A national infection control evaluation of drug-resistant tuberculosis hospitals in South Africa

Farley, Jason E.; Tudor, Carrie; Mphahlele, Matsie; Franz, Kristin; Perrin, Nancy; Dorman, Susan E.; Walt, Martie van der

doi:10.5588/ijtld.10.0791

Cited by 59 publications

(67 citation statements)

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“…Indeed, several studies have shown that in-service training enhances compliance with infection control measures [43–46]. Regular training helps to remind the health workers of the importance of these measures.…”

Section: Discussionmentioning

confidence: 99%

Implementation of infection control in health facilities in Arua district, Uganda: a cross-sectional study

et al. 2015

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BackgroundAt least 1.4 million people are affected globally by nosocomial infections at any one time, the vast majority of these occurring in low-income countries. Most of these infections can be prevented by adopting inexpensive infection prevention and control measures such as hand washing. We assessed the implementation of infection control in health facilities and determined predictors of hand washing among healthcare workers (HCWs) in Arua district, Uganda.MethodsWe interviewed 202 HCWs that included 186 randomly selected and 16 purposively selected key informants in this cross-sectional study. We also conducted observations in 32 health facilities for compliance with infection control measures and availability of relevant supplies for their implementation. Quantitative data underwent descriptive analysis and multiple logistic regressions at 95 % confidence interval while qualitative data was coded and thematically analysed.ResultsMost respondents (95/186, 51 %) were aware of at least six of the eight major infection control measures assessed. Most facilities (93.8 %, 30/32) lacked infection control committees and adequate supplies or equipment for infection control. Respondents were more likely to wash their hands if they had prior training on infection control (AOR = 2.71, 95 % CI: 1.03–7.16), had obtained at least 11 years of formal education (AOR = 3.30, 95 % CI: 1.44–7.54) and had reported to have acquired a nosocomial infection (AOR = 2.84, 95 % CI: 1.03–7.84).ConclusionsHealthcare workers are more likely to wash their hands if they have ever suffered from a nosocomial infection, received in-service training on infection control, were educated beyond ordinary level, or knew hand washing as one of the infection control measures. The Uganda Ministry of Health should provide regular in-service training in infection control measures and adequate necessary materials.Electronic supplementary materialThe online version of this article (doi:10.1186/s12879-015-0999-4) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Implementation of infection control in health facilities in Arua district, Uganda: a cross-sectional study

et al. 2015

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“…The survey questionnaire comprising of four sections – demographic information and knowledge, attitudes and practices (KAP) scales related to TB prevention and infection control-was developed based on instruments used in similar studies [20, 21, 25, 31–35]. The knowledge scale contained 22 statements with the response categories “True”, “False” or “I don’t know”.…”

Section: Methodsmentioning

confidence: 99%

Factors associated with good TB infection control practices among primary healthcare workers in the Free State Province, South Africa

et al. 2016

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BackgroundDespite the availability of TB infection control guidelines, and good levels of healthcare worker knowledge about infection control, often these measures are not well implemented. This study sought to determine the factors associated with healthcare workers’ good TB infection control practices in primary health care facilities in the Free State Province, South Africa.MethodsA cross-sectional self-administered survey among nurses (n = 202) and facility-based community healthcare workers (n = 34) as well as facility observations were undertaken at all 41 primary health care facilities in a selected district of the Free State Province.ResultsThe majority of respondents were female (n = 200; 87.7 %) and the average age was 44.19 years (standard deviation ±10.82). Good levels of knowledge were recorded, with 42.8 % (n = 101) having an average score (i.e. 65–79 %) and 31.8 % (n = 75) a good score (i.e. ≥ 80 %). Most respondents (n = 189; 80.4 %) had positive attitudes towards TB infection control practices (i.e. ≥ 80 %). While good TB infection control practices were reported by 72.9 % (n = 161) of the respondents (i.e. ≥75 %), observations revealed this to not necessarily be the case. For every unit increase in attitudes, good practices increased 1.090 times (CI:1.016–1.169). Respondents with high levels of knowledge (≥80 %) were 4.029 (CI: 1.550–10.469) times more likely to have good practices when compared to respondents with poor levels of knowledge (<65 %). The study did not find TB/HIV-related training to be a predictor of good practices.ConclusionsPositive attitudes and good levels of knowledge regarding TB infection control were the main factors associated with good infection control practices. Although many respondents reported good infection control practices - which was somewhat countered by the observations - there are areas that require attention, particularly those related to administrative controls and the use of personal protective equipment.

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“…A previous study on IC in drug-resistant TB facilities throughout South Africa identifi ed the issue of non-approved respirators (sold as N95) being used. 21 It is critical to ensure a reliable supply of assured quality N95 respirators as part of a comprehensive IC program. Furthermore, integration of OH and IC services would be ideal.…”

Section: Discussionmentioning

confidence: 99%

Occupational health policies and practices related to tuberculosis in health care workers in KwaZulu-Natal, South Africa

Tudor

Walt

Hill

et al. 2013

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A national infection control evaluation of drug-resistant tuberculosis hospitals in South Africa

Abstract: Background-The importance of infection control (IC) in health care settings with tuberculosis (TB) patients has been highlighted by recent health care-associated outbreaks in South Africa.

Cited by 59 publications

References 18 publications

Implementation of infection control in health facilities in Arua district, Uganda: a cross-sectional study

Implementation of infection control in health facilities in Arua district, Uganda: a cross-sectional study

Factors associated with good TB infection control practices among primary healthcare workers in the Free State Province, South Africa

Occupational health policies and practices related to tuberculosis in health care workers in KwaZulu-Natal, South Africa

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