KAP Study Assessing Infection Prevention Among Healthcare Professionals in the Western Region, Saudi Arabia: KAP Study Assessing Infection Prevention Among Healthcare Professionals in the Western Region, Saudi Arabia

Dalia Gaber; Hanaa Bali; Eman Aljohani; Mansour Al-Johani; Safaa Mashhadis; Eman Hamed

doi:10.47456/hb.64.49851

Autores

Dalia Gaber Al-Rayan National College, Madina, Saudi Arabia https://orcid.org/0000-0002-1129-1021
Hanaa Bali Al-Rayan National College, Madina, Saudi Arabia
Eman Aljohani Al-Rayan National College, Madina, Saudi Arabia
Mansour Al-Johani Al-Rayan National College, Madina, Saudi Arabia
Safaa Mashhadis Al-Rayan National College, Madina, Saudi Arabia
Eman Hamed King Abdul-Azizi University, Jeddah, Saudi Arabia

DOI:

https://doi.org/10.47456/hb.64.49851

Palavras-chave:

infection prevention and control-IPC, healthcare-associated infections-HAIs, knowledge, attitudes, practices-KAP, healthcare workers, Saudi Arabia

Resumo

Healthcare-associated infections (HAIs) remain a significant global health concern, contributing to increased morbidity, prolonged hospital stays, and rising healthcare costs. Adherence to infection prevention and control (IPC) practices by healthcare workers (HCWs) is critical to reducing these risks. To evaluate the knowledge, attitudes, and practices (KAP) of HCWs in the Western Region of Saudi Arabia regarding IPC. A cross-sectional survey was conducted among 780 HCWs, including physicians, nurses, pharmacists, and allied health staff from multiple hospital departments. Data were collected using a structured questionnaire assessing demographics, knowledge, attitudes, and practices toward IPC. Descriptive statistics and logistic regression analysis were performed to identify predictors of compliance. Most participants demonstrated good knowledge of hand hygiene (92%) and WHO IPC guidelines (88%), though gaps persisted in knowledge of sterilization protocols (68%). Attitudes were generally positive, with 88% identifying IPC as highly important and 84% emphasizing the role of leadership support. However, practices were inconsistent: 80% reported updating practices according to new IPC guidelines, only 56% conducted regular IPC assessments, and just 20% consistently reported non-compliance. Logistic regression analysis showed that availability of PPE (OR = 3.6), prior IPC training (OR = 2.0), confidence in applying IPC measures (OR = 2.5), and longer work experience (OR = 2.8) were significant predictors of adherence. HCWs in Western Saudi Arabia demonstrate strong knowledge and positive attitudes toward IPC but suboptimal compliance in practice. Continuous training, supportive leadership, and systematic institutional audits are essential to strengthen adherence and reduce the burden of HAIs.

Biografia do Autor

Dalia Gaber, Al-Rayan National College, Madina, Saudi Arabia

Dalia Gaber is an associate professor of Medical Biochemistry & Molecular Biology, at College of Medicine, Gulf Medical University, Ajman, UAE. Formerly, at Faculty of Medicine, Helwan University, Cairo, Egypt. She was also the department supervisor (September 2017-August 2022), Vice Director of the Medical Education Unit & FAIMER fellow.
Hanaa Bali, Al-Rayan National College, Madina, Saudi Arabia

Hanaa Bali is associated with the Clinical Pharmacy Program, College of Health Sciences and Nursing.
Eman Aljohani, Al-Rayan National College, Madina, Saudi Arabia

Eman Aljohani is associated with the Clinical Pharmacy Program, College of Health Sciences and Nursing, Al-Rayan National College, Madina, Saudi Arabia.
Mansour Al-Johani, Al-Rayan National College, Madina, Saudi Arabia

Mansour Al-Johani is associated with the Clinical Pharmacy Program, College of Health Sciences and Nursing, Al-Rayan National College, Madina, Saudi Arabia.
Safaa Mashhadis, Al-Rayan National College, Madina, Saudi Arabia

Safaa Mashhadis is associated with the Clinical Pharmacy Program, College of Health Sciences and Nursing, Al-Rayan National College, Madina, Saudi Arabia.
Eman Hamed, King Abdul-Azizi University, Jeddah, Saudi Arabia

Eman Hamed is associated with the Clinical Pharmacy department, college of pharmacy, King Abdul-Azizi University, Jeddah, Saudi Arabia.

Referências

1. ABALKHAIL A, AL IMAM MH, ELMOSAAD YM, JABER MF, HOSIS KA, ALHUMAYDHI FA, ALSLAMAH T, ALAMER A, MAHMUD I. Knowledge, attitude, and practice of standard infection control precautions among healthcare workers in a university hospital in Qassim, Saudi Arabia: a cross-sectional survey. Int J Environ Res Public Health 18(22): 11831, 2021.

2. AL-DOSSARY R, ALAMRI M, ALBAQAWI H, AL HOSIS KHALED, ALJELDAH M, ALJOHAN M, ALJOHANI K, ALMADANI N, ALRASHEADI B, FALATAH R, ALMAZAN J. Awareness, attitudes, prevention, and perceptions about the COVID-19 outbreak among Nurses in Saudi Arabia. Int J Environ Res Public Health 17(21): 8269, 2020.

3. ALHUMAID S, AL MUTAIR A, AL ALAWI Z, ALSULIMAN M, AHMED GY, RABAAN AA, AL-TAWFIQ JA, AL-OMARI A. Knowledge of infection prevention and control among healthcare workers and factors influencing compliance: a systematic review. Antimicrob Resist Infect Control 10(1): 86, 2021. doi: 10.1186/s13756-021-00957-0.

4. ALJOHANI A, KARUPPIAH K, AL MUTAIRI A, AL MUTAIR A. Narrative review of infection control knowledge and attitude among healthcare workers. J Epidemiol Glob Health 11(1): 20-25, 2021.

5. AL-QAHTANI AM. Clean hands, safe care: how knowledge, attitude, and practice impact hand hygiene among nurses in Najran, Saudi Arabia. Front Public Health 11: 1158678, 2023. doi:10.3389/fpubh.2023.1158678.

6. ALSABAANI A, ALQAHTANI NSS, ALQAHTANI SSS, AL-LUGBI JHJ, ASIRI MAS, SALEM SEE, ALASMARI AA, MAHMOOD SE, ALALYANI M. Incidence, knowledge, attitude and practice toward needle stick injury among health care workers in Abha City, Saudi Arabia. Front Pub Health 10, 2022. doi: 10.3389/fpubh.2022.771190.

7. ALSAREII SA. Surgical site infections at a Saudi hospital: the need for a national surveillance program. Int Surg 105: 265-270, 2021.

8. ALSHAGRAWI S, ALHODAITHY N. Determinants of hand hygiene compliance among healthcare workers in intensive care units: a qualitative study. BMC Pub Health 24(1): 2333, 2024. doi:10.1186/s12889-024-19461-2.

9. ALSHAGRAWI S, ALHODAITHY N. Predictors of hand hygiene attitudes among healthcare workers of the intensive care unit in Saudi Arabia. Sci Rep 14(1): 19857, 2024. doi:10.1038/s41598-024-68494-5.

10. ALSHAMMARI TM, YUSUFF KB, AZIZ MM, SUBAIE GM. Healthcare professionals' knowledge, attitude and acceptance of influenza vaccination in Saudi Arabia: a multicenter cross-sectional study. BMC Health Serv 19(1): 229, 2019. doi: 10.1186/s12913-019-4054-9.

11. ALSULAMI A, SACGACA L, PANGKET P, PASAY-AN E, AL AMOUDI FA, ALRESHIDI MS, ALRASHEDI N, MOSTOLES R JR, BUTA J, AREOLA B JR, DOMINGUEZ AJ, GONZALES A. Exploring the relationship between knowledge, attitudes, self-efficacy, and infection control practices among Saudi Arabian nurses: A multi-center study. Healthcare (Basel)13(3): 238, 2025. doi: 10.3390/healthcare13030238.

12. AL-TAWFIQ JA, ABED MS, AL-YAMI N, BIRRER RB. Promoting and sustaining a hospital-wide, multifaceted hand hygiene program resulted in significant reduction in healthcare-associated infections. Am J Infect Control 41(6): 482-486, 2013.

13. ALTHIYABI FS, KHUDED FM, ALZAIDI FM, ALSWAT ASG, ALOTAIBI FSB, ALOTAIBI WSB, ALOTAIBI KIA, ALSHEHRI FAH, ALMUTAIRI AMA, ALNATHLI JAA. Assessment of nursing knowledge and practice toward prevention of acquired infections in the emergency department of King Faisal Medical Complex in Taif. SAGE Open Med 12:20503121231222341, 2024. doi: 10.1177/20503121231222341.

14. CASAS I, CASTELLÀ L, GIMENEZ M, PULIDO A, SOPENA N, CIÉRCOLES A, MENA G, REINA D, LÓPEZ R, GARCIA-QUESADA MJ. Impact of a multimodal intervention on compliance with hand hygiene among health care workers of a tertiary hospital. Med Clin (Barc)159(9): 426-431, 2022.

15. DERESSA W, WORKU A, ABEBE W, GIZAW M, AMOGNE W. Risk perceptions and preventive practices of COVID-19 among healthcare professionals in public hospitals in Addis Ababa, Ethiopia. PLoS One 16(6) :e0242471, 2025. doi: 10.1371/journal.pone.0242471.

16. DESTA M, AYENEW T, SITOTAW N, TEGEGNE N, DIRES M, GETIE M. Knowledge, practice and associated factors of infection prevention among healthcare workers in Debre Markos Referral Hospital, Northwest Ethiopia. BMC Health Serv Res 18(1): 465, 2018.

17. GAREEBALLAH A, AL-SEHLI SM, AL-MUTAIRI RT, GAMERADDIN M, ALSHARIF W, ELZAKI M, ALSHOABI SA, ALSULTAN KD, ALZAIN AF, OMER AM, HAMD ZY. Assessment of the knowledge and practice of infection control among radiographers in Saudi Arabia: A cross-sectional survey study. Healthcare (Basel). 11(21): 2817, 2023. doi: 10.3390/healthcare11212817.

18. IYER K, ALKHALIFAH K, ALSHAHRANI BN, IBRAHIM ALGHAMDI SS, ALBISHI S, A ALSHERAIHI AA, AL SUDAIRY N. Assessment of knowledge, attitude, and practice (KAP) among nurses on oral care for intensive care unit patients in Riyadh, Saudi Arabia: A cross-sectional study. Cureus 15(12): e50682, 2023. doi: 10.7759/cureus.50682.

19. KHOBRANI M, VASUDEVAN R, KANDASAMY G, GRAMISH JA, PRABAHAR K, PAULSAMY P. Evaluation of health care professionals’ knowledge, attitudes, and practice to prevent the pandemic spread of COVID-19: A Questionnaire-Based cross-sectional study from Abha, Saudi Arabia. Healthcare (Basel) 11(4): 509, 2023.

20. LABEAU S, VANDIJCK DM, CLAES B, VAN AKEN P, BLOT SI. Critical care nurses’ knowledge of evidence-based guidelines for preventing ventilator-associated pneumonia: an evaluation questionnaire. Am J Crit Care 16(4): 371-377, 2007.

21. LABEAU S, VEREECKE A, VANDIJCK DM, CLAES B, BLOT SI. Critical care nurses’ knowledge of evidence-based guidelines for preventing infections associated with central venous catheters: an evaluation questionnaire. Am J Crit Care 17(1) :65-71, 2008.

22. LOVEDAY HP, WILSON JA, PRATT RJ, GOLSORKHI M, TINGLE A, BAK A, BROWNE J, PRIETO J, WILCOX M. Epic3: national evidence-based guidelines for preventing healthcare-associated infections in NHS hospitals in England. J Hosp Infect 86(Suppl 1): S1-70, 2014. doi:10.1016/S0195-6701(13)60012-2.

23. MOHAN CRV, KIRAN LV, ANUSHA DVB, SHRIDEVI K, SREE OS. Knowledge, attitude and practice on infection prevention and control measures among intensive care unit staff during coronavirus disease pandemic in a tertiary care hospital. Int J Contemp Med Res 8(11): 2454-7379, 2021.

24. MUTSONZIWA GA, MOJAB M, KATUWAL M, GLEW P. Influences of healthcare workers’ behaviours towards infection prevention and control practices in the clinical setting: a systematic review. Nurs Open 11(3): e2132. doi:10.1002/nop2.2132

25. PITTET D, HUGONNET S, HARBARTH S, MOUROUGA P, SAUVAN V, TOUVENEAU S, PERNEG TV. Effectiveness of a hospital-wide programme to improve compliance with hand hygiene. Infection control programme. Lancet 356(9238): 1307-1312, 2000.

26. RABAAN AA, ALHANI HM, BAZZI AM, AL-AHMED SH. Questionnaire-based analysis of infection prevention and control in healthcare facilities in Saudi Arabia in regards to Middle East Respiratory Syndrome. J Infect Public Health 10(5): 548-63, 2017.

27. SAHILEDENGLE B, GEBRESILASSIE A, GETAHUN T, HIKO D. Infection prevention practices and associated factors among healthcare workers in governmental healthcare facilities in Addis Ababa. Ethiop J Health Sci 28(2): 177-186, 2018.

28. TARTARI E, BELLISSIMO-RODRIGUES F, PIRES D, FANKHAUSER C, LOTFINEJAD N, SAITO H, SUCHOMEL M, KRAMER A, ALLEGRANZI B, BOYCE J, SAX H, STEWARDSON AJ, PITTET D; Updates and future directions regarding hand hygiene in the healthcare setting: insights from the 3rd ICPIC alcohol-based handrub (ABHR) task force. Antimicrob Resist Infect Control 13(1): 26, 2024. doi: 10.1186/s13756-024-01374-9.

29. TENNA A, STENEHJEM EA, MARGOLES L, KACHA E, BLUMBERG HM, KEMPKER RR. Infection control knowledge, attitudes, and practices among healthcare workers in Addis Ababa, Ethiopia. Infect Control Hosp Epidemiol 34(12): 1289-1296, 2013.

30. TIMILSHINA N, ANSARI MA, DAYAL V. Risk of infection among primary health workers in the Western development region, Nepal: knowledge and compliance. J Infect Dev Ctries 5(1): 18-22, 2011.

31. World Health Organization. WHO. First-ever WHO research agenda on hand hygiene in health care to improve quality and safety of care [Internet]. Geneva, 2023. Available from: https://www.who.int/news/item/12-05-2023-first-ever-who-research-agenda-on-hand-hygiene-in-health-care-to-improve-quality-and-safety-of-care. Accessed on August 15, 2025.

KAP Study Assessing Infection Prevention Among Healthcare Professionals in the Western Region, Saudi Arabia