ASSESSMENT OF NURSES’ KNOWLEDGE AND ADHERENCE TO INFECTION PREVENTION AND CONTROL PROTOCOLS IN SELECTED TEACHING HOSPITALS IN LAGOS STATE, NIGERIA

Olusegun Monday Aiyekoribe; Mary Adewale; Deborah Reuben

doi:https://doi.org/10.5281/zenodo.23032399

Olusegun Monday Aiyekoribe¹✉,

Mary Adewale¹,

Deborah Reuben¹

¹ Department of Nursing Science, British America University, Delaware USA, College of Health Sciences.

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Abstract

Healthcare-associated infections (HAIs) continue to pose a major challenge to patient safety, healthcare quality, and the occupational wellbeing of healthcare workers. Effective infection prevention and control (IPC) is consequently an essential component of safe clinical practice. Nurses have a particularly significant role in reducing the transmission of infections because their responsibilities involve frequent interaction with patients, medical devices, body fluids, and the wider healthcare environment. This article examines nurses’ knowledge and adherence to infection prevention and control protocols in teaching hospitals in Lagos State, Nigeria, focusing on key areas including hand hygiene, personal protective equipment (PPE), standard precautions, sharps management, healthcare waste disposal, environmental sanitation, and prevention of occupational exposure. Findings from Nigerian teaching hospitals have reported relatively high levels of knowledge and compliance with standard precautions, while intervention-based research has shown that structured infection-control education can further improve healthcare workers’ knowledge. Evidence from Lagos similarly indicates generally favourable levels of infection-control knowledge and practice among healthcare professionals, although sustained training and access to appropriate protective and safety resources remain important. International evidence also suggests that infection-control interventions are more effective when education is combined with regular monitoring, feedback, adequate infrastructure, reliable supplies, and institutional support. The article therefore emphasizes that strengthening IPC in Lagos teaching hospitals requires a comprehensive and sustained strategy that integrates continuous professional education, adequate staffing, consistent availability of IPC materials, effective supervision, routine auditing and feedback, committed institutional leadership, and the development of a strong patient-safety culture.

Keywords: Infection and control; standard precautions; hand hygiene; adherence.

References

Akodu, B., Chinagoro, U., Roberts, A., Lawal, A., Bakre, A. T., Oshun, P., Oyeleke, G., Osuagwu, C., Yakubu, C., Baiyeroju, I., Orumbie, P., Olokodana-Adesalu, O., Agunbiade, H., & Ojikutu, M. (2024). Knowledge, attitude and infection control practices among healthcare professionals in selected primary healthcare centres in urban areas of Lagos State. Nigerian Journal of Family Practice, 15(2), 97–104.
Barrera-Cancedda, A. E., Riman, K. A., Shinnick, J. E., & Buttenheim, A. M. (2019). Implementation strategies for infection prevention and control promotion for nurses in Sub-Saharan Africa: A systematic review. Implementation Science, 14, 111. https://doi.org/10.1186/s13012-019-0958-3.
Farotimi, A. A., Ademuyiwa, I. Y., Nweke, C. I., & Balogun, S. M. (2022). Knowledge and compliance with standard precautions among nurses in a teaching hospital in Nigeria. Nigerian Quarterly Journal of Hospital Medicine, 31(1–2), 16–25.
Farotimi, A. A., Ajao, E. O., Nwozichi, C. U., & Ademuyiwa, I. Y. (2018). Effect of training on knowledge, perception and risk reduction regarding infection control among nurses in selected teaching hospitals in Nigeria. Iranian Journal of Nursing and Midwifery Research, 23(6), 471–477. https://doi.org/10.4103/ijnmr.IJNMR_208_17.
Igwe, U., Okolie, O. J., Ismail, S. U., & Adukwu, E. (2024). Effectiveness of infection prevention and control interventions in health care facilities in Africa: A systematic review. American Journal of Infection Control, 52(10), 1135–1143. https://doi.org/10.1016/j.ajic.2024.06.004.
Iliyasu, G., Dayyab, F. M., Habib, Z. G., Tiamiyu, A. B., Abubakar, S., Mijinyawa, M. S., & Habib, A. G. (2026). Knowledge and practices of infection control among healthcare workers in a tertiary referral center in North-Western Nigeria. Annals of African Medicine, 15(1), 34–40.
Ogunsola, F. T., Oduyebo, O. O., Iregbu, K. C., & Adetunji, A. (2019). Audit: An essential tool for an effective infection control program—the Lagos University Teaching Hospital experience. Journal of the Nigerian Infection Control Association, 2, 27–30.
Storr, J., Twyman, A., Zingg, W., Damani, N., Kilpatrick, C., Reilly, J., Price, L., Egger, M., Grayson, M. L., Kelley, E., & Allegranzi, B. (2017). Core components for effective infection prevention and control programmes: New WHO evidence-based recommendations. Antimicrobial Resistance & Infection Control, 6, 6. https://doi.org/10.1186/s13756-016-0149-9.
World Health Organization. (2019). A guide to the implementation of the WHO multimodal hand hygiene improvement strategy. Geneva: World Health Organization.
World Health Organization. (2019). WHO guidelines on hand hygiene in health care. Geneva: World Health Organization.
World Health Organization. (2026). Guidelines on core components of infection prevention and control programmes at the national and acute health care facility level. Geneva: World Health Organization.
World Health Organization. (2018). Improving infection prevention and control at the health facility: An interim practical manual. Geneva: World Health Organization.
World Health Organization. (2019). Minimum requirements for infection prevention and control programmes. Geneva: World Health Organization.
World Health Organization. (2022). Global report on infection prevention and control. Geneva: World Health Organization.
World Health Organization. (2022). Global report on infection prevention and control: Executive summary. Geneva: World Health Organizat.