scholarly journals The state of infection prevention and control at home health agencies in the United States prior to COVID-19: A cross-sectional study

2021 ◽  
pp. 103841
Author(s):  
Jingjing Shang ◽  
Ashley M. Chastain ◽  
Uduwanage Gayani E. Perera ◽  
Andrew W. Dick ◽  
Caroline J. Fu ◽  
...  
Keyword(s):  
Infection Prevention ◽  
The United States ◽  
Cross Sectional Study ◽  
Home Health ◽  
Infection Prevention And Control ◽  
Sectional Study ◽  
Cross Sectional ◽  
Health Agencies ◽  
Home Health Agencies ◽  
And Control

scholarly journals 2444. Infection Prevention in Home Healthcare: Results from a National Study of Home Health Agencies

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S845-S845
Author(s):  
Monika Pogorzelska-Maziarz ◽  
Jingjing Shang ◽  
Ashley Chastain ◽  
Patricia Stone
Keyword(s):  
Infection Prevention ◽  
Qualitative Interviews ◽  
Nationwide Survey ◽  
The United States ◽  
Home Health ◽  
Home Healthcare ◽  
Infection Prevention And Control ◽  
National Study ◽  
Health Agencies ◽  
Home Health Agencies

Abstract Background As the population of older Americans with chronic conditions continues to grow, the role of home healthcare (HHC) services in improving care transitions between acute care and independent living has become a national priority. This has led to the development of value-based purchasing (VBP) initiatives, changes in the Centers for Medicare and Medicaid Services’ Home Health Conditions of Participation, and the Joint Commission’s national patient safety goals for HHC. We aimed to describe the infection prevention and control (IPC) infrastructure in US home health agencies (HHA). Methods From March to November 2018, we conducted in-depth, phone interviews with 41 staff from 13 HHAs across the United States, including administrators, IPC and quality improvement (QI) personnel, registered nurses and home health aides. In October 2018, we launched a nationwide survey to a random sample of 1,500 HHAs stratified by census region, ownership status and urban/rural location, and achieved a 40% response rate. Transcripts of the qualitative interviews were coded and themes were identified using content analysis. Survey data were analyzed using descriptive statistics. Results Themes from the interviews included: 1) Uniqueness of HHC setting, 2) Importance of staff and patient/caregiver education, (3) Care coordination challenges, and, (4) Keys to success and innovation. From the surveys, we found that, at the majority of HHAs, the staff member in charge of IPC had other responsibilities including QI (57%), clinical/administrative/managerial (49%), supervision of clinical services/patient coordination (48%), and education/training (45%). For those staff members in charge of IPC, over a third had received no specific IPC training, and only 5% were certified in IPC. For those staff who received training, the training was provided by external consultants (26%) or a professional society/health department (28%). Respondents cited the most challenging aspect of IPC as collecting/reporting infection data (24%), adherence to/monitoring bag technique (15%) and adequate staff coverage (13%). Conclusion This work represents a current snapshot of IPC infrastructure and challenges in US HHC agencies and identifies important barriers to IPC in these settings. Disclosures All authors: No reported disclosures.

scholarly journals Pencegahan dan Pengendalian Infeksi pada Tindakan Perawatan Scaling

2019 ◽  
Vol 1 (2) ◽  
pp. 80-86
Author(s):  
Applonia Leo Obi
Keyword(s):  
Prevention And Control ◽  
Infection Prevention ◽  
Dental Health ◽  
Health Department ◽  
Cross Sectional Study ◽  
Infection Prevention And Control ◽  
Sectional Study ◽  
Check List ◽  
Cross Sectional ◽  
And Control

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.

scholarly journals Knowledge of infection prevention and control practices among health care workers caring for patients with suspected or confirmed COVID-19: a cross-sectional study

F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 824
Author(s):  
Eman H Elsebaie ◽  
Amany A Salem ◽  
Amal S Sedrak ◽  
Ahmed Ayad ◽  
Sahar A Ahmed ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Infection Prevention ◽  
Cross Sectional Study ◽  
Infection Prevention And Control ◽  
Risk Of Infection ◽  
Sectional Study ◽  
Cross Sectional ◽  
Care Workers ◽  
And Control

Background: The COVID-19 pandemic is increasing rapidly. Hospital acquired infections enhance local outbreaks, impacting the vulnerable populations. Infection prevention and control practices (IPC) refer to all the activities used to reduce the risk of infection spread.  This study aims to estimate the proportion of health care workers (HCWs) who acquired SARS-CoV2 infection, and evaluate their knowledge to IPC and suggest recommendations to reduce the risk of SARS-CoV2 infection.   Methods: This is a cross-sectional study conducted in Egypt from June 8, 2020, till August 19, 2020. A purposive sample of 518 HCWs from different governorates was included in the study. HCWs filled a structured questionnaire developed by the World Health Organization on a Google Form and a printed copy. The questionnaire link was shared on social media forums including HCWs such as Facebook.   Results: The mean age of HCWs was 33±7 and 65% were males. The majority of health care workers were affiliated with the Ministry of Health and Population (62.5%), recruited from Cairo (52.4%), and were physicians (78.2%). About 11% of the HCWs had been infected with SARS-CoV2. Their mean knowledge percent score regarding IPC was 36.19 ± 11.26. The highest rate of infection was among those with little experience (p=0.002), and those worked inside Cairo (p=0.018). About 89% mentioned that the leading cause of infection with SARS-CoV2 was the shortage in Personal Protective Equipment (PPE). About 42% recommended raising the awareness for the importance of IPC to decrease risk of infection.   Conclusions: HCWs had a low score of knowledge toward IPC. There was a considerable proportion of SARS-CoV2 infection among them. Lack of knowledge and shortage of PPE were the contributing factors. It is necessary to provide juniors with IPC training, and hospitals with sufficient PPE.

scholarly journals Hospital Preparedness for Critical Care during COVID-19 Pandemic: Exploratory Cross-sectional Study

2020 ◽  
Vol 8 (T1) ◽  
pp. 429-432
Author(s):  
John Rene Labib ◽  
Sally Kamal ◽  
Marwa Rashad Salem ◽  
Eman D. El Desouky ◽  
Ahmed Taher Mahmoud
Keyword(s):  
Prevention And Control ◽  
Infection Prevention ◽  
Cross Sectional Study ◽  
Rapid Identification ◽  
Infection Prevention And Control ◽  
Sectional Study ◽  
Cross Sectional ◽  
Surge Capacity ◽  
Essential Services ◽  
And Control

AIM: The researchers conducted the study to assess intensive care units (ICUs) preparedness in Cairo University Hospitals to deal efficiently and effectively with COVID-19 upcoming waves. METHODS: An exploratory cross-sectional study was conducted at Cairo University Intensive Care Units 6 pediatric ICUs, and 2 adult ICUs in the period from the end of February to the first week of March, 2020; almost 2 weeks after the appearance of the first case of COVID-19 in Egypt by hand-delivered questionnaire method with one of the ICU staff members who were available and have time to take part in the study. WHO checklist for hospital readiness was used; this checklist based on current knowledge and available evidence on the COVID-19 pandemic for WHO’s Regional Office for the Eastern Mediterranean Region. The WHO has developed the checklist to help hospital managers prepare for COVID-19 patient management by optimizing each hospital’s capacities. The list composed of 10 key components: (1) Leadership and coordination; (2) operational support, logistics and supply management; (3) information; (4) communication; (5) human resources; (6) continuity of essential services and surge capacity; (7) rapid identification; (8) diagnosis; (9) isolation and case management; and (10) infection prevention and control. RESULTS: The overall preparedness in both pediatric and adult ICUs was 54%. Overall, adult ICUs were more prepared than pediatric ICUs, especially in communication; continuity of essential services and surge capacity; rapid identification; diagnosis; isolation; and case management. Both of them were comparable regarding operational support, logistics and supply management; human resources; and infection prevention and control, while information component was lower in both types but reached critical values 10% in adult ones. CONCLUSION: The current study demonstrated the intermediate readiness of ICUs at initial outbreak; further assessment during different phases of pandemic is required. Continues education of HCWs and active communication should be established.

scholarly journals Awareness of risk of infections to health care professionals and its preventive practices among medical students: a cross-sectional study

2018 ◽  
Vol 5 (5) ◽  
pp. 1875
Author(s):  
Aruna Marati Savanthe ◽  
Cynthia Subhaprada Savolu
Keyword(s):  
Health Care ◽  
Medical Students ◽  
Health Care Professionals ◽  
Infection Prevention ◽  
Cross Sectional Study ◽  
Infection Prevention And Control ◽  
Sectional Study ◽  
Standard Precautions ◽  
Cross Sectional ◽  
And Control

Background: Occupational health is a neglected public health issue among healthcare workers in developing countries leading to health care associated infections both to patients and medical students unless infection prevention and control (IPC) measures followed. This study was conducted with an aim to assess the degree of knowledge regarding infection in health care professionals and infection control measures among medical students.Methods: A cross-sectional study was conducted from June 1 to July 31, 2017 on 95 students in the MBBS final year Part I at Kurnool Medical College Kurnool by simple random sampling technique after taking informed consent. A semi structured questionnaire with information regarding their knowledge on risk of infection and infection prevention practices was used. Using SPSS ver. 20, data analysed in proportions and means.Results: Mean age of the study participants was 20.29±0.756 years, 83.2% (n=79) students expressed tuberculosis followed by Hepatitis B infection as the most common infection the medical students are exposed to. 97.9% definitely knew that they contact infections if standard precautions are not followed. Only 51.6% students were aware of all steps of hand wash. 83.2% were already vaccinated to hepatitis B and among vaccinated 73.4% had completed the course fully.Conclusions: Effective infection prevention measures are pivotal in providing high quality health care for patients and a safe working environment for those that work in healthcare settings. Hence infection prevention and control guidelines particularly standard precautions should be incorporated into the curriculum before entering clinical postings.

scholarly journals Pencegahan dan Pengendalian Infeksi pada Tindakan Perawatan Scaling

2019 ◽  
Vol 1 (2) ◽  
pp. 80-86
Author(s):  
Applonia Leo Obi
Keyword(s):  
Prevention And Control ◽  
Infection Prevention ◽  
Dental Health ◽  
Health Department ◽  
Cross Sectional Study ◽  
Infection Prevention And Control ◽  
Sectional Study ◽  
Check List ◽  
Cross Sectional ◽  
And Control

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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