Perceptions and attitudes of inpatients toward infection control measures in Erbil public hospitals


  • Gyaband Ahmed Khedir Department of Community Medicine, College of Medicine, Hawler Medical University, Erbil, Iraq.
  • Yassin Ahmed Asaad Department of Community Medicine, College of Medicine, Hawler Medical University, Erbil, Iraq.



Infection, Nosocomial infection, Perception, Attitude, Hygiene


Background and objective: Infection control refers to the measures taken in hospitals and other healthcare facilities to limit and control infections. The primary purpose of infection control is to reduce infection rates. Inpatients must have a perception and attitude about healthcare-associated infections. The aim of this study was to determine the perceptions and attitudes of inpatients and their related factors regarding infection control measures in Erbil public hospitals. 

Methods: This cross-sectional study was carried out in Erbil public hospitals from September 1st, 2021, to September 1st, 2022). It included 400 patients admitted for different reasons in Rizgary Teaching Hospital, Erbil Teaching Hospital, and Maternity Teaching Hospital. Data were collected during the period (December 15th, 2021) to (March 29th, 2022). Data was gathered through a direct interview using the questionnaire format. 

Results: The highest percentage of inpatients were females (67.8%), and 60.3% had sufficient income. A high number of inpatients (43.5%) were admitted to the Rizgary teaching hospital. More than half (52.5%) of the inpatients believed they would get an infection if admitted to the hospital. Concerning being aware of healthcare-associated infections, only 16.0% of inpatients were aware of healthcare-associated infections. Most (83.0%) of the inpatients thought that hand washing reduced the chance of infection. 

Conclusion: The present study indicated that the perceptions and attitudes of inpatients regarding infection control issues in hospitals are low; accordingly, more efforts are needed to empower patients about infection control measures in hospitals.


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Signore A. About inflammation and infection. EJNMMI Res 2013; 3(1):8. Available from:

Umar L, Nwolisa E. Prevention and Control of Infectious Diseases. In: JC Azubuike, Nkanginieme; Pediatric and Child Health in a Tropical Region. Educational Printing and Publishing (Publishers), Surulere, Lagos. 3rd Edition, 2016. ISBN: 978-81906735-01. P. 494–543. Available from:

Akbari R, Bafghi MF, Fazeli H. Nosocomial infections pathogens isolated from hospital personnel, hospital environment and devices. J Med Bacteriol 2018; 7(1–2):22–30. Available from:

Khan HA, Ahmad A, Mehboob R. Nosocomial infections and their control strategies. Asian Pac J Trop Biomed 2015; 5(7):509–14. Available from:

Khan HA, Baig FK, Mehboob R. Nosocomial infections: Epidemiology, prevention, control and surveillance. Asian Pac J Trop Biomed 2017; 7(5):478–82. Available from:

Haque M, Sartelli M, McKimm J, Abu Bakar M. Health care-associated infections - an overview. Infect Drug Resist 2018; 11:2321–33. DOI:10.2147/IDR.S177247

Tomczyk S, Storr J, Kilpatrick C, Allegranzi B. Infection prevention and control (IPC) implementation in low-resource settings: a qualitative analysis. Antimicrob Resist Infect Control [Internet]. 2021; 10(1):113. DOI:10.1186/s13756-021-00962-3

Cairo J. Mosby’S respiratory care equipment binder ready [Internet]. 10th ed. London, England: Mosby; 2017 [cited 2023 Feb 7]. Available from:

Davis J. 7 Types of Infection Control Precautions. TriMedika. 2022 [cited 2023 Feb 7]. Available from:

Bahadur S, Younas A, Jan A, Javed S, Amaar S, Murad S. Infection prevention and control practices observed by students of a medical college. Journal of Rehman Medical Institute 2017; 3(1-2):39–46.

Tolera M, Abate D, Dheresa M, Marami D. Bacterial nosocomial infections and antimicrobial susceptibility pattern among patients admitted at Hiwot Fana Specialized University Hospital, Eastern Ethiopia. Adv Med 2018; 2018:2127814.

Esfahani BN, Basiri R, Mirhosseini SMM, Moghim S, Dolatkhah S. Nosocomial infections in Intensive Care Unit: Pattern of antibiotic-resistance in Iranian community. Adv Biomed Res 2017; 6:54.

Mohammadnejad E, Manshadi SAD, Mohammadi MTB, Abdollai A, Seifi A, Salehi MR, et al. Prevalence of nosocomial infections in Covid-19 patients admitted to the intensive care unit of Imam Khomeini complex hospital in Tehran. Iran J Microbiol 2021; 13(6):764–8.

Azodo CC, Umoh A, Ehizele AO. Nigerian patients’ perception of infection control measures in dentistry. Int J Biomed Sci 2021; 6(4).

Ocran I, Tagoe DNA. Knowledge and attitude of healthcare workers and patients on healthcare associated infections in a regional hospital in Ghana. Asian Pac J Trop Dis 2014; 4(2):135–9.

Merle V, Van Rossem V, Tavolacci M-P, Czernichow P. Knowledge and opinions of surgical patients regarding nosocomial infections. J Hosp Infect 2005; 60(2):169–71.

Smyth W, Abernethy G, Mason M, Carrucan J, Hayes M, Shields L. Patients’ perceptions of hospital-acquired infections in northern Queensland, Australia: a pilot study. Am J Infect Control 2015; 43(4):418–9.

Askarian M, Yadollahi M, Assadian O. Point prevalence and risk factors of hospital acquired infections in a cluster of university-affiliated hospitals in Shiraz, Iran. J Infect Public Health [Internet]. 2012; 5(2):169–76.

Ismail KH. Satisfaction of inpatients in Erbil teaching hospitals. Zanco J Med Sci 2012; 16(2):98–105.

Mahajan A, Lendhey SS, Kale T. Knowledge, attitude and practice of patients regarding cross-infection and infection control in dental college and hospital, Nashik. IJMEDPH 2020; 12(4).




How to Cite

Khedir, G. A., & Asaad, Y. A. . (2024). Perceptions and attitudes of inpatients toward infection control measures in Erbil public hospitals. Zanco Journal of Medical Sciences (Zanco J Med Sci), 28(1), 41–51.



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