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The prevention and reduction of healthcare-associated infection remain a challenge for healthcare facilities worldwide. Healthcare-associated infections pose a threat to staff and patients' safety and are among the leading causes of morbidity and mortality in haemodialysis patients. Patients with end-stage renal disease and related comorbidities are at a greater risk of infections due to their compromised immune systems. This study aimed to explore and describe dialysis practitioners’ practices regarding the prevention of dialysis-related infections at selected dialysis units in the City of Tshwane.
A qualitative study was conducted using semi-structured interviews. This study was done in four private dialysis units and one public dialysis unit. Semi-structured interviews were conducted among 10 dialysis practitioners (dialysis nurses and clinical technologists) who had been selected using a purposive sampling technique until data saturation was reached.
Data analysis was performed concurrently with data collection using a thematic analysis method. Four themes emerged namely; lack of training and education, shortage of staff and supplies, hand hygiene, and staff attitudes towards infection prevention and control.
The current study identified gaps in practices among dialysis practitioners. More research is required to investigate barriers to infection prevention and control in dialysis facilities. Compliance with infection and prevention measures can be improved through rigorous continuous surveillance, staff education, and hand hygiene observations.