scholarly journals Knowledge and practice of preparedness for infectious disease prevention and control among healthcare workers in secondary health care facilities in Osogbo, Nigeria

2020 ◽  
Vol 2 ◽  
pp. 67-77
Author(s):  
WO Adebimpe ◽  
K Adabanija ◽  
DO Ibirongbe
Keyword(s):  
Infectious Disease ◽  
Health Care ◽  
Disease Prevention ◽  
Prevention And Control ◽  
Healthcare Workers ◽  
Health Care Facilities ◽  
Care Facilities ◽  
Secondary Health Care ◽  
Knowledge And Practice ◽  
And Control

Background: Health care workers have critical roles to play in breaking the chain of infections in health care settings. The outbreak of Lassa Fever and Ebola Virus Disease in the West African sub-region in recent times is a rationale for a dire need for a strong epidemic preparedness system. The objective of the study is to assess the knowledge and practice of preparedness for infectious disease prevention and control among healthcare workers in secondary health care facilities in Osogbo, Nigeria.Methods: It was a Descriptive cross sectional study and 340 healthcare workers were selected using a multistage sampling technique. Research instrument used were semi structured pre-tested interviewer-administered questionnaire. Data was analyzed using the SPSS software version 17 .0.Results: The mean age of the respondents was 42 + 8.9 years. Out of the 340 healthcare workers studied 88.7% had good knowledge, while 72% and 67% had favorable attitude and good practice towards preparedness for infectious disease prevention and control respectively. Three hundred and eight (90.6%) said they washed their hands regularly before and after procedures. Only 37.4% said they still recap used needles and 31.8% said they have Infectious Disease Prevention and Control committee in their health facility. One hundred and ninety eight (58.2%) said they normally practice quarantine for eligible suspected cases and 77.4% perceived themselves to be at occupational risk of contracting infectious diseases. Having more than ten years of working experience was the major predictor of likelihood to have good knowledge, attitude and practice of preparedness on binary logistic regression analysis.Conclusion: The gap between knowledge and practice of preparedness for Infectious Disease and prevention Control calls for improved awareness and training among health workers, and their consistent monitoring towards behavioural change.

Prevention and control of health care–associated waterborne infections in health care facilities

2005 ◽  
Vol 33 (5) ◽  
pp. S26-S40 ◽  
Author(s):  
M. Exner ◽  
A. Kramer ◽  
L. Lajoie ◽  
J. Gebel ◽  
S. Engelhart ◽  
...  
Keyword(s):  
Health Care ◽  
Prevention And Control ◽  
Health Care Facilities ◽  
Waterborne Infections ◽  
Care Facilities ◽  
And Control

scholarly journals Are healthcare workers safe? Facility assessment of airborne infection control measures in public hospitals of Kerala

2020 ◽  
Vol 7 (7) ◽  
pp. 2723
Author(s):  
Anjali Krishnan R. ◽  
Kamarudeen M. ◽  
Rekha Ravindran M. ◽  
Shinu K. S.
Keyword(s):  
Health Care ◽  
Infection Control ◽  
Prevention And Control ◽  
Healthcare Workers ◽  
Health Care Facilities ◽  
Public Hospitals ◽  
Control Measures ◽  
Airborne Infection ◽  
Airborne Infections ◽  
And Control

Background: Nosocomial transmission of airborne infection is a major peril to health care providing community and has been linked to poor adherence to airborne infection control practices. The present study was conducted to assess the gaps in health care facilities and practices for prevention and control of transmission of air borne infections among healthcare workers in government district level hospitals of Kerala.Methods: A cross sectional survey including observation was done in 24 facilities. The tool for the survey and the check list for observation were developed based on national airborne infection control guidelines and assessment tool for prevention and control of infection by centre for disease control. The data were analysed using IBM SPSS version 23.Results: The functioning of airborne infection control system was found to be suboptimal in most of the institutions. Implementation of environmental control measures was poor when compared to administrative control and personal protection measures. Adequate ventilation was not present in more than half of the institutions (60%). All institutions had infection control committees in place but were not functioning well. Personal protective equipment’s were not available at point of use in more than half of the institutions (62.5%). Out of the 16 self-reported hospital acquired respiratory infections among the staff, pulmonary tuberculosis was predominant.Conclusions: Several barriers were identified at different levels for prevention and control of airborne infections among healthcare workers. The findings reinforce the need to implement strict guidelines to prevent occupation induced airborne infections among health workers in public health system.

scholarly journals Baseline Study for Improving Diagnostic Stewardship at Secondary Health Care Facilities in Nigeria

2021 ◽  
Author(s):  
Abiodun Egwuenu ◽  
Adaora Ejikeme ◽  
Sara Tomczyk ◽  
Anja Von-Laer ◽  
Olaniyi Ayobami ◽  
...  
Keyword(s):  
Health Care ◽  
Quality Control ◽  
Blood Culture ◽  
Online Survey ◽  
Case Finding ◽  
Blood Cultures ◽  
Health Care Facilities ◽  
Suspected Sepsis ◽  
Care Facilities ◽  
Secondary Health Care

Abstract BackgroundBlood culture diagnostics are a critical tool for sepsis management and antimicrobial resistance (AMR) surveillance. A baseline study was conducted to assess existing sepsis case finding, blood culture diagnostics and antimicrobial susceptibility testing (AST) at secondary health care facilities to inform the development of diagnostic stewardship improvement strategies in Nigeria.MethodsA cross-sectional online survey was conducted among 25 public secondary health care facilities in Abuja, FCT and Lagos State in Nigeria to evaluate the capacity for pathogen identification and AST. Following this, data were prospectively extracted on all patients with suspected sepsis from electronic medical records at two facilities in Abuja from October 2020 to May 2021 to further assess practices concerning sepsis case-finding, clinical examination findings, samples requested, and laboratory test results. Data were descriptively analysed, and a multivariate logistic regression analysis was conducted to determine factors associated with blood culture requests among suspected sepsis patients.ResultsIn the online survey, 32% (8/25) of facilities reported performing routine blood cultures. Only one had access to a clinical microbiologist, and 28% (7/25) and 4% (1/25) used standard bacterial organisms for quality control of media and quality control strains for AST, respectively. At the two facilities where data abstraction was performed, 7.1% (2924/41066) of patients were found to have suspected sepsis. A majority of the suspected sepsis patients came from the paediatrics department and were outpatients, and the median age was two years. Most did not have vital signs and major foci of infection documented. Blood cultures were only requested for 2.7% (80/2924) of patients, of which twelve were positive for bacteria, mainly Staphylococcus aureus. No clinical breakpoints were used for AST. Inpatients (adjusted odds ratio [aOR]:7.5, 95% CI:4.6 – 12.3) and patients from the urban health care facility (aOR:16.9, 95% CI:8.1 – 41.4) were significantly more likely to have a blood culture requested.ConclusionLow blood culture utilisation remains a key challenge in Nigeria. This has implications for patient care. AMR surveillance and antibiotics use. Diagnostic stewardship strategies should focus on improving access to clinical microbiology expertise, practical guidance on sepsis case finding and improving blood culture utilisation and diagnostics.

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