Covid-19 pandemic: chronicle of responses and experiences of the infection prevention and control committee at a tertiary hospital in southwest Nigeria

Since the advent of 2019-Corona virus Disease (COVID-19) in Nigeria in February 2020, the number of confirmed cases has risen astronomically to over 61,307 cases within 8 months with more than 812 healthcare workers infected and some recorded deaths within their ranks. Infection prevention and control is a key component in ensuring safety of healthcare workers in the hospital as health- care-associated infection is one of the most common complications of healthcare management. Unbridled transmission of infection can lead to shortage of healthcare personnel, reduced system efficiency, increased morbidity and mortality among patients and in some instances, total collapse of healthcare delivery services. The Infection Prevention and Control Committee is a recognised group by the Centre for Disease Control and Prevention with their core programmes including drawing up activities, procedures and policies designed to achieve above-stated objectives before, during and after any disease outbreak, especially emerging and re-emerging ones such as the 2019 Coronavirus Disease. In this report, we highlight the roles played by the Infection Prevention and Control Committee of the University of Medical Sciences Teaching Hospital to prevent the spread of COVID-19 within and outside the hospital community and the lessons learned to date. Keywords: COVID-19; infection prevention; infection control; Nigeria.

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Knowledge and practice of infection prevention and control among healthcare workers: a COVID-19 pandemic experience

Anaesthesia, Pain & Intensive Care ◽

10.35975/apic.v24i6.1408 ◽

2020 ◽

Vol 24 (6) ◽

pp. 596-602

Author(s):

Rifat Yasmin ◽

Huma Hussain ◽

Syeda Turab Fatima Abidi ◽

Syed Asim Ali Shah ◽

Tazaeen Hina Kazmi ◽

...

Keyword(s):

Prevention And Control ◽

Healthcare Workers ◽

Infection Prevention ◽

Virus Disease ◽

Close Contact ◽

Infection Prevention And Control ◽

P Value ◽

Corona Virus ◽

Knowledge And Practice ◽

And Control

Background: Coronavirus disease (COVID-19) is a global outbreak caused by novel SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2). Study aims to evaluate knowledge and practices of healthcare workers (HCW) regarding infection prevention and control of corona virus disease Material and methods: A cross sectional validation study was conducted. Study was conducted at department of Medicine, Pakistan Ordinance Factory Hospital, Wah Cantt. Study duration was 2 months (May 2020-June2020)A sample size of 217 HCW was calculated using WHO calculator. HCW were selected through non probability sampling (consecutive). Ethical permission was taken and research consent was signed by each participant. SPSS version 24 was used for analysis purpose. Post stratification fissure exact and chi-square test was applied. We found p value ≤0.05 as statistically significant. Results: Total 217 HCW were included in our study. Out of them, 85 (39.2%) were male and 132 (60.8%) were female in our study. Mean age of HCW was 34.5±2.4SD. In knowledge assessment majority of HCW had fair knowledge (46.5%), followed by good (30%) and poor knowledge (23.5%) regarding corona virus associated infection control and prevention. In practice assessment, among all those, 38.2% HCW showed better practices while 61.8% showed poor practices. Knowledge is significantly associated with virus transmission mode (p = 0.00), close contact (p = 0.000), protection from COVID-19 in triage area (p = 0.000), wearing PPE (p = 0.000) etc. Conclusion: Corona virus disease is a major challenge in resource limited countries. Healthcare workers showed relatively improved knowledge and practices regarding infection prevention and control in this COVID-19 Pandemic. Key words: Corona virus disease, Healthcare workers, Infection Prevention and Control, Knowledge, Practices Citation: Yasmin R, Hussain H, Abidi STF, Shah SAA, Kazmi TH, Hussain H. Knowledge and practice of infection prevention and control among healthcare workers: a COVID-19 pandemic experience. Anaesth pain intensive care 2020;24 (6):597-602 Received: 8 November 2020, Reviewed: 17 November 2020, Accepted: 19 November 2020

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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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The Perception of Healthcare Workers Toward Infection Prevention and Control Practices in Two Hospitals in Bo City

International Journal of Scientific and Research Publications (IJSRP) ◽

10.29322/ijsrp.9.11.2019.p9568 ◽

2019 ◽

Vol 9 (11) ◽

pp. p9568

Author(s):

Prince T. Lamin-Boima

Keyword(s):

Prevention And Control ◽

Healthcare Workers ◽

Infection Prevention ◽

Infection Prevention And Control ◽

And Control

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Barriers to infection prevention and control practice among Amhara region teaching hospitals in Ethiopia: Qualitative study

International Journal of Infection Control ◽

10.3396/ijic.v15i2.007.19 ◽

2019 ◽

Vol 15 (2) ◽

Author(s):

Walelegn Worku Yallew ◽

Abera Kumie ◽

Feleke Moges Yehuala

Keyword(s):

Healthcare Worker ◽

Prevention And Control ◽

Healthcare Workers ◽

Infection Prevention ◽

Teaching Hospitals ◽

Infection Prevention And Control ◽

Amhara Region ◽

Implementation Barriers ◽

Control Practice ◽

And Control

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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Legal Requirements for Infection Prevention and Control Training Among Healthcare Personnel

Infection Control and Hospital Epidemiology ◽

10.1017/ice.2020.558 ◽

2020 ◽

Vol 41 (S1) ◽

pp. s70-s70

Author(s):

Lauren Weil ◽

Alexa Limeres ◽

Astha KC ◽

Carissa Holmes ◽

Tara Holiday ◽

...

Keyword(s):

Prevention And Control ◽

Infection Prevention ◽

Healthcare Personnel ◽

Infection Prevention And Control ◽

Content Areas ◽

Training Requirements ◽

Training Content ◽

And Control ◽

Dental Professionals

Background: When healthcare providers lack infection prevention and control (IPC) knowledge and skills, patient safety and quality of care can suffer. For this reason, state laws sometimes dictate IPC training; these requirements can be expressed as applying to various categories of healthcare personnel (HCP). We performed a preliminary assessment of the laws requiring IPC training across the United States. Methods: During February–July 2018, we searched WestlawNext, a legal database, for IPC training laws in 51 jurisdictions (50 states and Washington, DC). We used standard legal epidemiology methods, including an iterative search strategy to minimize results that were outside the scope of the coding criteria by reviewing results and refining search terms. A law was defined as a regulation or statute. Laws that include IPC training for healthcare personnel were collected for coding. Laws were coded to reflect applicable HCP categories and specific IPC training content areas. Results: A total of 278 laws requiring IPC training for HCP were identified (range, 1–19 per jurisdiction); 157 (56%) did not specify IPC training content areas. Among the 121 (44%) laws that did specify IPC content, 39 (32%) included training requirements that focused solely on worker protections (eg, sharps injury prevention and bloodborne pathogen protections for the healthcare provider). Among the 51 jurisdictions, dental professionals were the predominant targets: dental hygienists (n = 22; 43%), dentists (n = 20; 39%), and dental assistants (n = 18; 35%). The number of jurisdictions with laws requiring training for other HCP categories included the following: nursing assistants (n = 25; 49%), massage therapists (n = 11; 22%), registered nurses (n = 10; 20%), licensed practical nurses (n = 10; 20%), emergency medical technicians and paramedics (n = 9; 18%), dialysis technicians (n = 8; 18%), home health aides (n = 8;16%), nurse midwives (n = 7; 14%), pharmacy technicians (n = 7; 14%), pharmacists (n = 6; 12%), physician assistants (n = 4; 8%), podiatrists (n = 3; 6%), and physicians (n = 2; 4%). Conclusions: Although all jurisdictions had at least 1 healthcare personnel IPC training requirement, many of the laws lack specificity and some focus only on worker protections, rather than patient safety or quality of care. In addition, the categories of healthcare personnel regulated among jurisdictions varied widely, with dental professionals having the most training requirements. Additional IPC training requirements exist at the facility level, but this information was not analyzed as a part of this project. Further analysis is needed to inform our assessment and identify opportunities for improving IPC training requirements, such as requiring IPC training that more fully addresses patient protections.Funding: NoneDisclosures: None

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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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Infection Prevention and Control during COVID-19 Pandemic: Realities from Healthcare Workers in a North Central State in Nigeria

Epidemiology and Infection ◽

10.1017/s0950268821000017 ◽

2021 ◽

pp. 1-34

Author(s):

O. S. Ilesanmi ◽

A. A. Afolabi ◽

A. Akande ◽

T. Raji ◽

A. Mohammed

Keyword(s):

Prevention And Control ◽

Healthcare Workers ◽

Infection Prevention ◽

Infection Prevention And Control ◽

Central State ◽

North Central ◽

And Control ◽

North Central State

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The impact of supportive supervision of infection prevention and control practices on Ebola outbreak in Liberia

Journal of Infection Prevention ◽

10.1177/1757177418780994 ◽

2018 ◽

Vol 19 (6) ◽

pp. 287-293

Author(s):

Ogbaini-Emovon Ephraim ◽

Sneh Cyrus ◽

Pajibo Myer ◽

Abah Steve

Keyword(s):

Prevention And Control ◽

Infection Prevention ◽

Virus Disease ◽

Health Facilities ◽

Infection Prevention And Control ◽

Small Scale ◽

Supportive Supervision ◽

And Control ◽

Isolation Facilities ◽

The Impact

Background: Supportive supervision of infection prevention and control (IPC) practices was one of a range of interventions employed at the county level in the control of the world’s most deadly Ebola virus disease outbreak that affected Liberia during 2013–2016. Methods: Datasets generated from four consecutive assessment visits to 25 health facilities in Maryland County, in Liberia, were analysed. Information on IPC practices was obtained by interview, direct observation and completion of a standardised assessment tool. For each of the IPC fields assessed, a score < 50% was graded poor, 50–75% as fair, while > 75% was rated as good. Results: Before the intervention, the first assessment (baseline) indicated that the majority of the health facilities scored low in terms of isolation facilities, IPC administration, supply and equipment, personnel and staffing, triage and waste management. Following the application of supportive supervision and monitoring, all the facilities recorded moderate to good performance in all the fields during the fourth round of assessment, except for isolation facilities, which scored low. Conclusion: Supportive supervision and monitoring of healthcare facilities appeared to have contributed to the improvement in IPC standards and compliance during the Ebola outbreak as demonstrated in this small-scale study and should be sustained as a core component of IPC programs, particularly in prolonged outbreak situations.

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