Abstract
Nosocomial infections are rapidly increasing in the entire world. Although a lot of advances have been made, but evidences show that it is still necessary to observe methods for prevention of spreading infection in general practice especially for gynecology and dentistry. Thereby it is important to conduct a research project to determine effectiveness of training in performance of gynecology units in Tabriz. In this interventional study all of the public providers which counts to 75 and one fourth of private sector which includes 75 private service providers were chosen randomly, as a sample. The research tool was questioner and checklist in four sections with 42 items. Educational program conducted for all of the service providers and auxiliary workers of them. Collected data compared before and after education. Performance of 73% of study populations before intervention and 27% of them after intervention was not acceptable. Investigating bacterial contamination in metal instruments showed that 15.1%of them before and 11.1%after intervention were positive. Our results showed failures in decontamination, cleaning, sterilization, disinfection improved performance of gynecologists and midwives in most of cases. Problems in hand washing and few items remained unchanged after intervention. Results of this intervention are similar to a number of studies that have been published in recent years in Iran (Kermanshah, Rasht, Waramin, Tehran cities) and England. The main recommendation in all studies was promotion of knowledge and skills of health workers. Thus planning and continiuous monitoring of out-patient services in using the standards and forcing them to use disposable equipments, substitution of autoclave for oven and expansion of continiuous education should be emphasized