A self-reported survey on the implementation of infection prevention and control elements in Indian hospitals, part of a HAI surveillance network: Results from 23 hospitals conducting a standardized IPC assessment

Katyal, Sonal; Srivastav, Sharad; Katoch, Omika; Rodrigues, Camilla; Rupali, Priscilla; Chakrabarti, Arunaloke; Ray, Pallab; Biswal, Manisha; Tak, Vibhor; Nath, Reema; Mukhopadhyay, Chiranjay; Bhattacharya, Sanjay; Padmaja, Kanne; Deotale, Vijayshri; Vimala, Venkatesh; Wattal, Chand; Thirunarayan, M A; Nag, Vijaya Lakshmi; Raja, R.; Behera, Bijayini; Baveja, Sujata; Karuna, Tadepalli; Singh, Sanjeev; Fomda, Bashir Ahmad; Devi, S.K Sinha and N. Meena; Das, Padma; Khandelwal, Neeta; Verma, Prachi; Thangavelu, Premkumar; Nazir, Shaista; Eshwara, Vandana Kalwaje; Varma, Muralidhar; Mishra, Tushar Subhadarshan; Das, Rashmi Ranjan; Malhotra, Rajesh; Walia, Kāmini; Guleria, Randeep; Mathur, Purva

doi:10.1016/j.ajic.2022.04.014

Cited by 3 publications

(1 citation statement)

References 12 publications

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“…Although poor infrastructure and poor funding are cited as causes for inadequate implementation of IPC measures, there is evidence to show that IPC can be implemented in low resource settings with clinical leadership and a sound knowledge of safe practices. (22)(23)(24) iv)Financing SAPs: with federal structures, incorporating AMR nance mechanisms into national and state-level budgets should happen concurrently to ensure that different dimensions of addressing AMR are adequately funded. In addition to investments earmarked for AMR, states should also invest in strengthening infection prevention and control, WASH, vaccination, the regulation of antibiotic manufacturing, the medicine supply chain, and the regulation of antibiotics in e uents.…”

Section: Discussionmentioning

confidence: 99%

Focus areas for the forward momentum of sub-national action plans on antimicrobial resistance (AMR) - Perspectives from three states in a Low- and middle-income Country

Baluja,

Ranjalkar,

Mathew

et al. 2023

Preprint

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Background Antimicrobial resistance (AMR) is a critical public health threat that could impact healthcare systems and economies. The role of national action plans (NAPs) in containing AMR is well-recognized. India has taken multiple steps, including decentralizing action plans by encouraging states to adopt sub-national or state action plans (SAPs) on AMR. Only four states (Out of 28 States and 8 union territories) have a SAP on AMR. To understand the factors and focus areas needed to formulate such SAPs, we report the perspectives of key One Health stakeholders' from three states in India. Methods Two states and one union territory that did not have SAPs on AMR were chosen. A desktop situational analysis was done to identify key stakeholders involved in AMR work in these states and understand the AMR challenges in these states. Local public health champions were also invited. One-day consultation meetings were conducted at each site. A total of 118 stakeholders participated in the meetings. Seventeen in-depth interviews were also held with participants after the meetings to add further insights. The inputs from the meetings and in-depth interviews was subjected to latent and manifest content analysis to identify themes. Results The meetings and in-depth interviews led to identifying AMR drivers and potential interventional strategies and requirements such as improving awareness with targeted communication strategies, strengthening and expanding surveillance in both human and animal sectors, improving community hygiene, stepping up financing mechanisms, and enhancing governance through multisectoral secretariats. The need to decrease the consumption of antibiotics through a strong foundation of public-private partnerships and the scale-up of stewardship efforts was highlighted. An urgency to integrate AMR strategies into other vertical health programs was noted. Conclusion In large lower and middle-income countries, inspite of the presence of NAPs, various challenges exist in containing AMR in states. The perspectives of the stakeholders highlight the focus areas within the NAPs, the contextual challenges, and the need to urgently formulate these SAPs with tailor-made approaches. Utilizing the expertise of multiple stakeholders in each state to materialize SAPs that incorporate these valuable local insights is likely to optimize forward movement.

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Section: Discussionmentioning

confidence: 99%

Focus areas for the forward momentum of sub-national action plans on antimicrobial resistance (AMR) - Perspectives from three states in a Low- and middle-income Country

Baluja,

Ranjalkar,

Mathew

et al. 2023

Preprint

View full text Add to dashboard Cite

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Identification of essential contents and a standard framework for the development of an Infection Prevention and Control manual for healthcare facilities: A scoping review

Gastaldi,

Festa,

Nieddu

et al. 2024

American Journal of Infection Control

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Bridging the gap: Analyzing discrepancies in knowledge, attitude, and practice of infection control among healthcare workers

Raval,

Patel,

Patel

et al. 2024

IJMMTD

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Over the past decade, Hospital-acquired infections (HAIs) have become a significant concern within Indian Tertiary Healthcare Centers. The effectiveness of infection control practices heavily relies on the diligence of healthcare workers, directly impacting the success of these measures. It's crucial to closely examine any disparities between ideal and actual practices to ensure optimal infection control outcomes. To find any gap between ideal and actual infection control practices and analyze associated factors which is actually responsible for the that gap. A cross-sectional study was carried out at a tertiary healthcare center in north Gujarat over six months, spanning from February 2023 to July 2023. The study included a total of 293 participants, comprising 61 doctors, 154 nurses, 33 paramedical staff, and 45 housekeeping staff. Data were collected using a pretested, structured, self-administered questionnaire covering different aspects of infection control practices. Knowledge, attitude, and practice (KAP)Scores of 70% or less were considered below average, scores between 71 and 80% average, 81 to 90% good and above 90% were very good. KAP score is 98.8% in knowledge, 88.70% in attitude and 89% in self-reported practices. Cumulative KAP score was 92.16% which is under very good category. Around 88.52% (54 out of 61) of doctors, 69.48% (107 out of 154) of nurses, 78.78% (26 out of 33) of paramedical staff, 64.44% (29 out of 45) of housekeeping staff scored above 90% in KAP score which is under very good category.Regular training, post training assessments and strict enforcement of infection control measures in hospitals can help to fill gaps in the knowledge, attitudes, and self-reported practices of healthcare workers regarding infection control.

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A self-reported survey on the implementation of infection prevention and control elements in Indian hospitals, part of a HAI surveillance network: Results from 23 hospitals conducting a standardized IPC assessment

Cited by 3 publications

References 12 publications

Focus areas for the forward momentum of sub-national action plans on antimicrobial resistance (AMR) - Perspectives from three states in a Low- and middle-income Country

Focus areas for the forward momentum of sub-national action plans on antimicrobial resistance (AMR) - Perspectives from three states in a Low- and middle-income Country

Identification of essential contents and a standard framework for the development of an Infection Prevention and Control manual for healthcare facilities: A scoping review

Bridging the gap: Analyzing discrepancies in knowledge, attitude, and practice of infection control among healthcare workers

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