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Safe working practices and HIV infection : knowledge, attitudes, perception of risk, and policy in hospital [Article de Revue]

[Bonnes pratiques et infection au VIH : connaissance, attitudes, perception du risque et politique à l'hôpital]
Quality in health care. 1993; 2 : 21-26
Summary: Le but de ce travail était d'évaluer la connaissance, les attitudes, la perception du risque de transmission professionnelle du VIH à l'hôpital en lien avec les recommandations. Dans un grand centre hospitalier de grande bretagne, on a conduit une étude transversale à l'aide d'un questionnaire anonyme auprès des 1530 membres du personnel emplyés à l'hôpital en octobre 1991, dans tous les groupes professionnels. L'étude a porté sur la connaissance des pratiques de travail fiables et des recommandations à l'hôpital ; l'attitude envers les patients atteints du SIDA ; la perception du risque de transmission professionnelle du VIH ; la disponibilité des recommandations. Le taux de réponse au questionnaire a été de 63 % (958/1530). En conclusion, les recommandations pour les bonnes pratiques envers les patients présentant une infection au VIH doivent être présentées à tous les groupes professionnels afin d'améliorer leurs connaissances.

OBJECTIVES--To assess the knowledge, attitudes, and perceptions of risk of occupational HIV transmission in hospital in relation to existing guidelines. DESIGN--Cross sectional anonymous questionnaire survey of all occupational groups. SETTING--One large inner city teaching hospital. SUBJECTS--All 1530 staff working in the hospital in October 1991 and 22 managers.MAIN MEASURES--Knowledge of safe working practices and hospital guidelines; attitudes towards patients with AIDS; perception of risk of occupational transmission of HIV; availability of guidelines. RESULTS--The response rate in the questionnaire survey was 63% (958/1530). Although staff across all occupational groups knew of the potential risk of infection from needlestick injury (98%, 904/922), significantly more non-clinical staff (ambulance, catering, and domestic staff) than clinical staff (doctors, nurses, and paramedics) thought HIV could be transmitted by giving blood (38%, 153/404 v 12%, 40/346; chi 2 = 66.1 p < 0.001); one in ten clinical staff believed this. Except for midwives, half of staff in most occupational groups and 19% (17/91) of doctors and 22% (28/125) of nurses thought gloves should be worn in all contacts with people with AIDS. Most staff (62%, 593/958), including 38% (36/94) of doctors and 52% (67/128) of nurses thought patients should be routinely tested on admission, 17% of doctors and 19% of nurses thought they should be isolated in hospital. One in three staff perceived themselves at risk of HIV. Midwives, nurses, and theatre technicians were most aware of guidelines for safe working compared with only half of doctors, ambulance, and paramedical staff and no incinerator staff. CONCLUSIONS--Policy guidelines for safe working practices for patients with HIV infection and AIDS need to be disseminated across all occupational groups to reduce negative staff attitudes, improve knowledge of occupational transmission, establish an appropriate perception of risk, and create a supportive and caring hospital environment for people with HIV. IMPLICATIONS--Managers need to disseminate policy guidelines and information to all staff on an ongoing basis.



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Quality in health care

ID notice

Location Call number Status Date due Barcode
CClin Est
CHU de Nancy - Hôpitaux de Brabois
Rue du Morvan
54511 Vandoeuvre le Nancy Cedex
Tél :
CClin Ouest
CHU Hôtel Dieu
CS 26419
35064 Rennes Cedex 2
Tél :
CCLIN Paris Nord
CClin Paris-Nord
96 rue Didot
75014 Paris
Tél :
CClin Sud-Est
Hospices Civils de Lyon
Hôpital Henry Gabriel
20 route de vourles
69230 Saint-Genis-Laval
Tél :
CCLIN Sud-Ouest
CClin Sud-Ouest
CHU de Bordeaux
Hôpital Pellegrin - Bâtiment Le Tondu
33076 Bordeaux
Tél :

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