Healthcare worker perceptions of the FAST TB infection control strategy.

IF 1.3 Q4 RESPIRATORY SYSTEM

Public Health Action Pub Date : 2025-06-04 eCollection Date: 2025-06-01 DOI:10.5588/pha.24.0055

D B Tierney, R R Nathavitharana, L Cummins, K Tintaya, A Biewer, R Guerrero, L Lecca, L R Hirschhorn, E A Nardell, A K Nelson

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Abstract

Background: The FAST (Find cases Actively, Separate safely and Treat effectively) TB infection control (TB-IC) strategy decreases the time-to-TB diagnosis and treatment. We examined healthcare workers' (HCW) perceptions of FAST implementation at a tertiary referral hospital in Lima, Peru.

Methods: From August 2016 to December 2019, we conducted 24 interviews and four focus groups (n = 14) with a diverse population of HCWs and other stakeholders involved throughout the TB care cascade. We used inductive analysis to identify emergent themes, used Dedoose to code transcripts accordingly, and developed a narrative using reflexive thematic analysis.

Results: We identified three emergent themes: 1) FAST impact on TB care, 2) FAST impact on TB-IC and 3) FAST impact on hospital culture. FAST was felt to improve the speed of TB screening, diagnosis and treatment. TB specialists recognized that by expediting diagnosis and treatment, FAST likely decreased transmission. Healthcare workers appreciated that FAST improved care coordination along the TB care cascade. FAST changed hospital culture related to the prioritization of TB-IC.

Conclusion: HCWs perceived that FAST, implemented by a dedicated external team, was an acceptable and effective TB-IC strategy that improved care coordination and overall TB quality of care.

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卫生保健工作者对FAST结核感染控制策略的看法。

背景：FAST（积极发现病例、安全分离和有效治疗）结核病感染控制（TB- ic）策略缩短了结核病诊断和治疗的时间。我们调查了秘鲁利马一家三级转诊医院医护人员（HCW）对FAST实施的看法。方法：从2016年8月至2019年12月，我们进行了24次访谈和4个焦点小组（n = 14），其中包括不同人群的卫生保健工作者和参与整个结核病护理级联的其他利益相关者。我们使用归纳分析来识别紧急主题，使用Dedoose来编写相应的代码，并使用反身性主题分析来开发叙述。结果：我们确定了三个新兴主题：1)对结核病治疗的快速影响，2)对结核病- ic的快速影响，以及3)对医院文化的快速影响。人们认为FAST提高了结核病筛查、诊断和治疗的速度。结核病专家认识到，通过加快诊断和治疗，FAST可能会减少传播。卫生保健工作者赞赏FAST改善了结核病护理梯级的护理协调。FAST改变了与TB-IC优先级相关的医院文化。结论：卫生保健工作者认为，由专门的外部团队实施的FAST是一种可接受且有效的结核病- ic策略，可改善护理协调和总体结核病护理质量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Public Health Action RESPIRATORY SYSTEM-

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期刊介绍： Launched on 1 May 2011, Public Health Action (PHA) is an official publication of the International Union Against Tuberculosis and Lung Disease (The Union). It is an open access, online journal available world-wide to physicians, health workers, researchers, professors, students and decision-makers, including public health centres, medical, university and pharmaceutical libraries, hospitals, clinics, foundations and institutions. PHA is a peer-reviewed scholarly journal that actively encourages, communicates and reports new knowledge, dialogue and controversy in health systems and services for people in vulnerable and resource-limited communities — all topics that reflect the mission of The Union, Health solutions for the poor.