Standard precaution adherence among clinical medical students in HIV and non-HIV ward in Indonesia
نویسندگان
1 Public Health and Preventive Medicin
2 Department of Orthopedics and Traumatology, Faculty of Medicine, Brawijaya University, Malang, Indonesia
3 Department of Cardiology and Vascular Medicine, Faculty of Medicine Universitas Airlangga – Dr. Soetomo General Hospital, Surabaya, East Java
4 Public Health and Preventive Medicin
5 departments of Biomedicine, Faculty of Medicine Universitas Airlangga
6 Departments of Pharmacology, Public Health and Preventive Medicine
7
doi
چکیده
INTRODUCTION: Health‑care workers, especially medical intern, are at risk of exposed to bloodand other body fluids in the course of their work. To reduce the risk, standard precaution (SP) isintroduced. Among all communicable diseases that could be transmitted, human immunodeficiencyvirus (HIV) is the most stigmatized disease. However, there are some government hospitals thatseparated adult HIV patients with other patients to prevent additional infection. This study aims toevaluate the impact of ward separation on SP adherence.MATERIALS AND METHODS: This was an observational study conducted in March 2017 in a tertiaryreferral hospital for the eastern part of Indonesia. The participants were 150 medical students whounderwent the past year of their clinical rotation. They were given a three‑part questionnaire, consistingof their background, their SP practice in the HIV ward and non‑HIV wards, and their perception andattitude regarding SP. McNemar’s test and Fisher’s exact test were used for the statistical analysis,using SPSS version 23.0 for Windows.RESULTS: Participants were more adhered to SP (hand hygiene, wear mask as indicated, andwear glove as indicated) in the HIV ward compare to non‑HIV wards (P = 0.002, P = 0.001, andP = 0.001, respectively). Almost all participants were more careful in implementing SP in the HIVward than in non‑HIV wards and were more concerned of getting needlestick injury in the HIV wardthan in non‑HIV ward.CONCLUSION: HIV and non‑HIV ward separation negatively impact medical students’ SP adherence.
