Challenges in Implementation of Infection Prevention and Control Measures During the Tenth Ebola Virus Disease in Northeastern of DRC, in 2019

Background: As of July 1, 2019, ~18% of all cases in the Ebola virus disease (EVD) outbreak in the Democratic Republic of Congo (DRC) were healthcare-associated (ie, nosocomial) infections (HAIs) and healthcare worker (HCW) infections. Although progress has been achieved, gaps remained in infection prevention and control (IPC), specifically, a need to reinforce standardized, evidence-based IPC practices to effectively address HAIs. The Ministry of Health (MOH), in collaboration with partners, developed an IPC tool kit consisting of >70 documents (ie, terms of reference, standard operating procedures, training modules, etc) to improve HCW IPC knowledge and practices at healthcare facilities among staff. The tool kit incorporated international IPC standards, DRC-specific experiences, and best practices. Thus, it serves as a technical and operational package, covering general guidance (standard precautions) and EVD specific issues. Methods: A decentralized rollout approach was used to disseminate the tool kit content at the various health-system levels over several months. Initially, national-level training of trainers was held, followed by subnational-level training of IPC supervisors and key IPC implementers, and lastly, training of healthcare facility (HCF) IPC focal persons. The 5-day training adhered to the MOH standard of 60% theory and 40% practice. Participants completed evaluations before and after training; changes in knowledge between the pre- and posttraining tests were analyzed and the results of the statistical tests were reported (P < .05 was considered statistically significant). Results: In total, 294 IPC supervisors were trained across 7 subnational commissions. Data were analyzed for 138 participants. Participants were 60.9% IPC supervisors, 8% WASH supervisors, and 31% others. MOH representation was 52.9% The average results before the test were 66% (19.8 of 30), the average posttest results were 72% (21.6 of 30)—a significant improvement. The worst-performing pretest IPC domain was IPC approach, and facility closure was the worst performing for posttest. As of November 11, 15.7% of all cases were HAIs. Conclusions: The IPC training program initiated during an outbreak can increase knowledge and potentially improve practices and confidence. An association with the downward HAI trend is yet to be validated. The MOH anticipates that this tool kit will be the go-to resource for future Ebola outbreaks and that it will be incorporated into the preservice medical curriculum to ensure a resilient heath system.Funding: NoneDisclosures: None

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Infection prevention and control lessons learned from the management of the first suspected Ebola virus disease case admitted to a New Zealand hospital

Healthcare Infection ◽

10.1071/hi15006 ◽

2015 ◽

Vol 20 (2) ◽

pp. 78-80 ◽

Cited By ~ 3

Author(s):

Ruth Barratt

Keyword(s):

New Zealand ◽

Prevention And Control ◽

Infection Prevention ◽

Ebola Virus ◽

Virus Disease ◽

Lessons Learned ◽

Ebola Virus Disease ◽

Infection Prevention And Control ◽

Disease Case ◽

And Control

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Practice and exploration of infection prevention and control measures based on risk management of surgical patients during the epidemic of corona virus disease 2019 (COVID-19)

American Journal of Infection Control ◽

10.1016/j.ajic.2020.07.023 ◽

2020 ◽

Author(s):

Yan Ren ◽

Shuang Liu ◽

Lin Yang ◽

Jiao Shan ◽

Yue Liu ◽

...

Keyword(s):

Risk Management ◽

Prevention And Control ◽

Infection Prevention ◽

Virus Disease ◽

Control Measures ◽

Surgical Patients ◽

Infection Prevention And Control ◽

Corona Virus ◽

Prevention And Control Measures ◽

And Control

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Impact of infection prevention and control training on health facilities during the Ebola virus disease outbreak in Guinea

BMC Public Health ◽

10.1186/s12889-018-5444-3 ◽

2018 ◽

Vol 18 (1) ◽

Cited By ~ 8

Author(s):

Mory Keïta ◽

Ansoumane Yassima Camara ◽

Falaye Traoré ◽

Mohamed ElMady Camara ◽

André Kpanamou ◽

...

Keyword(s):

Prevention And Control ◽

Infection Prevention ◽

Ebola Virus ◽

Virus Disease ◽

Disease Outbreak ◽

Health Facilities ◽

Ebola Virus Disease ◽

Infection Prevention And Control ◽

And Control

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Improving knowledge, attitudes and practice to prevent COVID-19 transmission in healthcare workers and the public in Thailand

BMC Public Health ◽

10.1186/s12889-021-10768-y ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Rapeephan R. Maude ◽

Monnaphat Jongdeepaisal ◽

Sumawadee Skuntaniyom ◽

Thanomvong Muntajit ◽

Stuart D. Blacksell ◽

...

Keyword(s):

General Public ◽

Prevention And Control ◽

Healthcare Workers ◽

Infection Prevention ◽

Control Measures ◽

Infection Prevention And Control ◽

The Public ◽

Educational Videos ◽

Prevention And Control Measures ◽

And Control

Abstract Background Key infection prevention and control measures to limit transmission of COVID-19 include social distancing, hand hygiene, use of facemasks and personal protective equipment. However, these have limited or no impact if not applied correctly through lack of knowledge, inappropriate attitude or incorrect practice. In order to maximise the impact of infection prevention and control measures on COVID-19 spread, we undertook a study to assess and improve knowledge, attitudes and practice among 119 healthcare workers and 100 general public in Thailand. The study setting was two inpatient hospitals providing COVID-19 testing and treatment. Detailed information on knowledge, attitudes and practice among the general public and healthcare workers regarding COVID-19 transmission and its prevention were obtained from a combination of questionnaires and observations. Results Knowledge of the main transmission routes, commonest symptoms and recommended prevention methods was mostly very high (> 80%) in both groups. There was lower awareness of aerosols, food and drink and pets as sources of transmission; of the correct duration for handwashing; recommended distance for social/physical distancing; and about recommended types of face coverings. Information sources most used and most trusted were the workplace, work colleagues, health workers and television. The results were used to produce a set of targeted educational videos which addressed many of these gaps with subsequent improvements on retesting in a number of areas. This included improvements in handwashing practice with an increase in the number of areas correctly washed in 65.5% of the public, and 57.9% of healthcare workers. The videos were then further optimized with feedback from participants followed by another round of retesting. Conclusions Detailed information on gaps in knowledge, attitudes and practice among the general public and healthcare workers regarding COVID-19 transmission and its prevention were obtained from a combination of questionnaires and observations. This was used to produce targeted educational videos which addressed these gaps with subsequent improvements on retesting. The resulting videos were then disseminated as a resource to aid in efforts to fight COVID-19 in Thailand and worldwide.

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Keeping the wolf at bay: Infection prevention and control measures for inpatient psychiatric facilities in the time of COVID-19

General Hospital Psychiatry ◽

10.1016/j.genhosppsych.2020.07.004 ◽

2020 ◽

Vol 66 ◽

pp. 51-53 ◽

Cited By ~ 2

Author(s):

Brian Barnett ◽

Frank Esper ◽

Charles B. Foster

Keyword(s):

Prevention And Control ◽

Infection Prevention ◽

Control Measures ◽

Infection Prevention And Control ◽

Prevention And Control Measures ◽

And Control ◽

Psychiatric Facilities

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AMR: effective infection prevention and control measures

Practice Nursing ◽

10.12968/pnur.2019.30.8.390 ◽

2019 ◽

Vol 30 (8) ◽

pp. 390-395

Author(s):

Naomi Fleming

Keyword(s):

Antimicrobial Resistance ◽

Prevention And Control ◽

Infection Prevention ◽

Control Measures ◽

Infection Prevention And Control ◽

Drug Resistant ◽

Practice Nurses ◽

Prevention And Control Measures ◽

Spread Of Infection ◽

And Control

Antimicrobial resistance is on the rise. As more infections are becoming resistant to antibiotic treatment, it would benefit practice nurses to be aware of the effective measures they can use to prevent the spread of infection, explains Naomi Fleming When micro-organisms are exposed to an antimicrobial, more susceptible organisms succumb, leaving behind those resistant to the antimicrobial. They can then pass on resistance to their offspring. The use and misuse of antimicrobials has increased the number and types of resistant organisms. As a result, standard treatments become ineffective and infections persist and may spread. Infection prevention and control (IPC) is key to reducing demand for antimicrobial use and reducing the acquisition of antimicrobial resistance. Poor IPC can increase the spread of drug-resistant infections. Interventions such as effective hand hygiene and vaccination have significant potential to limit opportunities for drug-resistant strains to emerge. Effective leadership is vital and nurses are central to promoting IPC, leading on IPC compliance and ensuring uptake of vaccination in primary care.

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