Knowledge, attitude and practice universal basic precautions by medical personnel in a teaching hospital

Abstract

Background

Universal Basic Precautions (UBP) are not well understood nor implemented by health professionals, though crucial in HIV/AIDS prevention. As defined by Garner, UBP refers to “the prevention of transmission of blood borne pathogens like HIV through strict respect by health workers of rules concerning care and nursing” Objectives

To find out knowledge and attitudes of medical personnel doctors in the Department of Surgery of the Korle Bu Teaching Hospital to HIV transmission and to find out their current practices of UBP in surgery. Methods

The study was carried out using a structured questionnaire which was self administered to fifty medical personnel after preliminary introduction at a plenary session. Results

Results showed that alleged knowledge did not match actual tested knowledge (92% verses 71%). Knowledge of all the forms of HIV transmission was rather limited among medical personnel. Practice of UBP was also not universal as 44% preferred to rely on pre-op HIV testing of patients and knowledge of their status whilst 36% of respondents admitted reluctance to perform an invasive procedure on an HIV positive patient. Conclusion

This study shows the need for the Ministry of Health, the Ghana Health Service and its institutions to develop and implement specific policies on the practice of UBP, training of health care providers and ensuring the consistent supply of protective materials.