Infection prevention and control and related practices in African neonatal units: The Pan-African neonatal care assessment study (PANCAS)

IF 4.5 2区 医学 Q1 INFECTIOUS DISEASES
Irene Frantzis , Stéphanie Levasseur , Jack Huebner , Maitry Mahida , Philip Larussa , Wilmot James , Workeabeba Abebe , Crispen Ngwenya , Ezekiel Mupere , Susan L. Rosenthal , Janna Patterson , Julia Johnson , Renate Strehlau , Sileshi Lulseged , Lawrence R. Stanberry , Lisa Saiman
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引用次数: 0

Abstract

Background

The burden of neonatal mortality is primarily borne by low- and middle-income countries (LMICs), including deaths due to healthcare-associated infections (HAIs). Few studies have assessed infection prevention and control (IP&C) practices in African units caring for small and/or sick newborns aimed to reduce HAIs.

Methods

We performed a mixed-methods study composed of a survey and virtual tour to assess IP&C and related practices. We created a survey composed of multiple-choice and open-ended questions delivered to site respondents via Zoom or video equivalent. Respondents provided a virtual tour of their unit via video and the study team used a checklist to evaluate specific practices.

Results

We recruited 45 units caring for small and sick newborns in 20 African countries. Opportunities to optimize hand hygiene, Water, Sanitation and Hygiene (WASH) practices, Kangaroo Mother Care, and IP&C training were noted. The virtual tour offered further understanding of IP&C challenges unique to individual sites. All respondents expressed the need for additional space, equipment, supplies, education, and IP&C staff and emphasized that attention to maternal comfort was important to IP&C success.

Discussion

This study identified opportunities to improve IP&C practices using low-cost measures including further education and peer support through learning collaboratives. Virtual tours can be used to provide site-specific assessment and feedback from peers, IP&C specialists and environmental engineering experts.

非洲新生儿病房的感染预防和控制及相关实践:泛非新生儿护理评估研究(PANCAS)
背景新生儿死亡负担主要由中低收入国家(LMICs)承担,其中包括因医疗相关感染(HAIs)导致的死亡。我们开展了一项由调查和虚拟参观组成的混合方法研究,以评估 IP&C 和相关实践。我们制作了一份由多项选择题和开放式问题组成的调查问卷,通过 Zoom 或同等视频方式发送给现场受访者。受访者通过视频对其所在单位进行了虚拟参观,研究小组使用核对表对具体做法进行了评估。我们注意到了优化手部卫生、水、环境卫生和个人卫生(WASH)实践、袋鼠妈妈护理以及 IP&C 培训的机会。通过虚拟参观,进一步了解了各个地点所面临的 IP&C 挑战。所有受访者都表示需要更多的空间、设备、用品、教育和 IP&C 人员,并强调关注产妇的舒适度对 IP&C 的成功非常重要。讨论这项研究发现了利用低成本措施改善 IP&C 实践的机会,包括通过学习合作开展进一步的教育和同伴支持。虚拟参观可用于提供针对具体地点的评估以及来自同行、IP&C 专家和环境工程专家的反馈。
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来源期刊
CiteScore
11.50
自引率
5.00%
发文量
151
审稿时长
22 days
期刊介绍: The International Journal of Hygiene and Environmental Health serves as a multidisciplinary forum for original reports on exposure assessment and the reactions to and consequences of human exposure to the biological, chemical, and physical environment. Research reports, short communications, reviews, scientific comments, technical notes, and editorials will be peer-reviewed before acceptance for publication. Priority will be given to articles on epidemiological aspects of environmental toxicology, health risk assessments, susceptible (sub) populations, sanitation and clean water, human biomonitoring, environmental medicine, and public health aspects of exposure-related outcomes.
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