Sirisreetreerux R, Rojnapithayakorn W, Phoolcharoen W; International Conference on AIDS.
Int Conf AIDS. 1998; 12: 410 (abstract no. 23345).
AIDS Division Department of Communicable Disease Control Ministry of Public Health, Thailand.
OBJECTIVE: To review the measures for preventing HIV transmission in health care setting in order to identify management problem and develop guideline for strengthening the universal precaution practice. METHODS: Data were collected from 2 main sources: 1. routine reports on universal precautions activities of all hospitals and 2. surveys and research reports relating to exposures of health care workers to blood body fluid of patients before and after universal precautions and cost of protective equipment and supplies. RESULTS: During 1987-1997, Ministry of Public Health had developed guidelines for prevention of universal transmission among health care workers. The guidelines were distributed to health care facilities throughout the country. Training of HCWs were conducted accordingly. It was found that the exposure rate before and after the practice of universal precautions was 69.1 and 72.7 respectively. A survey conducted in 1993 revealed the HCWs were mostly at moderate level of universal precautions knowledge but not strictly practiced. There was over-utilization of gloves and gowns making the cost rate on protective barriers before and after universal precaution practice of 1:2.5. These finding indicated that the real practice of universal precautions was at lower standard when compared to those recommended in the guidelines. LESSONS LEARNED: The level of knowledge, experiences, beliefs and attitude varied among health care workers. The routine training and seminars were not successful in changing such behaviors. It is recommended that universal precaution practice be strengthened by participatory learning or interactive training strategies.
Publication Types:
Keywords:
- Acquired Immunodeficiency Syndrome
- Data Collection
- Delivery of Health Care
- Gloves, Protective
- HIV Infections
- Health Personnel
- Health Services
- Humans
- Thailand
- Universal Precautions
- therapy
- transmission
Other ID:
UI: 102228975
From Meeting Abstracts