Assessment of Knowledge, Attitude and Practice of Biosafety among University's Laboratory Staff

Nik Nurfatin Athirah Nik Mohd Razali, Nurul Izzah Abdul Samad, Nursuhaili Mohd Amin, Mohd Firdaus Yhaya, Herdianti Hatta, Nurul Ainun Hamzah

Abstract


Background: Biosafety is crucial for protecting laboratory staff from infectious agents and hazardous biological materials. Inadequate knowledge of unsafe practices may increase the risk of laboratory-acquired infections and accidents. This study assessed the knowledge, attitude, and practice (KAP) of biosafety and related factors among laboratory staff. Methods: A cross-sectional study was conducted among 150 laboratory staff recruited through stratified and random sampling. Data were collected using a validated, self-administered questionnaire that assessed knowledge, attitude, and practice related to biosafety. Descriptive analysis, one-way ANOVA, Pearson correlation and multiple linear regression were performed to examine differences and associations. Results: The findings revealed that laboratory staff demonstrated moderate knowledge (74.8%), good attitudes (95.5%), and good practices (93.7%) towards biosafety. Significant differences in knowledge [F (2,147) = 23.7, p < 0.001] and practice [F(2,147) = 21.36, p < 0.001] were observed across schools. A moderate positive correlation was found between practice and knowledge (r = 0.518, p < 0.01) and between practice and attitude (r = 0.342, p < 0.01). Higher education was associated with better knowledge and attitudes, while longer years of employment were negatively associated with knowledge. No demographic factors significantly predicted practice. Conclusions: Laboratory staff demonstrated positive attitudes and good practices but showed only moderate knowledge of biosafety. Regular training, continuous education, and standardised biosafety programs are crucial for enhancing knowledge and maintaining safe laboratory practices. This study provides essential evidence to strengthen biosafety training and policies in Malaysian universities, supporting safer laboratory environments and improved institutional preparedness.


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References


Ahmed HK, Eisa IM, Abdallah EI, Hamouda DG, Omer AE, Eltayeb LB. Appraisal of Biosafety Measures in Governmental Medical Laboratory Personnel: Knowledge, Attitude, Practice (KAP) Study. Journal of Biochemical Technology. 2022;13(3):13–18. http://dx.doi.org/10.51847/eohg7ngyvx

Berche P. Laboratory-associated infections and biosafety. La Presse Médicale. 2026;55(3):104277. http://dx.doi.org/10.1016/j.lpm.2025.104277

Krishnan U, Mary T. A Cross Sectional Study on Knowledge, Attitude and Practice of Laboratory Biosafety In The Light Of Covid -19 in a Ter- tiary Care Hospital. Indian Journal of Medical Microbiology. 2021;39:S78. http://dx.doi.org/10.1016/j.ijmmb.2021.08.270

Blacksell SD, Dhawan S, Kusumoto M, Le KK, Summermatter K, O’Keefe J, et al. Laboratory-acquired infections and pathogen escapes worldwide between 2000 and 2021: a scoping review. The Lancet Microbe. 2024;5(2):e194–e202. http://dx.doi.org/10.1016/s2666-5247(23)00319-1

Almutairi NS, Md Tamrin SB, Guan NY, How V. Review knowledge, attitude and practice among workers towards occupational safety and health. Malaysian Journal of Medicine and Health Sciences. 2020;16(1):297-303.

Aldhamy H, Maniatopoulos G, McCune VL, Mansi I, Althaqafy M, Pearce MS. Knowledge, attitude and practice of infection prevention and control precautions among laboratory staff: a mixed-methods systematic review. Antimicrobial Resistance & Infection Control. 2023;12(1):57. http://dx.doi.org/10.1186/s13756-023-01257-5

Niu Y, Ma Y, Yang C, Zhang Y, Yang T, Wu H, Li Y, Gao Q, Zhou L, Wang L. The state of biosafety across China's CDC microbiology laboratories: a nationwide assessment. Frontiers in Public Health. 2024;12:1436503. https://doi.org/10.3389/fpubh.2024.1436503

Tadesse MT, Tefera Y, Tesfaye A, Hailu D. Biosafety management practices among clinical laboratory professionals in Debre Berhan Town governmental hospitals, Ethiopia: A cross-sectional study. Health Science Reports. 2025;8(1):e70361. https://doi.org/10.1002/hsr2.70361

Padde JR, Sharma S, Mhatre S, Amini S. Assessment of biosafety and biorisk management practices among medical laboratory students in two institutions in Uganda. Biosafety and Health. 2022;4(4):226–234. https://doi.org/10.1016/j.bsheal.2022.08.005

Imdad S, Dar R, Akhtar R, Shakoor M, Ali M, Asif M, et al. Knowledge, Attitude and Practice (KAP) of Laboratory Safety among Laboratory Workers. Pakistan Journal of Health Sciences. 2024;114–118. http://dx.doi.org/10.54393/pjhs.v5i12.2390

Halatoko WA, Sondou E, Sopoh GE, Kassegne A, Katawa G, Salou M, et al. Knowledge, attitudes and practices in biosafety and biosecurity in medical biology laboratories in Togo, 2021. Frontiers in Environmental Health. 2024;3:1387476. http://dx.doi.org/10.3389/fenvh.2024.1387476

Siimane TM, Nts’ihlele ME. Healthcare waste management knowledge, attitudes and practices of laboratory workers at a regional hospital, Lesotho. African Journal of Laboratory Medicin]. 2024;13(1):a2485. http://dx.doi.org/10.4102/ajlm.v13i1.2485

Vhanda D, Mwenje J, Vhanda R, Chinowaita K, Chitungo IJB, Dzinamarira T. Evaluating the Knowledge, Attitudes and Practices of Medical Laboratory Professionals Towards Implementing Enterprise Risk Management in Harare, Zimbabwe: A Cross‐Sectional Study. Health Science Reports. 2025;8(6):e70931. http://dx.doi.org/10.1002/hsr2.70931

Ramos HL, Diola J, Ortega MaC. Knowledge and Practices on Biosafety among Medical Technologists in Ilocos Sur. Journal of Interdisciplinary Perspectives. 2025;3(8):345–358. http://dx.doi.org/10.69569/jip.2025.432

Aldhamy H, Maniatopoulos G, McCune VL, Mansi I, Althaqafy M, Pearce MS. Knowledge, attitude and practice of infection prevention and control precautions among laboratory staff: a mixed-methods systematic review. Antimicrobial Resistance & Infection Control. 2023;12(1):57. http://dx.doi.org/10.1186/s13756-023-01257-5

Sharma B, Kumar S. Knowledge, attitude, and practice of safety precautions among laboratory technologist of clinical microbiology laboratory. International Journal of Medical Science and Public Health. 2020;9(4):253-257. http://dx.doi.org/10.5455/ijmsph.2020.10289201918022020

Deepthi PV, Shameena PM, Varma S, Navajeevraj MN. Assessment of Knowledge, Attitude, and Practice Regarding Safety Laboratory Measures During COVID-19 Pandemic – A Cross-Sectional Study Among Oral Pathologists in Kerala. Journal of Indian Association of Public Health Dentistry. 2022;20(1):59–62. http://dx.doi.org/10.4103/jiaphd.jiaphd_50_21

Alquraini RA, Allehyani MM, Almogati MWS, Alsulami AA, Alsulami BO, Alotaibi YMS, Alotaibi FF, Almalki MY, Al-Zahrani ABAA, Al-Ahmadi AMH, Alshamrani NE, Alrashidi MN, Al-Ataibi TA, Al-Zahrani AHM, Alotaibi FEO, Alosaimi AJS, Alotaibi SJH, Alshamrani SE, Alhazmi NS. Assessment of knowledge, attitude and practice on laboratory occupational safety and health among healthcare workers. Journal of Positive Psychology and Wellbeing. 2022;6(2):2735–2743.

Abhayaratne AJ, Samarasinghe YJ, Francis UMGS, Wickramaratne IWMJ, Gunathilake MDU. An assessment of the knowledge, attitudes and practices among medical laboratory technicians on biosafety precautions in selected government healthcare institutions in Colombo District, Sri Lanka. Intternational Journal of Science and Healthcare Research. 2020;5(1):78-85.

Khabour OF, Al Ali KH, Aljuhani JN, Alrashedi MA, Alharbe FH, Sanyowr A. Assessment of biosafety measures in clinical laboratories of Al-Madinah city, Saudi Arabia. The Journal of Infection in Developing Countries. 2018;12(09):755–761. http://dx.doi.org/10.3855/jidc.10081

Aspland AM, Douagi I, Filby A, Jellison ER, Martinez L, Shinko D, et al. Biosafety during a pandemic: shared resource laboratories rise to the challenge. Cytometry Part A. 2021;99(1):68–80. http://dx.doi.org/10.1002/cyto.a.24280

Tang Q, Yan F, Yuan L, Tang Y, Chen H, Sun Y, et al. Enhancing laboratory biosafety management: a comprehensive strategy from theory to practice. Frontiers in Public Health. 2024;12:1439051. http://dx.doi.org/10.3389/fpubh.2024.1439051

Thi Ngoc Ha Bui, Trung Duc Nguyen, Joshi TTX, Thi Thu Ha Nguyen. Biosafety knowledge and perception among medical laboratory students: a cross-sectional study at a medical university in Vietnam. International Journal of Occupational Safety and Health. 2024;14(1):7–16. http://dx.doi.org/10.3126/ijosh.v14i1.56395

Kareem AJ, Kareem AO, Owoeye-Lawal OT, Aro AJ, Lawa OA, Ibekwe OC, et al. The use of safety practices to reduce occupational injury among solid mineral miners in Southwest, Nigeria: an examination of the health belief model. International Journal Of Community Medicine And Public Health. 2022;9(3):1492. http://dx.doi.org/10.18203/2394-6040.ijcmph20220718

Qin Q, Tseng C, Chen W, Tseng CL. Best practices for implementing biosafety inspections in a clinical laboratory: Evidence from a multi-site experimental study. Kamrani E, editor. PLOS ONE. 2023;18(10):e0292940. http://dx.doi.org/10.1371/journal.pone.0292940




DOI: https://doi.org/10.33846/hd21003

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