scholarly journals Water, sanitation, and hygiene (WASH) facilities and infection control/prevention practices in traditional birth homes in Southwest Nigeria

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Adediwura Oladunni Arowosegbe ◽  
David Ajiboye Ojo ◽  
Olufunke Bolatito Shittu ◽  
Opeoluwa Iwaloye ◽  
Uwem Friday Ekpo
Keyword(s):  
Infection Prevention And Control ◽  
Hygiene Practices ◽  
Birth Centers ◽  
Sanitation And Hygiene ◽  
Questionnaire Assessment ◽  
Southwest Nigeria ◽  
Life Threatening ◽  
Facility Birth ◽  
And Control ◽  
Facility Births

Abstract Background Poor environmental conditions and hygiene practices at the time of childbirth is linked to life-threatening infections and death in mothers and babies. Improvements in water, sanitation, and hygiene (WASH) have been identified as a means through which the lives of mothers and babies could be saved. This study was carried out to explore WASH conditions and infection prevention and control (IPC) practices in traditional birth homes/centers in Abeokuta, Southwest Nigeria. A total of 50 traditional birth centers and attendants (TBAs) were enrolled in the study. Sociodemographic characteristics of the TBAs and features of the birth centers were obtained using a semi-structured questionnaire. Assessment of WASH conditions and IPC practices was based on established protocols. Results Findings revealed that majority of the centers operated under poor WASH conditions and IPC practices; none met with the WHO minimum standards for environmental health. Conclusions Adequate WASH facilities and IPC practices remain a critical component of maternal and child health even in non-facility birth. As the transition to facility births continues in many countries, the large number of non-facility births demands their inclusion in WASH-related strategies, if global goals of reducing deaths of newborns and women deaths will be achieved.

scholarly journals Organizational culture and its implications on infection prevention and control

2015 ◽  
Vol 5 (10) ◽  
pp. 865-868
Author(s):  
R Baral
Keyword(s):  
Organizational Culture ◽  
Hand Hygiene ◽  
Prevention And Control ◽  
Infection Prevention ◽  
Infection Prevention And Control ◽  
Hospital Acquired Infection ◽  
Hygiene Practices ◽  
Life Threatening ◽  
Hospital Acquired ◽  
And Control

The hospital acquired infections are becoming common in our hospitals lately. These infections are difficult to treat and maybe life threatening. Hospital acquired infection  can be minimized or eradicated by good Infection Prevention and Control guidelines and good hand hygiene practices. The success of Infection Prevention and Control guidelines program in any hospital is largely impacted by the organizational culture.  In any health care setting the management is challenged by the organizational culture to change of any kind. Where implementation of Infection Prevention and Control guidelines program is easily implemented in some hospitals it is very difficult in others. Moreover, hand hygiene is not only biomedical practice but also has more behavioral factors. 

HANDS CLEAN – TAXA AUTOMÁTICA PARA HIGIENIZAÇÃO DAS MÃOS: DESENVOLVIMENTO DE APLICATIVO PARA CONTROLADORES DE INFECÇÃO

2019 ◽  
Vol 10 (3) ◽  
Author(s):  
André Luiz Alvim ◽  
Braulio Couto
Keyword(s):  
Hand Hygiene ◽  
Infection Prevention And Control ◽  
Application Development ◽  
Hygiene Practices ◽  
Usability Problems ◽  
App Inventor ◽  
And Control ◽  
Google Play ◽  
Excellent Tool ◽  
Mit App Inventor

Objetivo: Desenvolver aplicativo para avaliação das práticas de higiene de mãos nos serviços de saúde, coletando dados no App e enviando as informações diretamente para formulário do Google Forms, de forma automatizada. Métodos: Trata-se de uma pesquisa de produção tecnológica contendo desenvolvimento de aplicativo para celular com sistema operacional Android 2.1 ou superior, desenvolvido na plataforma MIT App Inventor (appinventor.mit.edu/) e disponibilizado gratuitamente na Plataforma Google Play. Para avaliação de problemas de usabilidade através da interface com usuário, optou-se pela aplicação da heurística de Nielsen. Resultados: O aplicativo “Hands Clean pode ser acessado em: https://play.google.com/store/apps/details?id=appinventor.ai_coutobraulio.HC_Hands_Clean. Através da avaliação de problemas de usabilidade não foram detectados desvios classificados como catastrófico, grave e simples. Conclusão: O aplicativo mostrou-se uma excelente ferramenta para avaliação das práticas de higienização das mãos, contribuindo para direcionar as ações de prevenção e controle de infecções.Descritores: Aplicativos móveis; Informática em enfermagem; Infecção hospitalar.HANDS CLEAN - AUTOMATIC RATE FOR HAND HYGIENE: DEVELOPMENT OF APPLICATION FOR INFECTION CONTROLLERSObjective: To develop an app to evaluate hand hygiene practices in health services, collecting data in the App and sending the information directly to the Google Forms form, in an automated way. Methodology: This is a technology production survey containing mobile application development with Android 2.1+ operating system, developed on the MIT App Inventor platform and available for free on the Google Play Platform. In order to evaluate usability problems through the user interface, the Nielsen heuristic was applied. Results: Hands Clean app can be accessed at: https://play.google.com/store/apps/details?id=appinventor.ai_coutobraulio.HC_Hands_Clean.Through the evaluation of usability problems no problems classified as catastrophic, serious and simple were detected. Conclusion: The application proved to be an excellent tool to evaluate hand hygiene practices, contributing to better target infection prevention and control actions.Descriptors: Mobile Applications; Nursing Informatics; Cross Infection.HANDS CLEAN - TASA AUTOMÁTICA PARA HIGIENIZACIÓN DE LAS MANOS: DESARROLLO DE APLICACIÓN PARA CONTROLADORES DE INFECCIÓNObjetivo: Desarrollar aplicaciones para evaluar las prácticas de higiene de manos en los servicios de salud, recogiendo datos en la App y enviando la información directamente al formulario de Google Forms, de forma automatizada. Metodologia: Se trata de una investigación de producción tecnológica que contiene desarrollo de aplicaciones para móviles con sistema operativo Android 2.1 o superior, desarrollado en la plataforma MIT App Inventor y disponible gratuitamente en la Plataforma Google Play. Para la evaluación de problemas de usabilidad a través de la interfaz de usuario, se optó por la aplicación de la heurística de Nielsen. Resultados: Se puede acceder a la aplicación "Hands Clean" en: https://play.google.com/store/apps/details?id=appinventor.ai_coutobraulio.HC_Hands_Clean.A través de la evaluación de problemas de usabilidad no se detectaron problemas clasificados como catastrófico, grave y simple. Conclusión: La aplicación se mostró una excelente herramienta para evaluar las prácticas de higienización de las manos, contribuyendo a orientar mejor las acciones de prevención y control de infecciones. Descriptores: Aplicaciones móviles; Informática Aplicada a la Enfermería; Infección hospitalaria.

scholarly journals The role of antimicrobial sutures in preventing surgical site infection

2017 ◽  
Vol 99 (6) ◽  
pp. 439-443 ◽  
Author(s):  
D Leaper ◽  
P Wilson ◽  
O Assadian ◽  
C Edmiston ◽  
M Kiernan ◽  
...  
Keyword(s):  
Surgical Site Infection ◽  
Perioperative Period ◽  
Infection Prevention And Control ◽  
Site Infection ◽  
Skin Preparation ◽  
Life Threatening ◽  
Level I ◽  
The Uk ◽  
Healthcare Associated ◽  
And Control

INTRODUCTION Healthcare associated infections (HCAIs) are falling following widespread and enforced introduction of guidelines, particularly those that have addressed antibiotic resistant pathogens such as methicillin resistant Staphylococcus aureus or emergent pathogens such as Clostridium difficile, but no such decline has been seen in the incidence of surgical site infection (SSI), either in the UK, the EU or the US. SSI is one of the HCAIs, which are all avoidable complications of a surgical patient’s pathway through both nosocomial and community care. METHODS This report is based on a meeting held at The Royal College of Surgeons of England on 21 July 2016. Using PubMed, members of the panel reviewed the current use of antiseptics and antimicrobial sutures in their specialties to prevent SSI. FINDINGS The group agreed that wider use of antiseptics in surgical practice may help in reducing reliance on antibiotics in infection prevention and control, especially in the perioperative period of open elective colorectal, hepatobiliary and cardiac operative procedures. The wider use of antiseptics includes preoperative showering, promotion of hand hygiene, (including the appropriate use of surgical gloves), preoperative skin preparation (including management of hair removal), antimicrobial sutures and the management of dehisced surgical wounds after infection. The meeting placed emphasis on the level I evidence that supports the use of antimicrobial sutures, particularly in surgical procedures after which the SSI rate is high (colorectal and hepatobiliary surgery) or when a SSI can be life threatening even when the rate of SSI is low (cardiac surgery).

scholarly journals Evaluation of water, sanitation and hygiene status of COVID-19 healthcare facilities in Ghana using the WASH FIT approach

2021 ◽  
Author(s):  
Mary Eyram Ashinyo ◽  
Kingsley E. Amegah ◽  
Stephen Dajaan Dubik ◽  
Gloria Ntow-Kummi ◽  
Maxwell Kudzo Adjei ◽  
...  
Keyword(s):  
Quality Care ◽  
Infection Prevention And Control ◽  
Percentage Score ◽  
Healthcare Facilities ◽  
Average Percentage ◽  
Healthcare Waste ◽  
Sanitation And Hygiene ◽  
Treatment Facilities ◽  
Hospital Acquired ◽  
And Control

Abstract Access to improved water, sanitation and hygiene (WASH) is essential for the delivery of high-quality care in healthcare facilities and the prevention of hospital-acquired infections such as the transmission of the SARS-CoV-2. In addition, unimpeded access to WASH facilities in coronavirus disease 2019 (COVID-19) treatment centres (TCs) is central in facilitating compliance with infection prevention and control protocols. However, data for the WASH status of COVID-19 TCs in Ghana are limited. We evaluated the WASH status of seven COVID-19 TCs in Ghana using the WHO/UNICEF water and sanitation for health facility improvement tool (WASH FIT). The water domain had the highest number of indicators meeting standards with an average percentage score of 90.5% (range: 66.7–100%) across the seven TCs, followed by management (66.9%) and hygiene (58.7%). The TCs performed poorly in the sanitation and healthcare waste domain, with an average percentage score of 44.6% (range: 22.2–75%). These findings highlight the challenges being faced by COVID-19 TCs in implementing WASH services. Specific WASH interventions are urgently required to strengthen WASH services in the COVID-19 TCs. This should precede the prioritisation of resources to WASH infrastructure in the treatment facilities coupled with actions that involve all stakeholders.

scholarly journals Electronic health record enabled track and trace in an urban hospital network: implications for infection prevention and control

2021 ◽  
Author(s):  
Li Pi ◽  
Paul Expert ◽  
Jonathan Clarke ◽  
Elita Jauneikaite ◽  
Ceire Costelloe
Keyword(s):  
Modern Medicine ◽  
Infection Prevention And Control ◽  
Urban Hospital ◽  
Contact Networks ◽  
Patient Movement ◽  
Core Set ◽  
Life Threatening ◽  
Electronic Health ◽  
Healthcare Associated ◽  
And Control

Healthcare-associated infections represent one of the most significant challenges for modern medicine as they can significantly impact patients' lives. Carbapenemase-producing Enterobacteriaceae (CPE) pose the greatest clinical threat, given the high levels of resistance to carbapenems, which are considered as agents of 'last resort' against life-threatening infections. Understanding patterns of CPE infection spreading in hospitals is paramount to design effective infection control protocols to mitigate the presence of CPE in hospitals. We used patient electronic health records from three urban hospitals to: i) track microbiologically confirmed carbapenemase producing Escherichia coli (CP-Ec) carriers and ii) trace the patients they shared place and time with until their identification. We show that yearly contact networks in each hospital consistently exhibit a core-periphery structure, highlighting the presence of a core set of wards where most carrier-contact interactions occured before being distributed to peripheral wards. We also identified functional communities of wards from the general patient movement network. The contact networks projected onto the general patient movement community structure showed a comprehensive coverage of the hospital. Our findings highlight that infections such as CP-Ec infections can reach virtually all parts of hospitals through first-level contacts.

scholarly journals Water, sanitation, and hygiene (WASH) in healthcare facilities of 14 low- and middle-income countries: to what extent is WASH implemented and what are the ‘drivers’ of improvement in their service levels?

2021 ◽  
Author(s):  
Laura Kmentt ◽  
Ryan Cronk ◽  
James Benjamin Tidwell ◽  
Elliott Rogers
Keyword(s):  
Prevention And Control ◽  
Infection Prevention And Control ◽  
Middle Income ◽  
Service Levels ◽  
Healthcare Facilities ◽  
Middle Income Countries ◽  
Sanitation And Hygiene ◽  
Increased Risk ◽  
And Control ◽  
Low And Middle Income

Abstract Prevention and control of healthcare-associated infections through the provision of water, sanitation, and hygiene (WASH) in healthcare facilities (HCF) is inadequate in low- and middle-income countries (LMICs), resulting in high patient morbidity and mortality, additional costs, and increased risk of antibiotic resistance. There is little evidence describing factors leading to improved WASH conditions in LMICs. We aim to identify the extent to which WASH is implemented in HCFs in LMICs and understand the ‘drivers’ of improvement in their service levels. WASH service levels in 14 LMICs were descriptively analysed, and potential drivers of service-level differences were explored using univariable and multivariable mixed-model logistic regression analyses. Descriptive analysis showed a lack of adequate water quality, sanitation, hand, and environmental hygiene, and waste disposal. We found that the presence of infection prevention and control protocols (IPCPs), having an IPC/WASH focal person at the facility, and conducting WASH training for staff were associated with higher levels of WASH services. This study demonstrates a lack of basic WASH services in HCF in LMICs. We show that there are potential interventions, such as implementing IPCPs, identifying WASH leaders in HCF, and conducting training that may lead to service improvements.

scholarly journals Hand Hygiene Practices to Reduce Hospital Acquired Infection

2019 ◽  
pp. 1-4
Author(s):  
Liana Monica DEAC Babes ◽  
Keyword(s):  
Hand Hygiene ◽  
Personal Hygiene ◽  
Infection Prevention And Control ◽  
Healthcare Associated Infections ◽  
Effective Measure ◽  
Hospital Acquired Infection ◽  
Hygiene Practices ◽  
Healthcare Associated ◽  
Hospital Acquired ◽  
And Control

Hands are the most effective mode of transfer of microorganism in healthcare and can result in healthcare associated infections which are major causes of morbidity and mortality worldwide. Reduction of infection by this mode of transfer can be achieved by a simple but very effective measure of performing hand hygiene at the appropriate time which is one of the most fundamental principles in infection prevention and control. Good hand hygiene practices have been shown to reduce healthcare associated infections. Hand washing with soap and water has been considered a measure of personal hygiene for several years

scholarly journals Nebuliser hygiene in cystic fibrosis: evidence-based recommendations

Breathe ◽  
2020 ◽  
Vol 16 (2) ◽  
pp. 190328 ◽  
Author(s):  
Jane Bell ◽  
Lauren Alexander ◽  
Jane Carson ◽  
Amanda Crossan ◽  
John McCaughan ◽  
...  
Keyword(s):  
Drug Delivery ◽  
Cystic Fibrosis ◽  
Scientific Literature ◽  
Infection Prevention And Control ◽  
Evidence Based ◽  
List Type ◽  
Chronic Infections ◽  
Hygiene Practices ◽  
Evidence Based Guideline ◽  
And Control

Nebulised therapies are extensively used in the daily therapeutic management of cystic fibrosis both for mucociliary clearance and for the management of chronic infections. Extensive developments have been made in relation to nebulised drug delivery mechanisms and drug formulations, and guidelines have been prepared that have addressed the appropriate use of such therapies. However, due to these developments, a plethora of nebuliser devices and drug chambers exist, and frequently, the limited guidance provided in relation to nebuliser hygiene is to follow manufacturers' instructions. Such instructions are inconsistent and at times confusing, translating to an increase in the burden associated with nebuliser maintenance. An evidence-based universal guideline relating to nebuliser care and hygiene is urgently required that is applicable to both at-home use and inpatient use. This article reviews the scientific literature in order to propose an evidence-based approach to nebuliser hygiene to ensure optimum drug delivery, and infection prevention and control.Educational aimsTo understand the reasons why nebuliser hygiene is important.To give an overview of the current nebuliser care instructions that have been described by manufacturers, societies and the scientific literature.To outline the current nebuliser hygiene practices used by persons with cystic fibrosis in the home and hospital settings.To highlight areas that need further evaluation to promote optimum nebuliser care.To establish an evidence-based guideline for nebuliser hygiene in relation to cystic fibrosis.

scholarly journals Bacterial Infections Complicating Tongue Piercing

2010 ◽  
Vol 21 (1) ◽  
pp. e70-e74 ◽  
Author(s):  
Catherine HY Yu ◽  
Brian J Minnema ◽  
Wayne L Gold
Keyword(s):  
Bacterial Infections ◽  
Neck Region ◽  
Prosthetic Valve Endocarditis ◽  
Infection Prevention And Control ◽  
Cerebellar Abscess ◽  
Life Threatening ◽  
Serious Bacterial Infections ◽  
Cephalic Tetanus ◽  
And Control ◽  
Tongue Piercing

Tongue piercing has become an increasingly popular form of body art. However, this procedure can occasionally be complicated by serious bacterial infections. The present article reports a case of prosthetic valve endocarditis caused by aGemellaspecies in a patient with a pierced tongue, and reviews 18 additional cases of local and systemic bacterial infections associated with tongue piercing. Infections localized to the oral cavity and head and neck region included molar abscess, glossal abscess, glossitis, submandibular lymphadenitis, submandibular sialadenitis, Ludwig’s angina and cephalic tetanus. Infections distal to the piercing site included eight cases of infective endocarditis, one case of chorioamnionitis and one case of cerebellar abscess. Oropharyngeal flora were isolated from all cases. While bacterial infections following tongue piercing are rare, there are reports of potentially life-threatening infections associated with the procedure. Both piercers and their clients should be aware of these potential complications, and standardized infection prevention and control practices should be adopted by piercers to reduce the risk.

scholarly journals Hand Hygiene Practices to Reduce Hospital Acquired Infection

2019 ◽  
Vol 3 (3) ◽  
Keyword(s):  
Hand Hygiene ◽  
Personal Hygiene ◽  
Infection Prevention And Control ◽  
Healthcare Associated Infections ◽  
Effective Measure ◽  
Hospital Acquired Infection ◽  
Hygiene Practices ◽  
Healthcare Associated ◽  
Hospital Acquired ◽  
And Control

Hands are the most effective mode of transfer of microorganism in healthcare and can result in healthcare associated infections which are major causes of morbidity and mortality worldwide. Reduction of infection by this mode of transfer can be achieved by a simple but very effective measure of performing hand hygiene at the appropriate time which is one of the most fundamental principles in infection prevention and control. Good hand hygiene practices have been shown to reduce healthcare associated infections. Hand washing with soap and water has been considered a measure of personal hygiene for several years [1].

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