Proportions of correct IPC events before and after the workshop
Baseline n=90 | Follow-up n=131 | RR* | ||||
---|---|---|---|---|---|---|
Correct | Per cent | Correct | Per cent | 95% CI | ||
Prescreening | ||||||
Patient went directly, or HCW-directed patient, to screening area | 51 | 57 | 31 | 24 | 0.53 | 0.37 to 0.77 |
Attendant washed hands | 1 | 1 | 0 | 0 | – | – |
Screener asked patient to wash hands | 56 | 62 | 105 | 80 | 1.45 | 1.16 to 1.80 |
Patient washed hands on direction from HCW | 54 | 60 | 105 | 80 | 1.49 | 1.19 to 1.86 |
Patient washed hands directly or washed on direction from HCW | 74 | 82 | 130 | 99 | 1.27 | 0.95 to 1.71† |
Donning | ||||||
Wore rubber boots or covers | 60 | 67 | 111 | 85 | 1.51 | 1.14 to 1.99 |
Wore face shield or mask | 69 | 77 | 109 | 83 | 1.27 | 1.03 to 1.58 |
Completed in correct order | 3 | 3 | 73 | 56 | 8.94 | 0.84 to 95.61 |
Took off /did not wear jewellery | 89 | 99 | 114 | 87 | 0.83 | 0.72 to 0.97 |
Wore new gloves | 17 | 19 | 40 | 31 | 2.56 | 1.37 to 4.79 |
Continued to wear gloves | 63 | 70 | 87 | 66 | 0.75 | 0.6 to 0.94 |
Screening | ||||||
No other HCWs were in screening area | 86 | 96 | 104 | 79 | 0.86 | 0.69 to 1.07† |
Stood 1.5 m from patient | 82 | 91 | 130 | 99 | 1.11 | 0.83 to 1.48† |
Sat sideways to patient | 21 | 23 | 75 | 57 | 2.3 | 1.34 to 3.95 |
Held digital thermometer 5–6 cm from patient | 82 | 91 | 15 | 12 | 0.23 | 0.12 to 0.43† |
Doffing | ||||||
Removed any light PPE | 13 | 14 | 42 | 32 | 2.54 | 1.32 to 4.88 |
Removed gloves | 9 | 10 | 29 | 22 | 4.09 | 1.34 to 12.49 |
Washed gloved or ungloved hands | 10 | 11 | 25 | 19 | 2.58 | 1.0 to 6.66 |
Removed face shield or goggles | 8 | 9 | 2 | 2 | 0.21 | 0.05 to 0.94 |
Completed in correct order (if removed gloves) | 3 | 3 | 29 | 22 | 6.64 | 2.09 to 21.14 |
Baseline n=54 | Follow-up n=32 | |||||
Correct | Per cent | Correct | Per cent | RR* | 95% CI | |
Consultations | ||||||
Washed hands before treating patient | 8 | 15 | 3 | 10 | 0.63 | 0.18 to 2.21 |
Washed hands after treating patient | 21 | 39 | 5 | 16 | 0.91 | 0.5 to 1.65 |
Put on new gloves before treating patient | 50 | 93 | 29 | 91 | 0.97 | 0.85 to 1.1 |
Did not remove gloves after treating patient | 6 | 11 | 8 | 25 | 1.51 | 0.55 to 4.12 |
Stood 1.5 m from patient | 35 | 65 | 29 | 91 | 1.18 | 0.92 to 1.51 |
*Risk ratio using binomial regression (family: binomial, link: log) accounting for clustering at the health facility level (GEE). Hyphens indicate where parameter was not estimable.
†Indicates that a Poisson regression (family: Poisson, link: log) was used due to the failure of the binomial model to converge.
HCW, healthcare worker; IPC, infection prevention and control.