautions: Perceptions and Determinants of Compliance in the Emergency and Trauma Triage of a Tertiary Care Hospital in South India, International Scholarly Research Notices 2014; ID 685072 doi.org/10.1155/2014/685072

Angaw DA, Gezie LD and Dachew BA. Standard

precaution practice and associated factors among health professionals working in Addis Ababa government hospitals, Ethiopia: a cross sectional study using multilevel analysis. BMJ, 2019; 9: e030784. doi:10.1136/ bmjopen-2019-030784

Zhang M, Zhou M, Tang F, Wang Y, Nie H, Zhang. L

and You G. Knowledge, attitude, and practice regarding COVID-19 among healthcare workers in Henan, Elsevier, Journal of Hospital Infection, China Journal of Hospital Infection, 2020 doi.org/10.1016/j.jhin.2020.04.012

Olum R. Chekwech G, Wekha G, Nassozi DR and

Bongomin F. Coronavirus Disease-2019:

Knowledge, Attitude, and Practices of Health Care Workers at Makerere University Teaching Hospitals, Uganda. Frontier in Public Health 2020; 8,181. doi: 10.3389/fpubh.2020.00181

Arinze-Onyia SU, Ndu AC, Aguwa EN, Modebe I

and Nwamoh UN. Knowledge and Practice of Standard Precautions by Health-Care Workers in a Tertiary Health Institution in Enugu, Nigeria. Nigerian Journal of Clinical Practice, 2018;21:2:149-155

MedScape. In Memoriam: Healthcare Workers Who

Have Died of COVID-19, 2020. Available online at: www.medscape.com/viewarticle/927976 (accessed April 2020)

Truog RD, Mitchell C and Daley GD. The Toughest

Triage — Allocating Ventilators in a Pandemic, The New England Journal of Medicine, 2020; 382,1973-1975

DOI: 10.1056/NEJMp2005689

Nofal M, Subh M and Al-Kaladeh M. Factors

influencing compliance to the infection control precautions among nurses and physicians in Jordan: A cross-sectional study, Journal of Infection Prevention, 2017;18,4,182-188

Nigeria Centre of Disease Control. Full press release for

days COVID -19 Nigeria, 2020

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