Knowledge and practices of health care professionals to prevent surgical site infection in a tertiary health care centre


  • Vaibhav B. Patil Department of Obstetrics and Gynaecology, Govt. Medical College, Miraj, Maharashtra, India
  • Ravi M. Raval Department of Obstetrics and Gynaecology, Govt. Medical College, Miraj, Maharashtra, India
  • Ganesh Chavan Department of Obstetrics and Gynaecology, Govt. Medical College, Miraj, Maharashtra, India



Knowledge, Practices, Surgical site infection


Background: In spite of advanced operative techniques, availability of higher antibiotics, modern sterilization techniques, higher rate of SSI in government set up after major surgeries is quiet worrisome. Present study is an attempt to assess knowledge and practices of health care professionals to decrease incidence of SSI and to determine their relationship with each other.

Methods: This is cross sectional study conducted in one of the tertiary institute in western Maharashtra. Data collection was done by using pre-tested, structured questionnaire. We assessed knowledge and practices followed in wards and operation theatre and compared with standard practices according to WHO infection control protocols. We analyzed data according to Low (<60%), moderate or good (60-80%) and >80% means high knowledge and practices using 3-point Likert scale (never practiced, sometimes practiced, and always practiced). Subgroup analysis will be made by dividing participants in 3 groups mainly consultants (faculty), residents and interns, and staff nurses.

Results: Authors found poor knowledge among all three subgroups and in assessment of level of practices, we found that 68.75 % of consultants were following very high level of practices followed by staff nurses (64.51%) and then Interns and residents (49.15%) and while assessing relationship between knowledge and practices in each subgroup by calculating spearman’s Rho coefficient (R), authors found that for interns and residents, P value is 0.025, so association is statistically significant.

Conclusions: It can be concluded that health care professionals in the current study have good practices level regarding infection control but knowledge of surgical site infection prevention activities among those was found low. It emphasizes importance of providing training programs for newly joined students, staff nurses and for consultants about infection control protocols at regular intervals.


Smith MA, Dahlen NR, Bruemmer A, Davis S, Heishman C. Clinical practice guideline surgical site infection prevention. Orthopaedic Nurs. 2013 Sep 1;32(5):242-8.

deLissovoy G, Fraeman K, Hutchins V, Murphy D, Song D, Vaughn BB. Surgical site infection: Incidence and impact on hospital utilization and treatment costs. Am J Infect Control. 2009;37:387‑97.

Akhter MS, Verma R, Madhukar KP. Incidence of surgical site infection in post operative patients at a tertiary care centre in India, J Wound Care. 2016;25(4):210-2,214-7.

Korol E, Johnston K, Waser N, Sifakis F, Jafri HS, Lo M et al. A systematic review of risk factors associated with surgical site infections among surgical patients. PloS one. 2013 Dec 18;8(12):e83743.

Petrosillo N, Drapeau CM, Nicastri E, Martini L, Ippolito G, Moro ML. Surgical site infections in Italian hospitals: a prospective multicenter study. BMC Infect Dis. 2008 Dec;8(1):34.

Cha KS, Cho OH, Yoo SY. Risk factors for surgical site infections in patients undergoing craniotomy. J Korean Acad Nurs. 2010 Apr 1;40(2):298-305.

Bouallègue O, Naija W, Said H, Nouria A, Jaidane N, Dhidah L, Boujaafar N. P233: Incidence of ICU acquired nososcomial infections in University Hospital of Sahloul (Sousse-Tunisia). Antimicrob Resist Infect Control. 2013 Jun;2(1):P233.

Cole M. Infection control: world’s apart primary and secondary care. Br J Commun Nurs. 2007;12(7):301,303-306.

WHO. Global guidelines for prevention of surgical site infections, Evidence-based recommendations on measures for the prevention of surgical site infection. 2016:74-158. Available at

Teshager FA, Engeda EH, Worku WZ. Knowledge, practice, and associated factors towards prevention of surgical site infection among nurses working in Amhara regional state referral hospitals, Northwest Ethiopia. Surgery Res Pract. 2015;2015.

Brisibe SF, Ordinioha B, Gbeneolol PK. Knowledge, attitude, and infection control practices of two tertiary hospitals in Port‑Harcourt, Nigeria. Nigerian J Clin Pract. 2014;17(6):691-5.

Fashafsheh I, Ayed A, Eqtait F, Harazneh L. Knowledge and practice of nursing staff towards infection control measures in the Palestinian Hospitals. J Edu Pract. 2015;6(4):79-90.

El-Enein NY, El Mahdy HM. Standard precautions: a KAP study among nurses in the dialysis unit in a University Hospital in Alexandria, Egypt. J Egyptian Public Health Assoc. 2011 Apr 1;86(1 and 2):3-10.

Talaat E, Shamia E. Developing a control action plan for infection prevention at the endoscopy unit. J int Acad Res. 2010;2(4):412-20.






Original Research Articles