Τίτλος:
Gap analysis of infection control practices in low- and middle-income countries
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
background. Healthcare-associated infection rates are higher in low- and middle-income countries compared with high-income countries, resulting in relatively larger incidence of patient mortality and disability and additional healthcare costs. objective. To use the Infection Control Assessment Tool to assess gaps in infection control (IC) practices in the participating countries. methods. Six international sites located in Argentina, Greece, Hungary, India, Nepal, and South Africa provided information on the health facility and the surgical modules relating to IC programs, surgical antibiotic use and surgical equipment procedures, surgical area practices, sterilization and disinfection of equipment and intravenous fluid, and hand hygiene. Modules were scored for each country. results. The 6 international sites completed 5 modules. Of 121 completed sections, scores of less than 50% of the recommended IC practices were received in 23 (19%) and scores from 50% to 75% were received in 43 (36%). IC programs had various limitations in many sites and surveillance of healthcare-associated infections was not consistently performed. Lack of administration of perioperative antibiotics, inadequate sterilization and disinfection of equipment, and paucity of hand hygiene were found even in a high-income country. There was also a lack of clearly written defined policies and procedures across many facilities. conclusions. Our results indicate that adherence to recommended IC practices is suboptimal. Opportunities for improvement of IC practices exist in several areas, including hospital-wide IC programs and surveillance, antibiotic stewardship, written and posted guidelines and policies across a range of topics, surgical instrument sterilization procedures, and improved hand hygiene. © 2015 by The Society for Healthcare Epidemiology of America. All rights reserved.
Συγγραφείς:
Weinshel, K.
Dramowski, A.
Hajdu, Á.
Jacob, S.
Khanal, B.
Zoltán, M.
Mougkou, K.
Phukan, C.
Staneloni, M.I.
Singh, N.
Περιοδικό:
INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY
Εκδότης:
Cambridge University Press
Λέξεις-κλειδιά:
antibiotic agent; antiinfective agent; disinfectant agent; infusion fluid; soap, accreditation; air conditioning; Argentina; Article; bath; cleaning; continuing education; controlled study; developed country; developing country; disease surveillance; disinfection; disposable equipment; drug use; education program; epidemic; esthetic surgery; government regulation; Greece; hand washing; health care policy; healthcare associated infection; hospital bed capacity; hospital infection; human; Hungary; India; infection control; instrument sterilization; major clinical study; Nepal; perioperative period; practice guideline; preoperative care; preoperative period; private hospital; prophylaxis; protocol compliance; public hospital; scoring system; South Africa; staff training; surgical equipment; ventilator; cross infection; infection control; practice guideline; procedures; standards; statistics and numerical data, Argentina; Cross Infection; Developing Countries; Greece; Guideline Adherence; Humans; Hungary; India; Infection Control; Nepal; Practice Guidelines as Topic; South Africa
DOI:
10.1017/ice.2015.160
