scholarly journals Microbiological Assessment of Health-Care Providers in Africa: Systematic Review and Meta-Analysis

2021 ◽  
Author(s):  
Abeer B. Idris ◽  
Alaa B. Idris ◽  
Elfatih A. Hasabo ◽  
Marwan M. Badawi ◽  
Nazar Beirag
Keyword(s):  
Health Care Providers ◽  
Meta Analysis ◽  
Infection Prevention And Control ◽  
Infection Prevalence ◽  
Assessment Procedure ◽  
Care Providers ◽  
Local Factor ◽  
Pooled Data ◽  
Level Of Knowledge ◽  
And Control

Background: Healthcare workers (HCWs) are the safeguards that help prevent illnesses and eliminate them when they occur. This study aimed to scan the related literature and provide pooled data about the level of knowledge, attitude toward infections, vaccination status, and infection prevalence among African HCWs to provide better evidence toward specific detailed determination of gaps to strengthen. A total of 11,038 published articles were identified from the search strategy. Among them, 163 articles met our inclusion criteria and passed the quality assessment procedure. Results: The prevalence of HBV was tested for 6,599 African HCWs;6.00% [95% Cl; 3.66, 8.33] were positive. The question Are you fully vaccinated against HBV? was answered by 12,036 HCWs; 43.22% [95% Cl; 31.22, 55.21] answered yes. The most crucial local factor identified among respondents for the spread of antimicrobial resistance (AMR) was self-antibiotic prescription 42.00 % [18.79, 65.20]. The question (Does the infection prevention and control (IPC) guidelines available in your workplace?) was asked to 1,582 HCWs; 50.95% [95% Cl; 40.22, 61.67] answered yes. Conclusion: This study determined many weaknesses to be addressed for the sake of improving health in Africa. The current pooled data are critically significant to be implemented in planning governmental or NGOs strategies.

scholarly journals 753 Facilitators and barriers in adherence to infection prevention and control recommendations among healthcare providers in cardiac settings

2021 ◽  
Vol 23 (Supplement_G) ◽  
Author(s):  
Oronzo Chialà ◽  
Ludovica Chiaretti ◽  
Antonio Ruggiero ◽  
Angelica Carnevale ◽  
Jacopo Fiorini ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Prevention And Control ◽  
Infection Prevention ◽  
Fundamental Aspect ◽  
Infection Prevention And Control ◽  
Care Providers ◽  
Mortality And Morbidity ◽  
Facilitators And Barriers ◽  
And Control

Abstract Aims The infection prevention and control (IPC) represents a global issue. In cardiac settings, it is a fundamental aspect, mostly in interventional procedures (PMK and valves implantation, angiography procedures), even if with different levels of incidence, mortality, and morbidity. Different guidelines and recommendations have been published to reduce complications related to cardiac procedures infections. Although there are several recommendations, the presence of specific protocols and the adherence to them in medical treatment facilities are controversial. The aim is to identify facilitators and barriers to IPC guidelines in health care providers of cardiac settings. Methods and results The research will be conducted in three phases: (1) an integrative review, to identify the main IPC recommendations related to the most common invasive procedures in cardiac interventional settings and the most cited facilitator and barriers; (2) the information collected by the review will help to conduct an explorative survey, involving health care providers from cardiac settings, to better understand what are the most helpful facilitators and the hardest barriers to face; and (3) a qualitative study, using explorative interviews will be held to analyze the experiences of health care providers in their professional action. Conclusions Generally, the adherence to IPC recommendations results difficult and time-consuming. For example, even if healthcare workers may value the use of IPC guidelines, such as wearing PPE, these are not always available, adequate for purpose, or comfortable. Identifying which factors could be considered facilitators or barriers will help authorities and healthcare facilities in developing effective strategies to support health care providers to undertake IPC measures.

Infection Control

2016 ◽  
Author(s):  
Michael Vulfovich
Keyword(s):  
Infection Control ◽  
Health Care Providers ◽  
Vital Role ◽  
Infection Prevention And Control ◽  
Care Providers ◽  
Environmental Cleaning ◽  
Contagious Diseases ◽  
Close Proximity ◽  
And Control ◽  
Multiple Patients

Infection control is a field concerned with the scientific study of nosocomial-associated infections and the development of protocols and interventions to reduce rates of transmission. Within the Emergency Department, multiple patients with a wide variety of potentially infectious and contagious diseases are in close proximity to other patients and in contact with health care providers caring for multiple patients concurrently. This can increase the risk of exposure and contamination for both patients and staff. In this setting, standardization and monitoring play an especially vital role in infection prevention and control. This chapter provides a broad overview of standard isolation precautions and environmental cleaning.

scholarly journals Prevalence, incidence and bothersomeness of urinary incontinence in pregnancy: a systematic review and meta-analysis

2021 ◽  
Author(s):  
Heidi F. A. Moossdorff-Steinhauser ◽  
Bary C. M. Berghmans ◽  
Marc E. A. Spaanderman ◽  
Esther M. J. Bols
Keyword(s):  
Systematic Review ◽  
Urinary Incontinence ◽  
Pregnant Women ◽  
Health Care Providers ◽  
Meta Analysis ◽  
Care Providers ◽  
Case Definitions ◽  
Monthly Basis ◽  
Policy Makers ◽  
In Pregnancy

Abstract Introduction and hypothesis Urinary incontinence (UI) is a common and embarrassing complaint for pregnant women. Reported prevalence and incidence figures show a large range, due to varying case definitions, recruited population and study methodology. Precise prevalence and incidence figures on (bothersome) UI are of relevance for health care providers, policy makers and researchers. Therefore, we conducted a systematic review and meta-analysis to investigate the prevalence and incidence of UI in pregnancy in the general population for relevant subgroups and assessed experienced bother. Methods All observational studies published between January 1998 and October 2018 reporting on prevalence and/or incidence of UI during pregnancy were included. All women, regardless of weeks of gestation and type of UI presented in all settings, were of interest. A random-effects model was used. Subgroup analyses were conducted by parity, trimester and subtype of UI. Results The mean (weighted) prevalence based on 44 included studies, containing a total of 88.305 women, was 41.0% (range of 9–75%). Stress urinary incontinence (63%) is the most prevalent type of UI; 26% of the women reported daily loss, whereas 40% reported loss on a monthly basis. Bother was experienced as mild to moderate. Conclusions UI is very prevalent and rising with the weeks of gestation in pregnancy. SUI is the most common type and in most cases it was a small amount. Bother for UI is heterogeneously assessed and experienced as mild to moderate by pregnant women.

scholarly journals Assessing Knowledge on Clubfoot Among Parents Having Children with Clubfoot Deformity

2015 ◽  
Vol 14 (1) ◽  
pp. 42-46 ◽  
Author(s):  
Zobaer Alam ◽  
Md Monoarul Haque ◽  
Md Rijwan Bhuiyan ◽  
Md Shahinoor Islam ◽  
Monirul Haque ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Public Health Problem ◽  
Educational Status ◽  
Cross Sectional Study ◽  
Childhood Disability ◽  
Care Providers ◽  
Cross Sectional ◽  
Middle Income ◽  
Level Of Knowledge

Background: The burden of childhood disability as a public health problem in developing countries remains relatively unrecognized. One out of 750 children born in the world suffer from club foot among them 80% are in low and middle income countries. Most of these babies have limited access to receive effective treatment for their clubfoot due to lack o knowledge, awareness and some barriers. We actually don’t know the level of knowledge of parents who have child with clubfoot deformity. The purpose of this study was to assess the level of knowledge of parents who have children with clubfoot during clubfoot treatment. Materials and Methods: This cross sectional study was conducted among 102 parents who have children with clubfoot deformity during its treatment in a selected clinic. The samples were selected purposively from the clinics where clubfoot treatment was given and face to face interview was done by using semi-structured questionnaire. Results: The mean (±SD) age of the respondents were 24.7 (±6.0) years where 87.3% (n=89) respondents ware female and 59.8 %(n=61) respondent’s educational status ware up to primary level. About 44.1% respondents started treatment of their child within 6 months of birth and 33% within 6 to 12 months where 57% (n=58) respondents are referred by health care professional to this clinics. About 93.1% of parents (n=95) said that they knew nothing about clubfoot deformity before their child was diagnosed where 97% are aware after diagnosis of their child. About 93.1% respondents knew the best time for treatment initiation where 59.8% respondents know the correct follow up time of clubfoot management. In case of knowledge of parents’ roles in the treatment of clubfoot about 91.2%, parents have knowledge weekly visit for treatment and 86.3% know the plaster care where 52.9% (n=54) parents have lack of knowledge about how to use the brace Conclusion: There is need to improve the communication skills of clinicians/health care providers offering treatment to children with clubfoot at the Clinics. Need to share information with the parents about the condition. Finally, there is need to emphasize of educating parents about plaster care and how to use brace. DOI: http://dx.doi.org/10.3329/cmoshmcj.v14i1.22882 Chatt Maa Shi Hosp Med Coll J; Vol.14 (1); Jan 2015; Page 42-46

Extended Breastfeeding in Poland: Knowledge of Health Care Providers and Attitudes on Breastfeeding Beyond Infancy

2018 ◽  
Vol 35 (2) ◽  
pp. 371-380 ◽  
Author(s):  
Barbara Baranowska ◽  
Marta Malinowska ◽  
Ewelina Stanaszek ◽  
Dorota Sys ◽  
Grażyna Bączek ◽  
...  
Keyword(s):  
Health Care Providers ◽  
Health Professionals ◽  
Further Education ◽  
Self Report ◽  
Care Providers ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Level Of Knowledge ◽  
The Relationship

Background: Extended breastfeeding is rare in Poland, and lack of acceptance and understanding is often evident in public opinion. The ability to provide reliable information about breastfeeding beyond infancy depends on health professionals’ levels of knowledge and attitudes. They are considered by most parents in Poland to be authorities in the field of child nutrition. Research aims: To determine (1) the level of knowledge and the attitudes of Polish health professionals towards extended breastfeeding; (2) the relationship between personal breastfeeding experience and attitudes towards extended breastfeeding; and (3) the relationship between knowledge about breastfeeding beyond twelve months and attitudes towards breastfeeding beyond infancy. Methods: A one-group prospective, cross-sectional, self-report style survey was used. The convenience sample ( N = 495) comprised gynaecologists, neonatologists and midwives. Data were collected via an online questionnaire and the results were analyzed with the use of descriptive statistics, a chi-square independence test, Fisher’s exact test, post-hoc testing, and two-part tables using SPSS. Results: Most of the respondents (76.7%; n = 384) had a low level of knowledge about the benefits of breastfeeding beyond twelve months and even emphasized that this nutritional choice could have negative impacts. There was a positive correlation ( F = 105.847; p = < .01) between levels of knowledge and respondents’ attitudes towards breastfeeding beyond infancy. Attitudes were also influenced by the length of time respondents had breastfed. Conclusion: Healthcare providers have an insufficient level of knowledge about extended breastfeeding and need further education in this area.

scholarly journals Emerging infectious disease preparedness and response in healthcare: perspectives from COVID-19 and the role of College-Learnt Microbiology

2021 ◽  
Vol 22 (3) ◽  
pp. 312-321
Author(s):  
J. Tonui ◽  
W. Chepkutto ◽  
J. Rotich
Keyword(s):  
Health Care ◽  
Infectious Diseases ◽  
Health Care Providers ◽  
Healthcare Providers ◽  
Emerging Infectious Diseases ◽  
Microbial Pathogens ◽  
Infection Prevention And Control ◽  
Care Providers ◽  
Emerging Infections

Coronavirus disease 2019 (COVID-19) pandemic began in December 2019 in Wuhan City China where it is believed to have been transmitted to humans from an unknown animal species. The public health, social and economic impact of the pandemic world over is detrimental. Health care providers at the frontline in the fight against COVID-19 are at the greatest risk of infection and so far, many have been infected and some have already died from the disease. Thus, it is imperative that healthcare providers have adequate knowledge of infectious diseases and microbial pathogens to comprehend the scale of risk for better recognition and response. Microbiological concepts of infection prevention and control, hand hygiene and aseptic techniques are essential in slowing down the spread of the virus. COVID-19 has proven that infectious agents can emerge from any region in the world and can spread rapidly with ominous consequences to all humanity. This narrative review discusses the role of college-learnt microbiology in health care provider preparedness for emerging infectious diseases in light of the current pandemic. Keywords: Emerging; Infections; Preparedness; Response; Microbiology; COVID-19; Training

Older Women's Community Mobility: A Qualitative Exploration

2002 ◽  
Vol 21 (1) ◽  
pp. 75-84 ◽  
Author(s):  
Marcia Finlayson ◽  
Joseph Kaufert
Keyword(s):  
Older Women ◽  
Health Care Providers ◽  
Community Dwelling ◽  
Care Providers ◽  
Structured Interviews ◽  
Community Mobility ◽  
Bad Weather ◽  
Qualitative Exploration ◽  
And Control ◽  
The City

ABSTRACTMany of the limitations experienced by community-dwelling older women are related to mobility within their communities. This qualitative study explored community mobility from the perspective of older, community-dwelling women in Winnipeg, Manitoba. Semi-structured interviews were completed with 23 older women (mean age 75.9 years) identified through an existing database. In addition to travels to conduct instrumental activities of daily living and participate in social and recreational activities, the women in the study described trips to fulfil social obligations (e.g., attending funerals, visiting sick friends) and emphasized the importance of these trips. The women's travels through the city were influenced by their perception of risk and the strategies they employed to minimize or avoid risk during the day, in the evening, and during bad weather. Autonomous community mobility provided the women with a sense of independence and control. The findings have potential implications for health care providers and community programmers who work to maintain older women in the community.

scholarly journals The Zika Virus Individual Participant Data Consortium: A Global Initiative to Estimate the Effects of Exposure to Zika Virus during Pregnancy on Adverse Fetal, Infant, and Child Health Outcomes

2020 ◽  
Vol 5 (4) ◽  
pp. 152
Author(s):  
Keyword(s):  
Health Care Providers ◽  
Zika Virus ◽  
Meta Analysis ◽  
Child Outcomes ◽  
Fetal Loss ◽  
Central Component ◽  
Individual Participant Data ◽  
Care Providers ◽  
Outbreak Response ◽  
Individual Participant

This commentary describes the creation of the Zika Virus Individual Participant Data Consortium, a global collaboration to address outstanding questions in Zika virus (ZIKV) epidemiology through conducting an individual participant data meta-analysis (IPD-MA). The aims of the IPD-MA are to (1) estimate the absolute and relative risks of miscarriage, fetal loss, and short- and long-term sequelae of fetal exposure; (2) identify and quantify the relative importance of different sources of heterogeneity (e.g., immune profiles, concurrent flavivirus infection) for the risk of adverse fetal, infant, and child outcomes among infants exposed to ZIKV in utero; and (3) develop and validate a prognostic model for the early identification of high-risk pregnancies and inform communication between health care providers and their patients and public health interventions (e.g., vector control strategies, antenatal care, and family planning programs). By leveraging data from a diversity of populations across the world, the IPD-MA will provide a more precise estimate of the risk of adverse ZIKV-related outcomes within clinically relevant subgroups and a quantitative assessment of the generalizability of these estimates across populations and settings. The ZIKV IPD Consortium effort is indicative of the growing recognition that data sharing is a central component of global health security and outbreak response.

Primary health care providers surveyed commonly misinterpret 'first void urine' for chlamydia screening

Sexual Health ◽  
2009 ◽  
Vol 6 (1) ◽  
pp. 91 ◽  
Author(s):  
M. Josephine Lusk ◽  
Ruby Uddin ◽  
Mark Ferson ◽  
William Rawlinson ◽  
Pam Konecny
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Chlamydia Screening ◽  
Care Providers ◽  
Sample Collection ◽  
Hospital Emergency ◽  
Primary Health Care Providers ◽  
Open Question ◽  
And Control ◽  
Question Survey

An open question survey of general practitioners (GP) and hospital emergency department (ED) doctors revealed that the term ‘FVU’ (first void urine) used for urine chlamydia testing, is ambiguous, potentially leading to incorrect urine sample collection and barriers to effective screening. The results of this survey indicate that only 4.3% (95% confidence interval [CI] 0.5–14.5%) of GP and 6.9% (95% CI 0.9–22.8%) of ED doctors respectively, correctly interpreted the meaning of FVU. The majority of clinicians surveyed misunderstood ‘FVU’ to require the first urine void of the day, accounting for 68.1% (95% CI 52.9–80.9%) of GP responses and 37.9% (95% CI 20.7–57.7%) of ED doctors responses. This highlights the need for clarification and standardisation of terminology used in urine chlamydia screening for health care providers, in order to optimise strategies for diagnosis and control of the ongoing chlamydia epidemic.

Competence

2017 ◽  
Author(s):  
Lisa Freitag
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Care Providers ◽  
Care Needs ◽  
Medical Problems ◽  
Special Health Care ◽  
Level Of Knowledge ◽  
High Level ◽  
Work Done

Parents caring for children with special health care needs or long-term disabilities are called to a new level of competence as medical caregivers, often as soon as the child is discharged from the hospital. There is no accepted measure for success with this task, though failure can be met with repeated hospitalization or removal of the child from the home. This chapter evaluates, through parent narratives, how parents obtain and view their competence. Some parents perform in-depth research into their child’s medical problems and achieve a surprisingly high level of knowledge. This is often discounted by both the parents and health care providers. The moral work done in this area is significant. Parents must change their priorities and re-align their expectations for their child’s success. They must adapt to a slower developmental pace, and create for the child a safe haven where the child’s disability becomes the accepted norm.

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