Planning and Implementation of an Infection Control Training Program for Healthcare Providers in Latin America

2007 ◽  
Vol 28 (12) ◽  
pp. 1328-1333 ◽  
Author(s):  
Miguela A. Caniza ◽  
Gabriela Maron ◽  
Jonathan McCullers ◽  
Wilfrido A. Clara ◽  
Rafael Cedillos ◽  
...  
Keyword(s):  
Infection Control ◽  
El Salvador ◽  
Latin American ◽  
Healthcare Providers ◽  
Course Content ◽  
San Salvador ◽  
Previous Infection ◽  
Control And Prevention ◽  
The University ◽  
Infection Control And Prevention

Objective.The lack of well-trained, dedicated infection control personnel prevents optimal control of nosocomial infections in Latin American pediatric oncology centers. We collaboratively planned and implemented a multinational training course in San Salvador, El Salvador, to address this need.Methods.The course relied on its organizers' experience in training international healthcare providers, the availability of the International Training Center for Nurses, previous infection control collaboration with the Hospital Nacional de Niños Benjamin Bloom, and resources available at the University of El Salvador. The 4-week course consisted of lecture sessions combined with practical laboratory and hospital experience.Results.Two courses, one conducted in 2005 and one in 2006, trained 44 professionals from 15 Latin American countries. Evaluations showed that course content and teacher performance met the trainees' needs and that all trainees acquired the necessary knowledge and skills.Conclusions.The course met the need for the training of Latin American infection control practitioners. Our experience can serve as a model for other organizations interested in strengthening infection control and prevention at international sites.

A Psychology of Liberation for Central America: The Unfinished Work of Ignacio Martín-Baró (1942–1989)

2013 ◽  
Vol 16 ◽  
Author(s):  
José María Gondra
Keyword(s):  
Social Psychology ◽  
El Salvador ◽  
Latin American ◽  
Vice President ◽  
Academic Affairs ◽  
Social Classes ◽  
Clinical Psychologist ◽  
San Salvador ◽  
The University ◽  
Psychology Of Liberation

AbstractOn November 16, 1989 the world was shocked by the news of the assassination of six Jesuits at the campus of the Universidad Centro Americana José Simeón Cañas (UCA) in San Salvador, El Salvador. Among those murdered by government soldiers was Ignacio Martín-Baró, a PhD in social psychology from the University of Chicago who at that time was the Vice-Rector for Academic Affairs and Vice-President of the Interamerican Society of Psychology (SIP). Drawing on Martín-Baró’s published writings and non-published academic papers and correspondence, this article traces the evolution of the Spanish-born Jesuit who became a leading authority among Latin American social psychologists. In particular, it analyzes his project of becoming a clinical psychologist under the influence of psychoanalysis, his critical social psychology aimed to “de-ideologize” the oppressed social classes of El Salvador, and his ultimate project of a psychology of liberation for Latin America. Martín-Baró’s work came to a tragic end just when it began to bear fruit, but it stands as a testimony to a lifetime committed to the human values of democracy, social justice and service to society’s poorest and most neglected.

scholarly journals COVID-19 in Pediatric Long-Term Care: How Infection Control and Prevention Practices Minimized the Impact of the Pandemic on Healthcare Providers and Residents

2020 ◽  
Vol 9 (5) ◽  
pp. 626-629
Author(s):  
Natalie Neu ◽  
MariCris Nee ◽  
Joseph Savitt ◽  
Laura Schneider Connelly ◽  
JieSue Choi ◽  
...  
Keyword(s):  
Infection Control ◽  
Long Term Care ◽  
Healthcare Providers ◽  
Healthcare Team ◽  
Term Care ◽  
Control And Prevention ◽  
Respiratory Tract Viruses ◽  
The Impact ◽  
Infection Control And Prevention

Abstract Children in pediatric long-term care (LTC) facilities are commonly infected with respiratory tract viruses as they have many high-risk co-morbidities and require significant interactions with the healthcare team. From previous studies, we know that infected staff can often be the source of transmission of infection to the children. If instituted quickly, infection control practices can help mitigate the spread of infection. We will describe how Sunshine Children’s Home and Rehabilitation Center responded to federal and state infection control and prevention mandates in LTC for COVID-19. We will report our practice changes, staff and resident screening, and testing results as well as outcomes of the COVID-19-infected cases. The outcomes for COVID-19 infection among pediatric LTC staff and residents are in stark contrast to the data available for the adult providers and residents in adult nursing homes. Implementation and change in infection control practices and procedures resulted in much fewer cases of COVID-19 infection in our pediatric LTC residents.

scholarly journals 494. COVID-19 Outbreak: A Tale of Two Psych Units

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S313-S314
Author(s):  
Marilou Corpuz ◽  
Ruchika Jain ◽  
Gregory Weston ◽  
Priya Nori ◽  
Priya Nori ◽  
...  
Keyword(s):  
Infection Control ◽  
Medical Center ◽  
Early Period ◽  
Index Patient ◽  
Structural Aspect ◽  
Practice Change ◽  
Mitigation Strategies ◽  
Inpatient Psychiatry ◽  
Control And Prevention ◽  
Infection Control And Prevention

Abstract Background COVID infections in inpatient psychiatry units present unique challenges during the pandemic, including behavioral characteristics of the patients, structural aspect of the unit, type of therapy for the patients. We present COVID outbreaks in psychiatry units in two hospitals in our medical center in Bronx, NY, and describe our mitigation strategies. Methods Hosp A: In the early period of the pandemic in NY, 2 patients in the inpatient psychiatry unit tested positive for SARS-CoV-2 PCR. The unit was temporarily closed to new admissions. Hosp B: On 4/1, one of the patients in a 22 bed Psych unit, admitted since 3/10/20, developed fever, cough and tested positive for COVID-19 PCR. Two of her close contacts tested positive for SARS-COV-2 PCR. Results Hospital A: In total, 5 of the 29 patients (17.2%) in the unit were SARS-CoV-2 positive, all of whom were asymptomatic. Hospital B: Testing of the remaining patients showed positive PCR in 10/14. PCR tests of healthcare workers (HCW) were positive in 13/46. Except for the index patient, all the patients were asymptomatic but 32/46 HCW reported symptoms. One negative patient subsequently turned positive. Infection control and prevention strategies instituted in both hospitals were the same with subtle differences due to dissimilar burden of infection and structure of the units. Table 1 shows the timing of the outbreak and the rapid institution of preventive measures in each of the hospitals. There was still difficulty with patients regarding adherence. Some of the patients refused to stay in isolation and would roam. Compliance with masking and hand hygiene was problematic. Communication was of paramount importance. Multiple meetings were held between the Psychiatry staff, Infection Control and Prevention team, executive leadership of the hospital. Environmental Services and Engineering were also involved. Communications with the NY State Department of Health occurred frequently. Conclusion Strategies for management of COVID-19 patients in inpatient psychiatric units depends on the density of infected patients in the hospital and in the community. The implementation of practice change may need to be rapidly adjusted depending on the situation and available resources. Contingency plans should be formulated early on. Disclosures Gregory Weston, MD MSCR, Allergan (Grant/Research Support)

scholarly journals Compliance with Standard Precautions and Its Relationship with Views on Infection Control and Prevention Policy among Healthcare Workers during COVID-19 Pandemic

2021 ◽  
Vol 18 (7) ◽  
pp. 3420
Author(s):  
Eliza Lai-Yi Wong ◽  
Kin-Fai Ho ◽  
Dong Dong ◽  
Annie Wai-Ling Cheung ◽  
Peter Sen-Yung Yau ◽  
...  
Keyword(s):  
High Risk ◽  
Infection Control ◽  
High Risk Group ◽  
Infection Prevention And Control ◽  
Prevention Policy ◽  
Standard Precautions ◽  
Healthcare Settings ◽  
Control And Prevention ◽  
And Control ◽  
Infection Control And Prevention

Background: Standard precautions prevent the spread of infections in healthcare settings. Incompliance with infection control guidelines of healthcare workers (HCWs) may increase their risk of exposure to infectious disease, especially under pandemics. The purpose of this study was to assess the level of compliance with the infection prevention and control practices among HCWs in different healthcare settings and its relationship with their views on workplace infection control measures during the COVID-19 pandemic. Methods: Nurses in Hong Kong were invited to respond to a cross-sectional online survey, in which their views on workplace infection and prevention policy, compliance with standard precautions and self-reported health during pandemics were collected. Results: The respondents were dissatisfied with workplace infection and prevention policy in terms of comprehensiveness (62%), clarity (64%), timeliness (63%), and transparency (60%). For the protective behavior, the respondents did not fully comply with the standard precautions when they were involved in medical care. Their compliance was relatively low when having proper patient handling (54%) and performing invasive procedures (46%). A multivariate analysis model proved that the level of compliance of the standard precautions was positively associated with the satisfaction on infection control and prevention policy among high risk group (0.020; 95% CI: 0.005–0.036), while older respondents had higher level of compliance among the inpatient and outpatient groups (coefficient range: 0.065–0.076). The higher level of compliance was also significantly associated with working in designated team and having chronic condition of the respondents among high-risk and inpatient groups. Conclusions: Standard precautions are the most important elements to reduce cross-transmission among HCWs and patients while the satisfaction on infection control and prevention policy would increase the compliance among the high-risk group. An overall suboptimal compliance and poor views on the infection prevention and control guidelines is a warning signal to healthcare system especially during pandemics.

scholarly journals Migrants’ Quarantine and COVID-19 Pandemic in Italy: a Medico-anthropological View

2021 ◽  
Author(s):  
Silvia Di Meo ◽  
Enrico Bentivegna
Keyword(s):  
Risk Factor ◽  
Global Health ◽  
Infection Control ◽  
Social Inequalities ◽  
Patient Relationship ◽  
Prevention Measures ◽  
Cultural Aspects ◽  
Health Response ◽  
Control And Prevention ◽  
Infection Control And Prevention

AbstractThe COVID-19 pandemic represents an important risk factor for migrants’ health. Paul Farmer highlighted the risk of global health response in emergency conditions exacerbating global and social inequalities. We argue that this is the case for quarantine ships and migrants’ management during the pandemic. Every aspect of infection-control and prevention measures acquires detention characteristics in these situations. With emphasis to the evolution of the doctor-patient relationship and to the anthropological and cultural aspects that were established during the pandemic, this article aims to provide an integrated view where physicians and anthropologists collaborate to deepen the understanding of the topic.

Infection Control in El Salvador: The Hospital Rosales Experience

1987 ◽  
Vol 8 (12) ◽  
pp. 495-500 ◽  
Author(s):  
José A. Marinero Càceres ◽  
Yolanda de Sotello
Keyword(s):  
Pseudomonas Aeruginosa ◽  
Infection Control ◽  
El Salvador ◽  
Control Program ◽  
Infection Control Program ◽  
San Salvador ◽  
Duration Of Hospitalization ◽  
The Mean ◽  
Open Wards ◽  
Partial Correction

AbstractWe describe circumstances at the Hospital Rosales, located in San Salvador, El Salvador, and some salient observations from an infection control program begun in 1978. Findings include overuse of antibiotics, especially of penicillin and chloramphenicol; a predominance of gram-negative rod infections, especially Pseudomonas aeruginosa; a relative infrequency of Staphylococcus aureus infections; an apparent doubling of the mean duration of hospitalization for patients with nosocomial infections compared with other patients (22.1 days versus 11.0 days); documentation and partial correction of deficiencies in aseptic and antiseptic practices; an outbreak of Pseudomonas aeruginosa endophthalmitis traced to the hospital's factory for the manufacturing of intravenous fluids; and attitudinal problems such as the care of patients with rabies on open wards. Prevalence surveys conducted during 1981 and 1986 suggest a dramatic increase in the recent incidence of surgical wound infection (44% v 28%, P < 0.001). This latter observation suggests a direct relationship between infection rates and the hardships imposed by poverty and civil war.

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