Questions linked to Salmon S, Pittet D, Sax H, McLaws ML. The ‘My five moments for hand hygiene’ concept for the overcrowded setting in resource-limited healthcare systems. J Hosp Infect 2015;91:95–99.

2016 ◽  
Vol 92 (3) ◽  
pp. 294
Keyword(s):  
Hand Hygiene ◽  
Healthcare Systems ◽  
Hosp Infect ◽  
Resource Limited

scholarly journals Observational Study of Hand Hygiene Compliance at a Trauma Hospital in Iraqi Kurdistan

J ◽  
2021 ◽  
Vol 4 (4) ◽  
pp. 794-802
Author(s):  
Ines Moued ◽  
Rawand M. Haweizy ◽  
Lawand S. Miran ◽  
Mustafa G. Mohammed ◽  
Johan von Schreeb ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Healthcare Workers ◽  
Hand Hygiene Compliance ◽  
Healthcare Systems ◽  
World Health ◽  
Healthcare Associated Infections ◽  
Iraqi Kurdistan ◽  
Resource Limited ◽  
Hygiene Compliance ◽  
Healthcare Associated

Healthcare-associated infections, commonly caused by poor hand hygiene, represent a significant source of disease and economic burden for healthcare systems, especially those in resource-limited settings. The few existing studies on hand hygiene compliance in resource-limited hospital settings suggest that compliance is insufficient. The difference in compliance rates between units in resource-limited trauma hospitals is largely unknown. We aimed to assess hand hygiene compliance rates among healthcare workers at a trauma hospital in Iraqi Kurdistan and compare the levels of compliance between the emergency room (ER), the intensive care unit (ICU), and the acute care ward (ACW). We carried out overt observations in 2018 using the validated World Health Organization ‘five moments for hand hygiene’ observational tool. We observed a total of 622 hand hygiene opportunities performed by 149 healthcare workers. Hand hygiene compliance was defined as handwashing with soap and water or the use of alcohol-based hand rub, in accordance with the ‘five moments for hand hygiene’ concept. Overall, the hand hygiene compliance rate was found to be 6.8% (95% confidence interval 5.0–9.1). Compliance was significantly lower in the ER (1.0%), compared with the ICU (8.1%) (p = 0.0012), and the ACW (11.1%) (p < 0.0001). In all three units, the availability of alcohol-based hand rub and handwashing sinks was insufficient in relation to the number of patient beds. We conclude that the overall level of hand hygiene compliance was low, with the lowest level of compliance in the ER. Our findings call for improved resource allocation and strengthened hand hygiene routines. These relatively simple measures could potentially lower the incidence of healthcare-associated infections and improve the mortality and morbidity of patients in already overburdened healthcare systems.

scholarly journals Medicines dispensing practice during the era of COVID-19 pandemic: a commentary

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Gemmechu Hasen ◽  
Rashed Edris ◽  
Gadisa Chala ◽  
Yesuneh Tefera ◽  
Hawi Hussen ◽  
...  
Keyword(s):  
Global Health ◽  
Turning Point ◽  
Healthcare Systems ◽  
Pharmacy Services ◽  
Resource Limited Settings ◽  
Health Crisis ◽  
Drug Dispensing ◽  
Resource Limited ◽  
Retail Outlets ◽  
Jimma Town

AbstractThe coronavirus disease 19 (COVID-19) pandemic is putting a huge strain on healthcare systems and is a turning point for the beginning of a global health crisis of an unprecedented condition. As such, the provision of quality pharmacy services particularly, dispensing practice with pre-existing challenges in resource-limited settings is a grave concern in the era of the COVID-19 pandemic. Thus, in this commentary we described the pattern of dispensing practice in the midst of the COVID-19 pandemic by evaluating the current condition of drug dispensing practice in drug retail outlets of Jimma Town.

scholarly journals The Prevention and Management of COVID-19: Seeking a Practical and Timely Solution

2020 ◽  
Vol 17 (11) ◽  
pp. 3986 ◽  
Author(s):  
Charulata Jindal ◽  
Sandeep Kumar ◽  
Sunil Sharma ◽  
Yuk Ming Choi ◽  
Jimmy T. Efird
Keyword(s):  
Public Health ◽  
Relevant Information ◽  
Healthcare Systems ◽  
Environmental Research ◽  
Current Status ◽  
Protective Actions ◽  
Resource Limited

We read with interest several manuscripts recently published in the International Journal of Environmental Research and Public Health (IJERPH) on the ongoing coronavirus pandemic. While these articles provide a well-rounded overview on the risk and current status of this virus, we herein add some relevant information on its etiology, prevention and management, especially for resource-limited healthcare systems. The use of protective actions is both complex and expensive. Affordable options are essential to respond to this and future viral outbreaks.

scholarly journals Nosocomial infections in neonatal intensive care units: Cost-effective control strategies in resource-limited countries

2013 ◽  
Vol 40 (2) ◽  
pp. 125-132
Author(s):  
SN Uwaezuoke ◽  
HA Obu
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Hand Hygiene ◽  
Neonatal Intensive Care Unit ◽  
Nosocomial Infections ◽  
Neonatal Intensive Care ◽  
Control Strategies ◽  
Cost Effective ◽  
Effective Control ◽  
Resource Limited

Background: Nosocomial infections or hospital-acquired infectionsconstitute a global health problem. They lead to significant morbidity and mortality in both developed and resource-limited countries. The neonatal intensive care unit (NICU) is a suitable environment for disseminating these infections; underscoring the need for preventive intervention measures.Objectives: This review aims to highlight the global burden of nosocomialinfections in neonatal intensive care units (NICUs), to discuss their epidemiology and clinical spectrum, as well as the costeffective control strategies in resource-limited settings.Sources: Sources of information were from Google searches andPubMed- linked articles using the key words- nosocomial infections,neonatal intensive care unit, control. Related articles from hard copiesof medical literature and journals were also gathered.Results: Although paucity of data exists on the incidence of nosocomialinfections in NICUs in developing countries, reports from developedcountries indicate a range of 6% to 25%. Much higher figures were noted in some developing countries. Several risk factors for nosocomial infections were identified but varied in different NICUs surveyed. Effective control strategies have been recommended but hand washing or hand hygiene appears universally applicable in both developed and resource-limitedcountries. Economic analyses of these strategies in developed countrieshave established their costeffectiveness while the adaptability of hand hygiene program to resource-limited settings has been demonstrated in a World Health Organization pilot study in sub- Saharan Africa.Conclusion: Hand washing or hand hygiene by health-care personnelremains the most important evidence-based and cost-effective controlstrategy for the spread of nosocomial infections in NICUs in resource-limited countries.Key words: nosocomial infections; neonatal intensive care unit;control.

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