scholarly journals Infection Prevention and Control

Author(s):  
Anna L. Costa ◽  
Gaetano Pierpaolo Privitera ◽  
Giorgio Tulli ◽  
Giulio Toccafondi

AbstractHealthcare-associated infections (HAI) are adverse events exposing patients to a potentially avoidable risk of morbidity and mortality. Antimicrobial resistance (AMR) is increasingly contributing to the burden of HAIs and emerging as of the most alarming challenges for public health worldwide. Practically, harm mitigation and risk containment demand cross-sectional initiatives incorporate both approaches to infection prevention and control and methodologies from clinical risk management.


2021 ◽  
pp. 175717742110127
Author(s):  
Salma Abbas ◽  
Faisal Sultan

Background: Patient and staff safety at healthcare facilities during outbreaks hinges on a prompt infection prevention and control response. Physicians leading these programmes have encountered numerous obstacles during the pandemic. Aim/objective: The aim of this study was to evaluate infection prevention and control practices and explore the challenges in Pakistan during the coronavirus disease 2019 pandemic. Methods: We conducted a cross-sectional study and administered a survey to physicians leading infection prevention and control programmes at 18 hospitals in Pakistan. Results: All participants implemented universal masking, limited the intake of patients and designated separate triage areas, wards and intensive care units for coronavirus disease 2019 patients at their hospitals. Eleven (61%) physicians reported personal protective equipment shortages. Staff at three (17%) hospitals worked without the appropriate personal protective equipment due to limited supplies. All participants felt overworked and 17 (94%) reported stress. Physicians identified the lack of negative pressure rooms, fear and anxiety among hospital staff, rapidly evolving guidelines, personal protective equipment shortages and opposition from hospital staff regarding the choice of recommended personal protective equipment as major challenges during the pandemic. Discussion: The results of this study highlight the challenges faced by physicians leading infection prevention and control programmes in Pakistan. It is essential to support infection prevention and control personnel and bridge the identified gaps to ensure patient and staff safety at healthcare facilities.



BMJ ◽  
2017 ◽  
pp. j3768 ◽  
Author(s):  
Soumya Swaminathan ◽  
Jagdish Prasad ◽  
Akshay C Dhariwal ◽  
Randeep Guleria ◽  
Mahesh C Misra ◽  
...  


2017 ◽  
Vol 65 (12) ◽  
pp. 1963-1973 ◽  
Author(s):  
Andi L Shane ◽  
Rajal K Mody ◽  
John A Crump ◽  
Phillip I Tarr ◽  
Theodore S Steiner ◽  
...  

Abstract These guidelines are intended for use by healthcare professionals who care for children and adults with suspected or confirmed infectious diarrhea. They are not intended to replace physician judgement regarding specific patients or clinical or public health situations. This document does not provide detailed recommendations on infection prevention and control aspects related to infectious diarrhea.



2018 ◽  
Vol 4 (Supplement 2) ◽  
pp. 223s-223s
Author(s):  
M. Faizan ◽  
S. Anwar ◽  
R.U.A. Kashif ◽  
R. Saleem ◽  
H. Javed ◽  
...  

Background: Overcrowding, lack of operational funds, and healthcare associated infections are major challenges at the Children Hospital Lahore, a public healthcare facility in Pakistan with 900 new pediatric cancer admissions annually. In 2014, a collaboration between My Child Matters (MCM), St. Jude Global Infectious Diseases Program (SJ-GID), and our institution was established to address these issues. Aim: To describe the effect of a collaborative improvement strategy on the infection prevention and control (IPC) standards in a pediatric oncology unit in a resource-limited setting. Methods: Our study was a prospective before-and-after study. We compare the WHO Hand Hygiene Self-Assessment Framework (HHSAF) and 4 modules of the St. Jude modified Infection Control Assessment Tool (ICAT) scores. Our strategy included: (1) creating a multidisciplinary team of pediatric hematology-oncology, infectious disease physicians, nurses, microbiologist, and a data manager, (2) engaging on monthly online IPC mentoring sessions with the SJ-GID and MCM mentors, (3) performing daily inpatient healthcare associated (HAI) surveillance rounds, and (4) providing regular hand hygiene training and compliance audits. Results: Our hand hygiene facility level per WHO scores increased from “Inadequate” during the baseline assessment to “Intermediate/Consolidation” by the end of 3-year implementation (122 vs 352 HHSAF scores). The sink: bed and hand sanitizer: bed ratios improved to 1:6 and 1:1 respectively. Six washrooms were added to our unit. ICAT general infection control module increased by 40% (45 vs 78 ICAT score) and hygiene compliance improved by 20% from baseline. Identification of HAI increased from baseline (4.07 vs 8.7 infections per 1000 patient days). A 25% of the isolates were multidrug-resistant microorganisms. Conclusion: Implementing a collaborative improvement strategy improved the IPC standards in our pediatric cancer center. The increase of HAI might be a result of a better surveillance and laboratory identification. Further targeted interventions should be develop to decrease HAI rates and infection-related morbidity and mortality in our population.



Author(s):  
Amira Mhuthia Adila ◽  
Nur Ramadhan ◽  
Puspa Nujulla ◽  
Putri Dwi Ardiyanti ◽  
Rina Oktavia ◽  
...  

Infections due to health services or Healthcare-Associated Infection (HAI) or known as nosocomial infections are infections that occur in patients during treatment in hospitals or other health facilities. The prevention and control of nosocomial infections is a worldwide challenge. This study aims to examine the literature, articles, or journals of research results regarding the implementation of prevention and control of nosocomial infections in hospitals. The method used is a literature review with 10 journals that were reviewed and written from 2015 to 2020, or written in the last 6 years with the keywords "Analysis of the Implementation of Nosocomial Infection Prevention and Control". The results obtained are 8 journals that have obstacles such as lack of Human Resources (HR), insufficient funds and infrastructure, there are still many officers who have not taken action according to Standard Operating Procedures (SOP), many officers have not received training, there is no incentive for officers. , there is an unbalanced workload, the reporting system is not maximized, the use of Personal Protective Equipment (PPE) is not optimal, and cough etiquette has not been carried out by officers. So it is necessary to add things that must be met such as training of officers, completing the needs (facilities and infrastructure) for officers, providing sanctions for officers when violating (not taking actions according to SOPs), providing incentives for officers, and even giving rewards for officers who obey comply SOP, especially given strict supervision from the hospital so that officers and patients do not transmit their disease to each other or other people.



Author(s):  
Emma Jane Norton ◽  
Ioannis Georgiou ◽  
Alex Fung ◽  
Armin Nazari ◽  
Soham Bandyopadhyay ◽  
...  

Abstract Background The adequacy of personal protective equipment (PPE) and infection prevention and control (IPC) training in UK medical students and interim Foundation Year 1 (FiY1) doctors during the COVID-19 pandemic is unknown, as is its impact on COVID-19-related anxiety. Methods Cross-sectional, multi-centre study analysing self-reported adequacy of PPE and IPC training and correlation to a modified pandemic anxiety scale. Participants were current medical students and FiY1 doctors in the UK. Data were collected by an online survey. Results Participants reported that they received insufficient PPE information (43%) and IPC training (56%). Significantly, fewer participants identifying as women or BAME/mixed ethnicity reported receiving sufficient PPE information, compared with those identifying as men and White British/White Other, respectively. COVID-19-related anxiety was significantly higher in those without sufficient reported PPE or IPC training, in women compared with men, and in FiY1 doctors compared with medical students. Conclusions With medical students currently volunteering in and imminently returning to hospitals in an educational capacity, levels of self-reported PPE and IPC training are sub-optimal. Better training is paramount to avoid harm to patients and healthcare professionals and to reduce COVID-19-related anxiety among medical students and FiY1 doctors.





2021 ◽  
Vol 3 (2) ◽  
pp. 134-145
Author(s):  
Wellington Pereira Lopes ◽  
Ludmila Ichioka ◽  
Viviane Micheli Amaral ◽  
Glilciane Morceli ◽  
Marselle Nobre Carvalho

No dia 11 de março de 2020 a Organização Mundial da Saúde declarou oficialmente a pandemia da Covid-19. Essa declaração se deu não pela gravidade da patologia, mas pelo grande poder de contágio do vírus causador da doença. Por esse motivo, todos os países se viram frente um novo desafio de saúde mundial tendo a necessidade de se organizar para enfrentar essa nova demanda por meio da criação de novos fluxos, monitoramento interno dos profissionais e pacientes, e monitoramento externo dos mesmos. Além disso, por se tratar de um vírus com novas características, diversas pesquisas foram publicadas em tempo real a pandemia trazendo novas informações uteis para o trabalho, por esse motivo, o projeto Safety  foi criado com intuito de captar essas novas publicações, avaliar e posteriormente, inserir essas informações no trabalho proporcionando novas ferramentas de enfrentamento de acordo com a aplicabilidade no Brasil. REZENDE, JM. À sombra do plátano: crônicas de história da medicina [online]. São Paulo: EditorUnifesp, 2009. As grandes epidemias da história. pp. 73-82. ISBN 978-85-61673-63-5. Available from SciELO Books http://books.scielo.org.   ZHU, D et al. Um novo coronavírus de paciente com pneumonia na China em 2019. The New England Journal of medicine. Disponível em: https://www.nejm.org/doi/full/10.1056/nejmoa2001017, acessado dia 04/06/2020.   Organização Mundial da Saúde . Coronavírus Novel - China . Genebra, Suíça : Organização Mundial de Saúde , 12 de Janeiro de , 2020 . Https://www.who.int/csr/don/12-january-2020-novel-coronavirus-china/en/.   FREITAS, AR; NAPIMOGA, M; DONALISIO, MR. Análise da gravidade da pandemia de Covid-19.Epidemiol. Serv. Saúde,  Brasília ,  v. 29, n. 2,  e2020119,    2020 .   Available from <http://www.scielo.br/scielo.php?script=sci_arttext&pid=S223796222020000200900&lng=en&nrm=iso>. access on  04  June  2020.  Epub Apr 06, 2020.  http://dx.doi.org/10.5123/s1679-49742020000200008.   FILHO, JMJ et al . A saúde do trabalhador e o enfrentamento da COVID-19. Rev. bras. saúde ocup.,  São Paulo ,  v. 45,  e14,    2020 .   Available from <http://www.scielo.br/scielo.php?script=sci_arttext&pid=S030376572020000100100&lng=en&nrm=iso>. access on  04  June  2020.  Epub Apr 17, 2020.  http://dx.doi.org/10.1590/2317-6369ed0000120.   BRASIL. Ministério da saúde. Secretária de Vigilância em Saúde. Covid 19. 2020. https://covid.saude.gov.br/.   7.COFEN. Conselho Federal de Enfermagem. Registra 10 mil casos de Covid 19 entre profissionais de enfermagem. 2020. http://www.cofen.gov.br/cofen-registra-10-mil-casos-de-covid-19-entre-profissionais-de-enfermagem_79551.html.   CDC. Centro de Controle de Doenças Infecciosas. Divisão de Doenças Virais dos EUA. https://www.cdc.gov/coronavirus/2019-ncov/hcp/ambulatory-care-settings.html.   9.BRASIL Ministério da Saúde. Protocolo de Manejo Clínico do Coronavírus (Covid 19) Na Atenção Primária a Saúde Versão 8. Disponível em Abril 2020.  http://189.28.128.100/dab/docs/portaldab/documentos/20200422_ProtocoloManejo_ver08.pdf.   PORTUGAL Direção Geral da Saúde. Abordagem do Doente com Suspeita ou Infeção por SARS-CoV-2. Norma nº 004/2020 de 23/03/2020 atualizada a 25/04/2020https://www.dgs.pt/directrizes-da-dgs/normas-e-circulares normativas/norma-n-0042020-de-23032020-pdf.aspx   ESPANHA Ministerio de Sanidad. Procedimiento de Actuación para los Servicios de Prevención de Riesgos Laborales frente a la Exposición AL SARS‐cov‐2. Junho, 2020.https://www.mscbs.gob.es/profesionales/saludPublica/ccayes/alertasActual/nCov-China/documentos/PrevencionRRLL_COVID-19.pdf   12.UK. Guidance Transmission Characteristics and Principles of Infection Prevention and Control. Public Health England. July 2020. https://w ww.gov.uk/government/publications/wuhan-novel-coronavirus-infection prevention-and-control/transmission-characteristics-and-principles-of-infection-prevention-and-control.   13. UK.  Reducing the risk of transmission of COVID-19 in the hospital setting. Public Health England. July 2020. https://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/reducing-the-risk-of-transmission-of-covid-19-in-the-hospital-setting



Author(s):  
Okechukwu B. Anozie ◽  
Arinze C. Ikeotuonye ◽  
Ephraim I. Nwokporo ◽  
Chidi U. Esike ◽  
Richard L. Ewah ◽  
...  

Background: COVID-19 is a major Public Health challenge that has affected the world’s economy. Assessment of the knowledge, attitude and practices of Healthcare workers (HCWs) towards COVID-19 can improve or sustain the successes recorded by relevant agencies in the fight against COVID-19.Methods: a cross-sectional survey was done using semi-structured questionnaires and simple sampling technique. Data collected were analyzed using SPSS version 22.Results: Out of the 368 respondents, 205 were doctors while 150 were nurses. Others were clerical workers, administrative officers and maintenance workers. Knowledge of COVID-19 was generally high amongst respondents recording a correct response to questions about knowledge of COVID-19 in more than 90% of the case. However, the attitude and practice of COVID-19 infection, prevention and control protocols were poor. Out of the respondents, 41.8% would not stay at home if they had minor COVID-19 like symptoms; only 39.4% would take responsibility to ensure people around them follow good respiratory hygiene. Respondents who would keep social distancing while talking with co-workers, ensure safe disposal of personal protective equipment (PPEs) and safe waste management of PPEs were 56%, 39.9% and 53.8% respectively.Conclusions: Knowledge of COVID-19 prevention protocols is high but attitude/practice of these laid out protocols still desires a lot of effort from HCWs. There is need for training/retraining of HCWs on COVID-19 infection, prevention and control strategies to ensure the success being recorded against the disease is sustained while preventing the possibility of a second wave of infection.



2019 ◽  
Vol 1 (2) ◽  
pp. 80-86
Author(s):  
Applonia Leo Obi

Abstract: Infection Prevention and Control in Scaling Treatment Measures.Dental health workers are a group that is susceptible to infection because in the course of treatment often in contact with saliva and blood. Saliva and blood are intermediaries for transmitting infections so the action in high risk dental practice in daily clinical practice. The rules are obeyed, in order to avoid operators or patients against cross infections that can occur in clinical practice. This study aims to determine the prevention and control of infection in scaling at the Dental Health Department education clinic. This research method is descriptive observational cross-sectional study design. The number of samples was 32 dental nurse students from the Dental Health Department. The tools and materials used in the study are the assessment list / check list sheet and stationery. The results of this study indicate infection prevention and control: the operator is in the moderate category (53.1%,) all operators (100%) use a sterile device, one glass mouth rinse for each patient (87.5%) and only 12 suction, 5% and 75% instruct patients to gargle antiseptic before treatment, manage dental equipment (100%) clean equipment using soap and running water and bring clean equipment to the sterilization room, and 100% use aprons, masks and thick gloves only (78, 1%) around 81.2% do not use protective glasses. Measures during the examination and treatment (100%) wearing masks (90.6%) did not wash hands and 78.1% did not wear protective goggles when performing scaling treatments. The conclusions in this study indicate that infection prevention and control measures in the treatment of scaling at the Kupang Dental Health Department education clinic have been implemented but not yet optimal. Students wear handscoen without washing hands first and do not wear glasses when scaling. Abstrak: Pencegahan dan Pengendalian Infeksi pada Tindakan Perawatan Scaling. Tenaga kesehatan gigi merupakan kelompok yang rentan terhadap penularan infeksi karena dalam tindakan perawatan sering berkontak dengan saliva dan darah. Saliva dan darah merupakan perantara penularan infeksi sehingga tindakan dalam praktek perawatan gigi resiko tinggi dalam praktek klinik sehari-hari. Aturan dipatuhi, untuk menghindari operator maupun pasien terhadap infeksi silang yang dapat terjadi di praktek klinik. Penelitian ini bertujuan untuk mengetahui pencegahan dan pengendalian infeksi pada tindakan scaling di klinik pendidikan Jurusan Kesehatan Gigi.Metode penelitian ini adalah observasional deskriptif dengan desain cross-sectional study. Jumlah sampel adalah 32 mahasiswa perawat gigi Jurusan Kesehatan Gigi. Alat dan bahan yang digunakan dalam penelitian adalah lembar daftar penilaian/check list dan alat tulis. Hasil penelitian ini menunjukkan Pencegahan dan pengendalian infeksi: terhadap operator termasuk kategori cukup sebesar (53,1%,) seluruh operator  (100%)  menggunakan alat steril, satu gelas kumur untuk setiap pasien (87,5%) dan menggunakan suction hanya 12,5%  dan 75% instruksikan pasien berkumur antiseptik sebelum dirawat, Pengelolaan alat kedokteran gigi (100%) pembersihan peralatan gunakan sabun dan air mengalir serta membawa peralatan bersih ke ruangan sterilisasi, serta 100 % menggunakan celemek, masker dan sarung tangan tebal hanya (78,1%) sekitar 81,2% tidak menggunakan kaca mata pelindung. Tindakan selama pemeriksaan dan perawatan (100%) gunakan masker  (90,6% ) tidak mencuci tangan dan 78,1% tidak mengenakan kaca mata pelindung saat melakukan tindakan perawatan scaling. Simpulan dalam penelitian ini menunjukkantindakan pencegahan dan pengendalian infeksi pada perawatan scaling di klinik pendidikan Jurusan Kesehatan Gigi Kupang telah dilaksanakan namun belum optimal. Mahasiswa memakai handscoen tanpa mencuci tangan terlebih dahulu dan tidak mengenakan kaca mata saat tindakan scaling.



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