Evidence map›Paper›PMID 40558090›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2025

Infection Prevention and Control Knowledge, Attitudes, and Practices of Healthcare Workers in Tertiary Care Hospitals in Bangladesh During COVID-19: A Multicenter Cross-sectional Survey.

Md Golam Dostogir Harun, Shariful Amin Sumon, Md Mahabub Ul Anwar, Tahrima Mohsin Mohona, Aninda Rahman, Syed Abul Hassan Md Abdullah, Md Saiful Islam, Lisa P Oakley, Paul Malpiedi, Ashley R Styczynski and 1 more

Abstract readMulticenter Study
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Md Golam Dostogir HarunProgramme for Emerging Infections, Infectious Diseases Division, icddr,b, Dhaka, Bangladesh.ORCID 0000-0002-7884-740X
Shariful Amin SumonProgramme for Emerging Infections, Infectious Diseases Division, icddr,b, Dhaka, Bangladesh.ORCID 0000-0001-5770-1527
Md Mahabub Ul AnwarOffice of Oral Health, Maryland Department of Health, Baltimore, Maryland, USA.ORCID 0000-0003-4403-0124
Tahrima Mohsin MohonaProgramme for Emerging Infections, Infectious Diseases Division, icddr,b, Dhaka, Bangladesh.
Aninda RahmanCommunicable Disease Control, Directorate General of Health Services, Dhaka, Bangladesh.ORCID 0000-0002-2487-9254
Syed Abul Hassan Md AbdullahSafetyNet, Dhaka, Bangladesh.
Md Saiful IslamSchool of Population Health, University of New South Wales, Sydney, New South Wales, Australia.ORCID 0000-0002-5690-5971
Lisa P OakleyCenters for Disease Control and Prevention (CDC), Atlanta, Georgia, USA.ORCID 0000-0002-9299-7922
Paul MalpiediCenters for Disease Control and Prevention (CDC), Atlanta, Georgia, USA.
Ashley R StyczynskiCenters for Disease Control and Prevention (CDC), Atlanta, Georgia, USA.ORCID 0000-0002-4682-8087
S Cornelia Kaydos-DanielsCenters for Disease Control and Prevention (CDC), Atlanta, Georgia, USA.ORCID 0000-0002-5442-4023

Funding

CGH CDC HHS U51 GH001209U.S. Centers for Disease Control and Prevention (CDC) No-6NU51GH001209
6 · The paper itself

Abstract

backgroundHealthcare workers (HCWs) play a pivotal role in preventing healthcare-associated infections by adhering to infection prevention and control (IPC) practices. This study assessed IPC knowledge, attitudes, and practices (KAP) among HCWs at tertiary care hospitals in Bangladesh during the coronavirus disease 2019 pandemic.

methodsFrom September 2020 to January 2021, semistructured questionnaires were administered to physicians, nurses, and cleaning staff at 11 tertiary care hospitals in Bangladesh. KAP components were classified into "good," "fair," and "poor" based on the frequency of favorable responses (>75%, 50%-75%, <50%). Multivariate logistic regression was used to assess the relationship between knowledge, attitudes, and self-reported practices.

resultsWe enrolled 1728 HCWs, including 526 physicians (30.4%), 934 nurses (54.1%), and 268 cleaning staff (15.5%). Physicians and nurses demonstrated "good" IPC knowledge (median 94.8% and 96.6% favorable responses, respectively) and self-reported IPC practices (median 76.2% and 80.4% favorable responses). However, most cleaning staff exhibited "poor" IPC knowledge (median 47.3% favorable responses) and practices (21.3% favorable responses). Across all categories of HCWs, the median attitude score was "fair" (range 60.0%-71.2% favorable responses). Having a positive attitude toward IPC was associated with increased IPC knowledge (adjusted odds ratio 3.0, P < .001) and good IPC practices (adjusted odds ratio 16.3, P < .001).

conclusionsHCW's KAP toward IPC was found to be suboptimal, especially among cleaning staff. However, the strong association noted between favorable attitudes toward IPC and adherence to safe IPC practices demonstrates the need for hospital leadership to promote a positive IPC culture, in addition to training and resources, to improve IPC practices and enhance healthcare resiliency beyond the coronavirus disease 2019 pandemic.

Indexed as

COVID-19Cross InfectionHealth Knowledge, Attitudes, PracticeHealth PersonnelInfection ControlAdultAttitude of Health PersonnelBangladeshCross-Sectional StudiesFemaleHumansMaleMiddle AgedPandemicsSARS-CoV-2Surveys and QuestionnairesBangladeshHCWsIPCKAPLMIC

Identifiers

PMID40558090
PMCPMC12314486

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.