International Journal of Infection Control最新文献

{"title":"Evaluation of the acceptance of three types of alcohol-based hand sanitizing solutions by nursing professionals at a university hospital","authors":"I. Hernández-García, T. Giménez-Júlvez, Laura Zazo, Silvia Veleda","doi":"10.3396/ijic.v15i4.018.19","DOIUrl":"https://doi.org/10.3396/ijic.v15i4.018.19","url":null,"abstract":"Corresponding Author Ignacio Hernández-García. Department of Preventive Medicine, Infanta Leonor University Hospital, Calle Gran Vía del Este 80, 28031 Madrid, Spain. email: ignaciohernandez79@yahoo.es Introduction Effective hand hygiene (HH) by health professionals has been noted as the main measure to prevent and control healthcare-associated infections (HAI) and is one of the key elements for patient safety.1 Despite its importance, many authors have described a low degree of compliance with HH. Therefore, to promote adequate HH among healthcare workers (HCWs) during their professional practice, the World Health Organization has emphasized the need to develop","PeriodicalId":13991,"journal":{"name":"International Journal of Infection Control","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89590278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors associated with nursing students’ compliance with standard precautions: a self-reported survey","authors":"K. Moon, Y. Hyeon, K. Lim","doi":"10.3396/IJIC.V15I3.012.19","DOIUrl":"https://doi.org/10.3396/IJIC.V15I3.012.19","url":null,"abstract":"Adhering to standard precautions is a key factor in reducing the risk of infection among nurses and nursing students. This study identified nursing students’ compliance with standard precautions and the factors associated with their compliance. This descriptive survey included 176 nursing students from a regional nursing college. Compliance with standard precautions was assessed using a 20-item questionnaire. Data were analysed using t-tests, a one-way analysis of variance, and a multiple regression analysis. Participants’ overall compliance rate was 50.5%. Concerning general characteristics, significant differences were found regarding needle-stick or sharps injuries, practicum department (surgical and paediatric), and type of contact (faeces). Needle-stick or sharps injury experience (β = -0.225) and surgery practicum department (β = 0.182; Adj R² = 0.063; p = 0.001) had a significant effect on compliance level. Standard precautions should be emphasized in the nursing curricula, along with systematic continuing education. Educational programs for needle-stick or sharps injury prevention should also be included in standard precautions curricula.","PeriodicalId":13991,"journal":{"name":"International Journal of Infection Control","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88356129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Infection control practices in Jimma, Ethiopia","authors":"M. Kenzie, N. Safdar, A. Abdissa, D. Yilma, Shoba Ibrahim, D. Siraj","doi":"10.3396/IJIC.V15I3.010.19","DOIUrl":"https://doi.org/10.3396/IJIC.V15I3.010.19","url":null,"abstract":"Healthcare-associated infections (HAIs) are frequent adverse outcomes of medical care. The HAI burden in low- and middle-income countries is much higher and associated with more severe outcomes. The Systems Engineering Initiative for Patient Safety (SEIPS) model provides a framework that can be used to identify barriers and facilitators of infection control practices and evaluate interactions between structures, processes, and outcomes. \u0000A qualitative study was done to evaluate the implementation of effective infection control practices at Jimma University Hospital in Jimma, Ethiopia. Twenty-two semi-structured interviews of hospital employees, selected by convenience sampling, were conducted to assess the five components of SEIPS framework: person, physical environment, tasks, organization and tools. The interviews were transcribed, coded for themes, and analyzed using the software Dedoose (Version 8.0.42 SocioCultural Research Consultants, Los Angeles, CA). \u0000Staff overwhelmingly reported a shortage of personal protective equipment (PPE) as a barrier to adequate infection prevention and control (IPC) practices but cited poor supply chain management versus financial resources as the cause. Most interviewees also noted unreliable water availability as an impediment for hand hygiene. Prominent facilitators of effective IPC included a manageable workload, sufficient budget, and positive individual attitude towards improving IPC. The major barriers were identified as an inconsistent and incomplete training program for employees, a lack of IPC policies, and a nurse rotation program that increases unit staff turnover. \u0000Interventions designed to address the identified barriers include developing IPC policies and protocols, regularly scheduled IPC training, and establishing an HAI surveillance program to better identify IPC trends and track progress. Innovative interventions are needed to improve IPC practices, such as faculty training on supply chain management and utilization of simple local resources to increase hand washing practices.","PeriodicalId":13991,"journal":{"name":"International Journal of Infection Control","volume":"74 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86587313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient safety culture among health care provider’s in a Tunisian university hospital","authors":"L. Merzougui, S. Sghaier, Nedia Radaoui, D. Chebil, E. Turki, W. Majdoub, T. Barhoumi, R. Fatnassi","doi":"10.3396/IJIC.V15I3.011.19","DOIUrl":"https://doi.org/10.3396/IJIC.V15I3.011.19","url":null,"abstract":"Patient safety is considered a major priority in health care systems. In Tunisia, few attempts have been made since 2011 to evaluate PS culture. The purpose of this study was to measure the patient safety culture level at Ibn El Jazzar hospital in Kairouan, Tunisia. \u0000This cross-sectional study was conducted over three months in 2015 in a Tunisian University hospital. The French model of the Hospital Survey On Patient Safety Culture “HSOPSC” was used to explore 10 dimensions of patient safety culture. The survey was distributed to 446 health care providers (physicians and nurses). A score per composite has been calculated. Then the results were compared according to professional categories and work units. \u0000The overall average positive response rate for the 10 PS culture composites of the HSOPSC survey was 61.65%. Areas with potential for improvement were overall perception of security (40.73%), leadership (30.9%), organizational learning (41.9%), communication openness (38.3%) and frequency of events reported (33.2%). The area of strength was teamwork within units (58.1%). Non-punitive response to error had the lowest score (29.6%). The comparison of the scores according to professional category showed a significant difference for one composite score, which was the non-punitive answer to the errors particular to nurses (16.3% vs 32.7%; p = 0.020). In contrast, no significant difference between work units was found for all composites scores in our study. \u0000Our results demonstrate that patient safety culture remains undeveloped and should be improved at Ibn El Jazzar hospital. Therefore, further studies should be conducted in the context of continuous assessment quality of care.","PeriodicalId":13991,"journal":{"name":"International Journal of Infection Control","volume":"69 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82411317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How useful is routine pre-endoscopy viral screening?","authors":"A. Jemilohun, C. J. Elikwu, Daniel Ezuduemoih","doi":"10.3396/IJIC.V15I3.013.19","DOIUrl":"https://doi.org/10.3396/IJIC.V15I3.013.19","url":null,"abstract":"Pre-procedural screening for hepatitis B virus (HBV), hepatitis C virus (HCV) and human immunodeficiency virus (HIV) are routinely done in several endoscopy centres in Nigeria. These tests constitute an additional layer of financial burden to the patients since most of them settle their medical bills out of pocket. At the same time, the burden of these viral infections on the society demands that all measures are taken to prevent their iatrogenic transmission. The aim of this study was to evaluate the prevalence of HBV, HCV and HIV among patients referred for gastrointestinal endoscopy so as to determine the relevance of routine screening before procedures. The study was a retrospective cross-sectional survey of patients referred to the Digestive Endoscopy Unit of the Babcock University Teaching Hospital, Ilisan-Remo, for endoscopy from January 2015 to December 2018. A total of 432 patients were included in the study. The mean age was 48.15 (±15.89) while the age range was 12-86 years. Of these, 240 (54.7%) were females while 199 (45.3%) were males. The results of the viral screening available in the record book varied: HBV (n = 419), HCV (n = 238) and HIV (n = 417). The prevalence of HBV, HCV and HIV was 4.3% (95% CI = 2.4% - 6.2%), 2.1% (95% CI = 0.4% - 4.2%) and 1.0% (95% CI = 0.2% - 1.9%) respectively. Fourteen (3.3%), 5 (2.2%) and 14 (3.4%) patients who were initially negative, were rescreened for HBV, HCV and HIV respectively for repeat endoscopy. None of these patients tested positive for the viruses. We found no evidence of viral transmission from endoscope to patients in our centre. Viral pre-screening for endoscopy in settings with low to moderate prevalence rates of HBV, HCV and HIV infections may not be necessary.","PeriodicalId":13991,"journal":{"name":"International Journal of Infection Control","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79217828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Why should developed countries care about Universal Health Coverage?","authors":"A. Peters, M. Pham, Chloé Guitart, D. Pittet","doi":"10.3396/IJIC.V15I2.006.19","DOIUrl":"https://doi.org/10.3396/IJIC.V15I2.006.19","url":null,"abstract":"Corresponding Author Professor didier Pittet, Infection Control Programme and WHO Collaborating Centre on Patient Safety, University of Geneva Hospitals and Faculty of Medicine, 4 rue Gabrielle-Perret-Gentil, 1211 Geneva 14, Switzerland. E-mail: didier.pittet@hcuge.ch this year’s World Health Organization (WHO) hand hygiene global campaign on the 5th of May has one clear message: Universal Health Coverage (UHC) for all. UHC is the right of all people to have access to quality healthcare services without putting their financial well-being at risk1, and embodies the healthrelated goals put forward in the United Nations Sustainable development Goals (SdGs) in 2015.2","PeriodicalId":13991,"journal":{"name":"International Journal of Infection Control","volume":"32 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89931237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Suboptimal infection prevention and control in the healthcare culture","authors":"D. Cioffi, Jane Marie Cioffi","doi":"10.3396/IJIC.V15I2.009.19","DOIUrl":"https://doi.org/10.3396/IJIC.V15I2.009.19","url":null,"abstract":"Healthcare associated infections are one of the most common complications of hospitalised patients although \u0000they are largely preventable through compliance with infection prevention and control standards and \u0000guidelines. Clinical performance has been associated with culture in health care. By exploring the influence of \u0000culture in health care on infection prevention and control practice, understanding and insight into suboptimal \u0000IPC practice may be exposed. This paper discusses the cultural milieu of IPC practice and embedded norms \u0000proposing a cultural shift is mandatory to address suboptimal IPC practice. Recommendations are made that a \u0000cultural shift to blend the cure and prevention paradigms that effectively supports optimal infection prevention \u0000and control practice be envisaged by healthcare workers and implemented.","PeriodicalId":13991,"journal":{"name":"International Journal of Infection Control","volume":"321 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75091959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The value of calling-back patients to detect surgical site infections following orthopaedic and neurological surgeries in a tertiary care centre in Lebanon","authors":"J. Tannous, N. Zahreddine, S. Kanj","doi":"10.3396/IJIC.V15I2.008.19","DOIUrl":"https://doi.org/10.3396/IJIC.V15I2.008.19","url":null,"abstract":"Surgical Site infections (SSIs) are a major source of morbidity, mortality and increased medical costs among patients undergoing surgeries. SSIs may be detected during hospitalization following surgery, upon readmission, through Emergency Department or clinic visits. Calling-back patients might be used to detect SSIs in patients who seek medical care in different centres. An active, patient-based, prospective surveillance for SSI following orthopaedic and neurological procedures was conducted between July and September 2016 at the American University of Beirut Medical Centre (AUBMC). \u0000Trained infection control preventionist conducted the surveillance based on the CDC/NHSN (Centers for Disease control and Prevention/National Health Care Safety Network) definition of SSI and the NHSN methodology for data collection by calling-back patients and assessing the signs and symptoms of SSIs at 30 or 90 days after the operative procedure using a standardized checklist. Calling-back patients was initiated following an increase in the SSI rates for particular surgeons in these specialties. Rates were expressed as number of SSI in a designated specialty per 100 operative procedures of the same specialty and were benchmarked with NHSN and the International Nosocomial Infection Control Consortium (INICC) rates. \u0000No SSIs were identified through the phone calls among the 178 patients who were assessed throughout the surveillance period. Whereas, 2 SSIs were identified through the routine surveillance of hospital re-admissions and one SSI was identified from the review of the outpatient clinic records. SSI rates remained unchanged compared to the adopted surveillance methodology and were 3.7% following neurological surgeries and zero following orthopaedic surgeries at the time of the active surveillance. \u0000Call-back programs may be beneficial to obtain additional post-discharge surveillance information. However, patients may have a difficult time assessing their status and the possibility of developing an SSI. Moreover, this process was found to be time consuming, and was not successful in identifying additional SSIs. Re-assessment of this method is essential to examine the value of calling-back patients in detecting SSIs.","PeriodicalId":13991,"journal":{"name":"International Journal of Infection Control","volume":"93 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83866740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers to infection prevention and control practice among Amhara region teaching hospitals in Ethiopia: Qualitative study","authors":"W. W. Yallew, A. Kumie, F. M. Yehuala","doi":"10.3396/IJIC.V15I2.007.19","DOIUrl":"https://doi.org/10.3396/IJIC.V15I2.007.19","url":null,"abstract":"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.","PeriodicalId":13991,"journal":{"name":"International Journal of Infection Control","volume":"48 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77621219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A retrospective audit of antibiotic prescriptions in a Lebanese Hospital","authors":"M. Ibrahim, Z. Bazzi","doi":"10.3396/ijic.v15i1.001.19","DOIUrl":"https://doi.org/10.3396/ijic.v15i1.001.19","url":null,"abstract":"Despite the frequent alarms that have been published about the adverse effects of antibiotic use and misuse, physicians prescribe to patients approximately fifty percent of unnecessary antimicrobials. In an attempt to decrease the emergence of antimicrobial resistance and increase awareness, a team approach is required to address this prescribing phenomenon in a feasible manner. \u0000A retrospective study was done at a one-hundred-forty-bed hospital with a representative sample size of 368 patients. Patient data was collected and analyzed by a stewardship team. The overall antibiotic inappropriate rate was 45.8%, which is relatively high and consistent with the findings of other studies mentioned in the literature. \u0000This study aimed to provide baseline epidemiological data on the use of antibiotics in a Lebanese hospital and has revealed several notable patterns of antibiotic prescribing practices among Lebanese physicians such as the use of antimicrobial drugs example penicillin was consistently high. Strong correlations were identified between the type of attending physician and antibiotic appropriateness. These findings will be important in constructing an antimicrobial stewardship program to reduce antibiotic misuse.","PeriodicalId":13991,"journal":{"name":"International Journal of Infection Control","volume":"42 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85573922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}