الفهرس 
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Abstract
Justification of the study and aim of the study:
In Egypt few studies were done regarding knowledge, attitude and practice about SPs of infection control among HCWs, the aim of this study was to assess knowledge, attitude and practices towards standard precautions and infection control, and to identify major barriers that may hinder proper practice of infection control.
Results:
Mean age of the studied sample was (27.9 ± 5.9) in Minia University hospital, (31.3±7.6) in Minia general hospital, Most of them were females
As regard general knowledge of standard precautions, (61%) of HCWs in Minia university hospital VS (56.4%) in Minia general hospital stated that they didn’t know what measures of standard precautions included.
Although we found that HCWs had adequate knowledge and positive attitude towards hand hygiene, but their practice in this area was poor. Low rates of hand hygiene were reported after moving from contaminated to clean site during patient examination (44.9%), and (29.7%) rubbed hands with alcohol routinely.
There was a defect in both knowledge and practice of sharp disposal. Most healthcare workers did not know the correct answers to the questions about the risk of transmission of HIV and HCV in case of a needle stick accident also were not aware of the steps of post-exposure prophylaxis after a needle stick accident.
More than half of HCWs in Minia University hospital (63.1%) recapped used needles but only (34.4%) in Minia general hospital did the same. (34%) of the studied HCWs had experienced NSA. There was an evidence of defect in reporting system where only (3.1%) of HCWs who experienced NSA in Minia university hospital versus (7.1%) in Minia general hospital reported these injuries.
Although (82.9%) of HCWs reported that they always used gloves during contact with blood or body fluids , only (5%) of HCWs used eye shield when they were exposed to the splashing of bloody discharge/fluids.
As regard training of infection control only (46%) of HCWs in Minia University hospital received infection control training compared to (55.8%) of HCWs in Minia general hospital there was a statistically significant difference between HCWs who received training and those who didn’t receive training in knowledge and practice scores. Increase number of job experience years was associated with increase in knowledge and practice scores.
Females had better knowledge and practice of SPs than males. Nurses had a better knowledge score than physicians. Age didn’t affect knowledge or attitude, but associated significally with practice. There was fair positive correlation between knowledge score and practice score
Despite presence of overall positive attitude, levels of knowledge and practice about SPs of infection control were dissatisfactory. Practice of SPs in Minia general hospital was higher than Minia University hospital.
In our study the most frequent barriers of practice of SPs were absence of enough gloves and gowns, many HCWs said that other people around them didn’t follow SPs. The most important barrier that affected practice score was that following SPs made work harder.