scholarly journals Factors Affecting Hospital Readiness in Pandemic Situation: A Literature Review

2020 ◽  
Vol 9 (2) ◽  
pp. 478-480
Author(s):  
Jenny Latief ◽  
Syahrul Said ◽  
Kusrini S Kadar

Literature search was performed using Ebsco Host, Pubmed, ScienceDirect and Proquest databases with inclusion and exclusion criteria in accordance with the literature objectives. Review made on articles and obtained seven research articles that qualify reviews. The research article reviewed showed that there were several factors affecting the hospitals readiness in facing the pandemic. The factors are the availability of pandemic preparedness planning system, the availability of guidelines and infection prevention and control tools, education, training or simulation in facing the pandemic, the availability of facilities (medical devices and isolation room), communication system during the pandemic, the availability of human resources and pandemic preparedness evaluation system. An assessment of the factors affecting hospital readiness in facing the pandemic was performed to identify the challenges faced by hospitals and determine further action to improve hospital readiness in facing the pandemic that might occur in the future

Author(s):  
Dewi Tungadi ◽  
Nurhayana Sennang ◽  
Benny Rusli

BackgroundMultidrug-resistant Acinetobacter baumannii (MDRAB) is a strain of Acinetobacter baumannii which is resistant to three or more classes of antibiotics. As prevalence of MDRAB increases, the antibiotics of choice become limited. Identification of MDRAB is required to manage and control infection.MethodThis was a retrospective study, conducted in Dr. Wahidin Sudirohusodo General Hospital of Makassar, dated from January to December 2016. Bacterial identification and antimicrobial susceptibility testing (AST) were performed using VITEK 2. The patient data were obtained from electronic medical records.Results and DiscussionA total of 323 Acinetobacter baumannii isolates were obtained, consisted of 188 isolates in January-June 2016 and 36 of which was MDRAB (19.15%) with the average length-of-stay 33 days; and 135 isolates in July-December 2016 and 31 of which was MDRAB (22.96%) with the average length-of-stay 27 days. MDRAB was mostly discovered from patients using 3 or more medical devices and on single antibiotic therapy. MDRAB isolates were mostly obtained in sputum and pus specimens, and majority of patients had respiratory diseases. The result of AST showed 100% and 96% susceptibility to Polymyxin B; 71.43% and 54.84% susceptibility to Amikacin; 66.67% and 50% susceptibility to Trimethoprim/Sulfamethoxazole in January-June and July-December 2016, respectively.Conclusion and SuggestionsThe prevalence of MDRAB in our hospital in 2016 was high, suggesting the needs to improve hospital infection prevention and control. Polymyxin B, Amikacin, and Trimethoprim/Sulfamethoxazole are the antibiotics of choice to treat MDRAB.


2019 ◽  
Vol 6 (1) ◽  
pp. 1
Author(s):  
Erna Tsalatsatul Fitriyah ◽  
Meidiana Dwidiyanti ◽  
Luky Dwiantoro

<p><em>Health</em><em>c</em><em>are-Associated</em><em> Infections (HAIs) are infections that patients get while undergoing treatment and medical procedures in </em><em>the </em><em>hospital or other healthcare facilities after more than 48 hours. Improving the quality of hand hygiene practices can reduce pathogen transmission that causes HAIs. Infection and Prevention Control Nurses (IPCNs) as the pioneers of infection prevention and control should play an active role in cultivating hand hygiene in the hospital environment. Unfortunately, until the present time, there is evidence that IPCNs have not played their roles optimally in making hand hygiene a culture in </em><em>the </em><em>hospital. This study aimed to explore the experiences of IPCNs in cultivating hand hygiene at the inpatient wards in a regional hospital in Semarang</em><em>, Indonesia</em><em>. This study used a qualitative research design with a phenomenological approach. The samples were recruited using purposive sampling</em><em> technique</em><em>, consisting of three IPCNs as the main participants, and one Infection Prevention </em><em>a</em><em>nd Control Officer (IPCO) and three Infection Prevention and Control Link Nurses (IPCLNs) as </em><em>the </em><em>triangulation participants. Data were collected using semi-structured in-depth interviews and analyzed using </em><em>the </em><em>content analysis. The results revealed two themes. First, the </em><em>appropriate </em><em>education implementation and its documentation </em><em>are </em><em>important to provide an adequate understanding of medical and non-medical staffs, patients and families so that they are willing to perform hand hygiene properly. Second, the implementation of hand hygiene requires complete infrastructures and facilities, proper monitoring and evaluation system, </em><em>as well as </em><em>appropriate role models and motivation so that hand hygiene can become a positive culture. This study concludes that IPCNs have positive and negative experiences while trying to cultivate hand hygiene. IPCNs understand and agree that their ability to provide proper education and sensitivity to the factors affecting the implementation of hand hygiene can improve the </em><em>people’s </em><em>understanding and </em><em>compliance with </em><em>hand hygiene</em><em>. </em><em>In the end, hand hygiene will eventually become one of the positive cultures in the hospitals.</em></p><p><strong><em> </em></strong></p><p><strong>Keywords<em>:</em></strong><em> IPCNs, hand hygiene</em></p>


Author(s):  
Suraj Bhattarai ◽  
Jaya Dhungana ◽  
Tim Ensor ◽  
Uttam Babu Shrestha

As with other coronavirus-affected countries, Nepalese medical fraternity also expressed concerns regarding public health strategies of government and hospital readiness in response to upgoing case surge. To gauge such response, we assessed service availability and Infection prevention and control (IPC) status in 110 hospitals situated across seven provinces. An electronic survey was sent out to the frontline clinicians working on those hospitals between 24th March and 7th April 2020; one response per hospital was analyzed. Hospitals were divided into small, medium, and large based on the total number of beds (small:<=15; medium:16-50; large:>50), and further categorized into public, private, and mixed based on the ownership. Out of 110 hospitals, 81% (22/27) of small, 39% (11/28) of medium, and 33% (18/55) of large hospitals had not allocated isolation beds for COVID-19 suspects. All small, majority of medium (89%; 25/28), and 50% of large hospitals did not have a functional intensive care unit (ICU) at the time of study. Nasopharyngeal (NP)/throat swab kits were available in one-third (35/110), whereas viral transport media (VTM), portable fridge box, and refrigerator were available in one-fifth (20%) of hospitals. Only one hospital (large/tertiary) had a functional PCR machine. Except for General practitioners, other health cadres- crucial during pandemics, were low in number. On IPC measures, the supplies of simple face masks, gloves, and hand sanitizers were adequate in the majority of hospitals, however, N95-respirators, Filter masks, and PPE-suits were grossly lacking. Government COVID-19 support was unevenly distributed across provinces; health facilities in Province 2, Gandaki, and Province 5 received fewer resources than others. Our findings alert the Nepalese and other governments to act early and proactively during health emergencies and not wait until the disease disrupts their health systems. Other countries of similar economic levels may undertake similar surveys to measure and improve their pandemic response.


2021 ◽  
Author(s):  
Josiane Létourneau ◽  
Emilie Bélanger ◽  
Drissa Sia ◽  
Idrissa Beogo ◽  
Stephanie Robins ◽  
...  

Abstract Background: Long-term care facilities (LTCFs) in many countries around the world have been severely affected by the COVID-19 pandemic, leading to serious consequences for the elderly living in these facilities. Though many LTCFs experienced high case and death rates due to COVID-19, other facilities performed better, and experienced lower rates. A comprehensive understanding of performance factors affecting the transmission of COVID-19 within LTCFs is still lacking, as no published review has provided a complete perspective of LTCF management utilizing a multifactorial conceptual framework to evaluate performance during the pandemic. Recent research has consisted of strategies for infection prevention and control or studies reporting specific outcomes such as COVID-19 case and death rates within LTCFs. To address these gaps, this scoping review will identify and investigate performance factors that have affected the management of the COVID-19 pandemic in LTCFs using a multifactorial conceptual framework of performance. Methods: The CINAHL, MEDLINE (Ovid), CAIRN, Science Direct, and Web of Science databases will be searched. Included articles will have been published in a peer-reviewed journal, in English or French, between January 1st, 2020, and December 31st, 2021. They will discuss the review’s population (LTCFs), concept (dimensions of performance according to a modified version of the Ministère de la santé et des services sociaux du Québec conceptual framework), and context (COVID-19), as well as facilitators and barriers affecting performance of LTCFs. Each article will be screened by a minimum of two authors in an independent manner, after which the data from selected articles will be extracted by one author and then reviewed by the principal investigator. Results: The results will be presented both narratively and with visual aids (i.e., flowcharts, tables, conceptual maps). Discussion: A comprehensive understanding of the factors affecting performance within LTCFs could lead to improved infection prevention and control measures for the rest of the COVID-19 pandemic and assist in the proper management of future pandemics or infection outbreaks. Information on this topic could therefore lead to an improvement in the care and security of LTCF residents and personnel.Registration: Research Registry ID: researchregistry7026


Author(s):  
R.A. Bagrov ◽  
◽  
V.I. Leunov

The mechanisms of transmission of potato viruses from plants to aphid vectors and from aphids to uninfected plants are described, including the example of the green peach aphid (Myzus persicae, GPA). Factors affecting the spreading of tuber necrosis and its manifestation on plants infected with potato leafroll virus (PLRV) are discussed. Recommendations for PLRV and GPA control in the field are given.


2020 ◽  
Author(s):  
Daniel Poremski ◽  
Sandra Henrietta Subner ◽  
Grace Lam Fong Kin ◽  
Raveen Dev Ram Dev ◽  
Mok Yee Ming ◽  
...  

The Institute of Mental Health in Singapore continues to attempt to prevent the introduction of COVID-19, despite community transmission. Essential services are maintained and quarantine measures are currently unnecessary. To help similar organizations, strategies are listed along three themes: sustaining essential services, preventing infection, and managing human and consumable resources.


2019 ◽  
Vol 15 (2) ◽  
Author(s):  
Walelegn Worku Yallew ◽  
Abera Kumie ◽  
Feleke Moges Yehuala

Healthcare workers have good perception towards infection prevention, but there has been a poor practice towards it. Therefore, the aim of this study was to explore barriers to practice of infection prevention and control practice in teaching hospitals in Amhara region. A phenomenological approach used to explore the lived experience of healthcare workers and management staffs towards infection prevention practice and control. The data was collected from ten in-depth interviews and 23 focus group discussion participants, by face to face interview using open ended interview performed in safe and quiet places. Data was managed using OpenCode software version 4.03 and contents were analyzed thematically. Totally ten different barriers were identified, such as availability of facilities, shortage of material supply, lack of maintenance of facilities and equipment, high patient flow, experience, emergency situation, healthcare worker behaviour and healthcare worker’s information about infection prevention, low awareness of patients and visitors and overflow of families and visitors to the hospital. For effective infection prevention practice implementation, barriers should be considered via identifying specific organizational, healthcare worker, patients and visitors as targets.


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