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. 1998;6(3):123–128. doi: 10.1002/(SICI)1098-0997(1998)6:3<123::AID-IDOG5>3.0.CO;2-Y

Compliance with universal precautions: knowledge and behavior of residents and students in a department of obstetrics and gynecology.

A W Helfgott 1, J Taylor-Burton 1, F J Garcini 1, N L Eriksen 1, R Grimes 1
PMCID: PMC1784790  PMID: 9785108

Abstract

OBJECTIVES: To assess the knowledge of universal precautions for the delivery and operating rooms by residents and students and to evaluate their use of universal precautions. STUDY DESIGN: Obstetrics and gynecology (ob/gyn) residents (n = 30) and students (n = 31) from an inner-city, teaching hospital were polled by anonymous questionnaire to assess their knowledge of the appropriate barrier equipment for certain ob/gyn procedures. To determine actual compliance with universal precautions, 459 ob/gyn procedures were observed. We noted the use of appropriate barrier equipment for each procedure: gloves for pelvic exam and face shields, gowns, gloves, and booties for vaginal delivery, cesarean delivery, and dilation and curettage. The True Epistat statistical software program was used to perform simple regression analysis. RESULTS: Thirty residents (100%) knew the appropriate barrier equipment required for each type of procedure performed. One student (< 1%) did not know that booties were appropriate for the surgical procedures. Rationale for lack of compliance with universal precautions elicited by the questionnaire included time constraints (64%), inconvenience (52%), and presumption that patient was not infected (34%). The observed rate of compliance with universal precautions by participants indicates that individual compliance was inversely related to the years of experience (overall compliance rate of students was 96%; for first-year residents, 92%, second-year residents, 89%, third-year residents, 84%, fourth-year residents, 78%; r = -0.9918, P = 0.0009). CONCLUSIONS: Knowledge regarding universal precautions was nearly 100%, while overall observed compliance was only 89%. Compliance with universal precautions was better among students (96%) than among residents (88%). Compliance with universal precautions was inversely related to years of experience.

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Selected References

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  1. Alter H. J., Seeff L. B., Kaplan P. M., McAuliffe V. J., Wright E. C., Gerin J. L., Purcell R. H., Holland P. V., Zimmerman H. J. Type B hepatitis: the infectivity of blood positive for e antigen and DNA polymerase after accidental needlestick exposure. N Engl J Med. 1976 Oct 21;295(17):909–913. doi: 10.1056/NEJM197610212951701. [DOI] [PubMed] [Google Scholar]
  2. Baraff L. J., Talan D. A. Compliance with universal precautions in a university hospital emergency department. Ann Emerg Med. 1989 Jun;18(6):654–657. doi: 10.1016/s0196-0644(89)80522-0. [DOI] [PubMed] [Google Scholar]
  3. Courington K. R., Patterson S. L., Howard R. J. Universal precautions are not universally followed. Arch Surg. 1991 Jan;126(1):93–96. doi: 10.1001/archsurg.1991.01410250099016. [DOI] [PubMed] [Google Scholar]
  4. Gerberding J. L., Bryant-LeBlanc C. E., Nelson K., Moss A. R., Osmond D., Chambers H. F., Carlson J. R., Drew W. L., Levy J. A., Sande M. A. Risk of transmitting the human immunodeficiency virus, cytomegalovirus, and hepatitis B virus to health care workers exposed to patients with AIDS and AIDS-related conditions. J Infect Dis. 1987 Jul;156(1):1–8. doi: 10.1093/infdis/156.1.1. [DOI] [PubMed] [Google Scholar]
  5. Goetz A., Yu C. M., Muder R. R. Entering first-year residents' experiences and knowledge of infection control of hepatitis B and HIV, at five university-affiliated hospitals. Acad Med. 1992 Apr;67(4):275–276. doi: 10.1097/00001888-199204000-00018. [DOI] [PubMed] [Google Scholar]
  6. Hammond J. S., Eckes J. M., Gomez G. A., Cunningham D. N. HIV, trauma, and infection control: universal precautions are universally ignored. J Trauma. 1990 May;30(5):555–561. [PubMed] [Google Scholar]
  7. Henderson D. K., Fahey B. J., Willy M., Schmitt J. M., Carey K., Koziol D. E., Lane H. C., Fedio J., Saah A. J. Risk for occupational transmission of human immunodeficiency virus type 1 (HIV-1) associated with clinical exposures. A prospective evaluation. Ann Intern Med. 1990 Nov 15;113(10):740–746. doi: 10.7326/0003-4819-113-10-740. [DOI] [PubMed] [Google Scholar]
  8. Henry K., Campbell S., Maki M. A comparison of observed and self-reported compliance with universal precautions among emergency department personnel at a Minnesota public teaching hospital: implications for assessing infection control programs. Ann Emerg Med. 1992 Aug;21(8):940–946. doi: 10.1016/s0196-0644(05)82932-4. [DOI] [PubMed] [Google Scholar]
  9. Hoffman-Terry M., Rhodes L. V., 3rd, Reed J. F., 3rd Impact of human immunodeficiency virus on medical and surgical residents. Arch Intern Med. 1992 Sep;152(9):1788–1796. [PubMed] [Google Scholar]
  10. Karon J. M., Rosenberg P. S., McQuillan G., Khare M., Gwinn M., Petersen L. R. Prevalence of HIV infection in the United States, 1984 to 1992. JAMA. 1996 Jul 10;276(2):126–131. [PubMed] [Google Scholar]
  11. Kelen G. D., DiGiovanna T. A., Celentano D. D., Kalainov D., Bisson L., Junkins E., Stein A., Lofy L., Scott C. R., Sivertson K. T. Adherence to Universal (barrier) Precautions during interventions on critically ill and injured emergency department patients. J Acquir Immune Defic Syndr. 1990;3(10):987–994. [PubMed] [Google Scholar]
  12. Lanphear B. P., Linnemann C. C., Jr, Cannon C. G., DeRonde M. M., Pendy L., Kerley L. M. Hepatitis C virus infection in healthcare workers: risk of exposure and infection. Infect Control Hosp Epidemiol. 1994 Dec;15(12):745–750. doi: 10.1086/646851. [DOI] [PubMed] [Google Scholar]
  13. Mitsui T., Iwano K., Masuko K., Yamazaki C., Okamoto H., Tsuda F., Tanaka T., Mishiro S. Hepatitis C virus infection in medical personnel after needlestick accident. Hepatology. 1992 Nov;16(5):1109–1114. [PubMed] [Google Scholar]
  14. Seeff L. B., Wright E. C., Zimmerman H. J., Alter H. J., Dietz A. A., Felsher B. F., Finkelstein J. D., Garcia-Pont P., Gerin J. L., Greenlee H. B. Type B hepatitis after needle-stick exposure: prevention with hepatitis B immune globulin. Final report of the Veterans Administration Cooperative Study. Ann Intern Med. 1978 Mar;88(3):285–293. doi: 10.7326/0003-4819-88-3-285. [DOI] [PubMed] [Google Scholar]
  15. Short L. J., Bell D. M. Risk of occupational infection with blood-borne pathogens in operating and delivery room settings. Am J Infect Control. 1993 Dec;21(6):343–350. doi: 10.1016/0196-6553(93)90400-x. [DOI] [PubMed] [Google Scholar]
  16. Werner B. G., Grady G. F. Accidental hepatitis-B-surface-antigen-positive inoculations. Use of e antigen to estimate infectivity. Ann Intern Med. 1982 Sep;97(3):367–369. doi: 10.7326/0003-4819-97-3-367. [DOI] [PubMed] [Google Scholar]
  17. Zuckerman J., Clewley G., Griffiths P., Cockcroft A. Prevalence of hepatitis C antibodies in clinical health-care workers. Lancet. 1994 Jun 25;343(8913):1618–1620. doi: 10.1016/s0140-6736(94)93064-3. [DOI] [PubMed] [Google Scholar]

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