Factors hindering the implementation of surgical site infection control guidelines in the operating rooms of low-income countries: a mixed-method study

Muhammad Nasir Ayub Khan*, Danielle M. L. Verstegen, Abu Bakar Hafeez Bhatti, Diana H. J. M. Dolmans, Walther Nicolaas Anton van Mook

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

9 Citations (Web of Science)
116 Downloads (Pure)

Abstract

The study aims to find the factors hindering the implementation of surgical site infection control guidelines in the operating rooms of low-income countries. The design of the study is a mixed-method sequential explanatory study. The setting is Shifa International Hospital and Pakistan Institute of Medical Sciences, Islamabad, Pakistan. Participants are health care workers. A questionnaire and structured key informant interviews probed the perspectives and perceptions of different stakeholders regarding the factors which hinder the implementation of surgical site infection control guidelines. Two-hundred fifty-two health care workers took part in the survey. The response rate was 90%. The majority of the participants was based in private teaching hospitals (63.9%) and 36.1% in the public sector teaching hospitals. The factors of surveillance, knowledge, education, and culture had low scores. Qualitative data analysis revealed the hindering factors in the implementation of surgical site infection control guidelines in the operating rooms of low-income country. The important one are lack of a surveillance system, education, and culture of infection control. This study identified hindering factors regarding implementation of surgical site infection control guidelines in the operating rooms at the institutional and individual level involved in patient care. The identification of these hindering factors may help politicians, policy makers, and institutions to identify the strategies for overcoming these hindering factors. Education is the key factor for success. By offering training to health care workers, we significantly contribute to decrease the incidence of SSIs in the low-income country.

Original languageEnglish
Pages (from-to)1923-1929
Number of pages7
JournalEuropean Journal of Clinical Microbiology & Infectious Diseases
Volume37
Issue number10
DOIs
Publication statusPublished - Oct 2018

Keywords

  • Surgical site infections
  • Hindering factors
  • Low-income country
  • Evidence base guidelines
  • ORs
  • HEALTH
  • EPIDEMIOLOGY
  • PREVENTION
  • ADHERENCE
  • BARRIERS
  • GAP

Cite this