Nosocomial Respiratory Infections in a Rural Zambian Hospital

Loevinsohn, Gideon; Hardick, Justin; Mehoke, Thomas; Sinywimaanzi, Pamela; Hamahuwa, Mutinta; Fenstermacher, Katherine; Shaw‐Saliba, Kathryn; Thielen, Peter; Evans, Jared D.; Bowden, Kenneth V.; Zudock, Kristina; Sauer, Lauren; Monze, Mwaka; Gaydos, Charlotte A.; Rothman, Richard E.; Pekosz, Andrew; Thuma, Philip E.; Sutcliffe, Catherine G.

doi:10.4269/ajtmh.20-1470

Cited by 4 publications

(2 citation statements)

References 14 publications

(13 reference statements)

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“…Healthcare associated infections contracted during a stay or a passage in a hospital environment constitute a public health problem in the world [ 1 – 3 ] and in particular in Africa [ 4 – 7 ]. They are characterized by a heavy financial impact and mortality due to the virulence of the pathogenic agents and their resistance to the effects of anti-infectious medicine [ 8 – 11 ].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the implementation of hospital hygiene components in 30 health-care facilities in the autonomous district of Abidjan (Cote d’Ivoire) with the WHO Infection Prevention and Control Assessment Framework (IPCAF)

Cissé,

Laure,

Blaise

et al. 2023

BMC Health Serv Res

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Introduction As part of the implementation of its mission “to integrate hygiene activities into healthcare”, the general directorate of health conducted in 2018 with its technical structures, an evaluation of the implementation of Infection Prevention and Control (IPC) using the WHO IPCAF tool in 30 health-care facilities in the autonomous district of Abidjan. Materials and methods This were a cross-sectional survey with a conceptualized component considering the issue of injection safety and sanitary waste management, which was conducted in the named health-care facilities from March 20 to 28, 2018. The scores of the essential components of the IPC made it possible to assess the IPC level of each health-care facility evaluated and the overall IPCAF score of all facilities. Results The overall median IPCAF score of the health-care facilities was 242.5/800 and corresponded to an inadequate level overall. No facility reached the “advanced” level of performance, 5 facilities (17%) reached the “intermediate” level, 10 (33%) fell into the “basic” level, and 15 (50%) were at the “inadequate” level. Baseline institutions had much higher scores than first contact institutions. Conclusion IPC component activities were inadequate and fragmented in the under-resourced health facilities at the time of the assessment. It would be appropriate to provide adequate resources and develop expertise in IPC through strong political will and leadership. This will contribute to the achievement of universal health insurance objectives with safe health services for patients.

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Section: Introductionmentioning

confidence: 99%

Evaluation of the implementation of hospital hygiene components in 30 health-care facilities in the autonomous district of Abidjan (Cote d’Ivoire) with the WHO Infection Prevention and Control Assessment Framework (IPCAF)

Cissé,

Laure,

Blaise

et al. 2023

BMC Health Serv Res

View full text Add to dashboard Cite

show abstract

“…Nosocomial infections contracted during a stay or a passage in an hospital environment constitute a public health problem in the world [1][2][3] and in particular in Africa [4][5][6][7]. They are characterized by an heavy nancial impact and mortality due to the virulence of the pathogene agents and their resistance to the effects of anti-infectious medicine [8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the implementation of hospital hygiene components in 30 health-care facilities in the Autonomous District of Abidjan (Cote d'Ivoire) with the WHO Infection Prevention and Control Assessment Framework (IPCAF)

Cissé¹,

Essis²,

Koné³

et al. 2022

Preprint

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Introduction: As part of the implementation of its mission "to integrate hygiene activities into health-care", the general directorate of health conducted in 2018 with its technical structures, an evaluation of the implementation of Infection Prevention and Control (IPC) using the WHO IPCAF tool in 30 health-care facilities in the autonomous district of Abidjan. Material and methods: This were a cross-sectional survey with a conceptualized component considering the issue of injection safety and sanitary waste management, which was conducted in the named health-care facilities from March 20 to 28, 2018. The scores of the essential components of the IPC made it possible to assess the IPC level of each health-care facility evaluated and the overall IPCAF score of all facilities. Results: The overall median IPCAF score of the health-care facilities was 242.5 / 800 and corresponded to an inadequate level overall. No facility reached the "advanced" level of performance, 5 facilities (17%) reached the "intermediate" level, 10 (33%) fell into the "basic" level, and 15 (50%) were at the "inadequate" level. Baseline institutions had much higher scores than first contact institutions. Conclusion: IPC component activities were inadequate and fragmented in the under-resourced health facilities at the time of the assessment. It would be appropriate to provide adequate resources and develop expertise in IPC through strong political will and leadership. This will contribute to the achievement of Universal Health Insurance objectives with safe health services for patients.

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Knowledge of healthcare-associated infection management among emergency care nurses

ვერულავა

Jorbenadze²,

Ghonghadze

2022

British Journal of Healthcare Management

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Background/Aims In developing countries, healthcare-associated infections are a major problem. Nurses play a pivotal role in preventing these infections. The aim of this study was to assess emergency care nurses' knowledge regarding the management of healthcare-associated infections in Georgia. Methods A descriptive, cross-sectional study was conducted. A self-administered questionnaire was sent to 150 nurses, who were chosen through randomised selection. Participants rated their agreement to statements regarding infection prevention and management using a 5-point Likert scale. Associations between variables were assessed using a Chi-square test. Results Most of the nurses had adequate knowledge regarding the management of healthcare-associated infections, but their practice to reduce the spread of infection was not at a satisfactory level. There was a significant relationship between work experience and knowledge about healthcare-associated infection management, including attendance at training courses (P<0.05). However, only 53.7% of participants reported taking recommendations to reduce the incidence of healthcare-associated infections into account, and only 54.5% practiced hand hygiene after touching the patient. Conclusions Adequate education in healthcare-associated infection management and prevention is essential for healthcare workers. The majority of participants had sufficient knowledge of healthcare-associated infection management measures, but needed further improvement through regular educational programmes and implementation of infection management practices to maximise quality of care.

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Nosocomial Respiratory Infections in a Rural Zambian Hospital

Cited by 4 publications

References 14 publications

Evaluation of the implementation of hospital hygiene components in 30 health-care facilities in the autonomous district of Abidjan (Cote d’Ivoire) with the WHO Infection Prevention and Control Assessment Framework (IPCAF)

Evaluation of the implementation of hospital hygiene components in 30 health-care facilities in the autonomous district of Abidjan (Cote d’Ivoire) with the WHO Infection Prevention and Control Assessment Framework (IPCAF)

Evaluation of the implementation of hospital hygiene components in 30 health-care facilities in the Autonomous District of Abidjan (Cote d'Ivoire) with the WHO Infection Prevention and Control Assessment Framework (IPCAF)

Knowledge of healthcare-associated infection management among emergency care nurses

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