Tuberculosis infection control measures in health care facilities offering tb services in Ikeja local government area, Lagos, South West, Nigeria

Kuyinu, Yetunde; Mohammed, Abdulkadir; Adeyeye, O O; Odugbemi, Babatunde A.; Goodman, Olayinka; Odusanya, Olumuyiwa O.

doi:10.1186/s12879-016-1453-y

Cited by 41 publications

(64 citation statements)

References 14 publications

(25 reference statements)

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“…In contrast to the recommendations in the TBIC guidelines, the cascade of continuous onsite training has not been replicated by the responsible focal persons of the facilities studied due to the practice of relocation of intra-hospital staff. Our study also showed very low adherence to the practice of collecting sputum in a designated area (30%), which is similar to other settings, 13 due to the distant location of collection areas and patient non-cooperation.…”

Section: Tbic Implementation 30supporting

confidence: 82%

“…from Nigeria, which showed that only 20% of TB clinics were observed to be providing consistent delivery of health education on cough etiquette to patients. 13 The main reasons for non-adherence to IC measures in our study were lack of training, non-availability of a segregation area, perceived non-cooperation of patients and overburdened staff. More than half of the HCWs interviewed reported that they had not received any training in the hospital.…”

Section: Tbic Implementation 30mentioning

confidence: 76%

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Infection control in hospitals managing drug-resistant tuberculosis in Pakistan: how are we doing?

Waheed¹,

Khan²,

Fatima³

et al. 2017

public health action

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Ten hospitals managing drug-resistant tuberculosis (TB) in Pakistan. To assess the implementation of TB infection control (IC) practices and reasons for non-adherence to guidelines. This was a descriptive study conducted between April and October 2016 with three components: 1) non-participant observation of service delivery areas (SDAs) ( = 82) in hospitals ( = 10) using structured checklists; 2) exit interviews with 100 patients (10 per hospital); and 3) interviews with 100 health-care workers (HCWs, 10/hospital). Of the 82 SDAs, posters were displayed in 34 (41%), mechanical ventilation was implemented in 79% and functional ultraviolet germicidal irradiation (UVGI) was available in only 26%. Patient interviews showed 50-65% adherence to triage and use of personal protective measures. Key reasons for non-adherence were lack of adequate supplies, discomfort using N-95 masks, a lack of knowledge or training, perceived non-cooperation by patients, poor maintenance of mechanical ventilators and UVGI due to unstable electricity supply, a lack of clarity in roles (no-one designated in charge) and staff shortages and subsequent workloads. Adherence to natural ventilation usage was poor for reasons related to climate and privacy. Implementation of TBIC measures in hospitals was suboptimal. Urgent measures need to be put in place, including retraining of HCWs, addressing weaknesses in mask and poster supplies and constant supervision and monitoring.

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Section: Tbic Implementation 30supporting

confidence: 82%

Section: Tbic Implementation 30mentioning

confidence: 76%

Infection control in hospitals managing drug-resistant tuberculosis in Pakistan: how are we doing?

Waheed¹,

Khan²,

Fatima³

et al. 2017

public health action

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“…The lack of implementation and scale up of these preventative measures, with an emphasis on rapidly diagnosing and treating unsuspected TB, are primarily responsible for nosocomial TB transmission 10,34,35 . In HBCs such as South Africa, poor building design, overcrowding, lack of knowledge and training regarding facility-based IC plans and guidelines, and poor managerial involvement in the design and implementation of local TB-IC policy have been noted as barriers to the implementation of such measures 36,37 .…”

Section: Challengesmentioning

confidence: 99%

Agents of change: The role of healthcare workers in the prevention of nosocomial and occupational tuberculosis

Nathavitharana

Bond²,

Dramowski

et al. 2017

La Presse Médicale

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Healthcare workers (HCWs) play a central role in global tuberculosis (TB) elimination efforts but their contributions are undermined by occupational TB. HCWs have higher rates of latent and active TB than the general population due to persistent occupational TB exposure, particularly in settings where there is a high prevalence of undiagnosed TB in healthcare facilities and TB infection control (TB-IC) programmes are absent or poorly implemented. Occupational health programmes in high TB burden settings are often weak or non-existent and thus data that record the extent of the increased risk of occupational TB globally are scarce. HCWs represent a limited resource in high TB burden settings and occupational TB can lead to workforce attrition. Stigma plays a role in delayed diagnosis, poor treatment outcomes and impaired wellbeing in HCWs who develop TB. Ensuring the prioritization and implementation of TB-IC interventions and occupational health programmes, which include robust monitoring and evaluation, is critical to reduce nosocomial TB transmission to patients and HCWs. The provision of preventive therapy for HCWs with latent TB infection can also prevent progression to active TB. Unlike other patient groups, HCWs are in a unique position to serve as agents of change to raise awareness, advocate for necessary resource allocation and implement TB-IC interventions, with appropriate support from dedicated TB-IC officers at the facility and national TB programme level. Students and community health workers (CHWs) must be engaged and involved in these efforts. Nosocomial TB transmission is an urgent public health problem and adopting rights-based approaches can be helpful. However, these efforts cannot succeed without increased political will, supportive legal frameworks and financial investments to support HCWs in efforts to decrease TB transmission.

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“…Good knowledge of occupational TB exposure is known to positively influence the adoption of TBIC practices by HCWs [16,17]. HCWs have, however, been shown to have varying levels of knowledge and practices regarding TBIC and a good understanding of TBIC does not necessarily equate to adequate practice of the measures [9,18]. In addition to poor knowledge, identified barriers to effective implementation of TBIC include weak managerial support, poor funding, limited work space and inadequate staffing [19].…”

Section: Introductionmentioning

confidence: 99%

Knowledge and practices regarding tuberculosis infection control among nurses in Ibadan, south-west Nigeria: a cross-sectional study

Akande

2020

BMC Health Serv Res

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Background: Nurses are particularly vulnerable to nosocomial tuberculosis (TB) infection because, being in the frontline of healthcare provision, they are frequently exposed to patients with infectious TB disease. Although costeffective measures are available for TB infection control (TBIC), they are often poorly implemented. Knowledge of TBIC is known to positively influence the practice of the measures. There is, however, paucity of data on the knowledge and practices regarding TBIC among nurses in Nigeria. This study was aimed at determining the levels of TBIC-related knowledge and practices of nurses in Ibadan, and their associated socio-demographic factors.Methods: This cross-sectional study utilized a self-administered questionnaire to collect data from 200 nurses in two secondary health facilities, in May 2014. The mean knowledge and practice scores of the nurses were determined and logistic regression was utilized to explore the association between the scores and sociodemographic characteristics. Results: The respondents had mean knowledge and practice scores of 68.2 and 79.9% respectively. Using cut-off points of 80 and 100% for good knowledge and practice scores respectively, small proportions of the nurses had good scoresknowledge (10.5%) and practice (6%). Knowledge was not significantly associated with the sociodemographic characteristics of the nurses. Work experience was the only factor that was significantly associated with practices, with the more experienced nurses (> 18 years of work experience) having lower odds of obtaining good practice scores (OR 0.25, 95% CI 0.06-0.94). There was also no significant association between knowledge and practice scores (the nurses were yet to be trained on the newly-introduced TBIC package at the time of the study). Conclusions:The study revealed that small proportions of the nurses had good knowledge and practice scores. Its findings will be useful for the designing of interventions to improve TBIC among nurses and other healthcare workers, and to benchmark evaluation of the interventions. It is recommended that nurses should be trained on TBIC to equip them with necessary knowledge and skills. This, together with appropriate policy directives, and adequate monitoring and supervision will contribute to optimal implementation of TB preventive measures.

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Tuberculosis infection control measures in health care facilities offering tb services in Ikeja local government area, Lagos, South West, Nigeria

Cited by 41 publications

References 14 publications

Infection control in hospitals managing drug-resistant tuberculosis in Pakistan: how are we doing?

Infection control in hospitals managing drug-resistant tuberculosis in Pakistan: how are we doing?

Agents of change: The role of healthcare workers in the prevention of nosocomial and occupational tuberculosis

Knowledge and practices regarding tuberculosis infection control among nurses in Ibadan, south-west Nigeria: a cross-sectional study

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