Infection Prevention in Practice最新文献

{"title":"Coronavirus disease-2019 (COVID-19) outbreak in a long-term care hospital in Korea in early 2021","authors":"Eun Jo Kim ,&nbsp;JaHyun Kang ,&nbsp;HyeonSuk Byeon","doi":"10.1016/j.infpip.2024.100427","DOIUrl":"10.1016/j.infpip.2024.100427","url":null,"abstract":"<div><h3>Background</h3><div>This study describes the outbreak investigations and control measures for a coronavirus disease 2019 (COVID-19) outbreak at a long-term care hospital (LTCH) in Seoul.</div></div><div><h3>Methods</h3><div>The outbreak occurred from February 24, 2021 to March 2, 2021 at a 228-bed LTCH in Seoul. Monitoring of the outbreak continued until March 16, 2021. The LTCH investigated the outbreak in cooperation with the district public health centre. After approval from the institutional review board, the hospital's COVID-19 outbreak-related data were collected and analysed.</div></div><div><h3>Results</h3><div>The outbreak commenced when a new caregiver tested positive for COVID-19 in routine employee screening tests. During this outbreak, eight of 342 people including 175 patients and 64 caregivers were positive for the COVID-19 virus SARS-CoV-2. The mean age of the confirmed cases was 75.1 years (range 55–90). Of the eight, four (50%) were males; two (25%) were caregivers; six (75%) were asymptomatic; six (75%) had previously visited a rehabilitation centre, which was located on the basement level; and one visited different hospitals' outpatient clinics. Three of the 22 environmental specimens were test-positive at the corridor's handrail and the bed rails of confirmed patients. The outbreak ended with the immediate transfer of the confirmed cases to hospitals dedicated to infectious diseases and the transfer of close contacts of these cases to designated hospitals which were organised by the health authorities.</div></div><div><h3>Conclusions</h3><div>We found a potential link between the rehabilitation centre and the outbreak. To prevent future outbreaks at LTCHs, it is necessary to enhance each LTCH's infection control resources and competencies based on its specific requirements, with support from the government.</div></div>","PeriodicalId":33492,"journal":{"name":"Infection Prevention in Practice","volume":"7 1","pages":"Article 100427"},"PeriodicalIF":1.8,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11699601/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142932822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of difficult-to-treat resistance in ESKAPE pathogens in a third level hospital in Mexico","authors":"Adrián Camacho-Ortiz,&nbsp;Samantha Flores-Treviño,&nbsp;Paola Bocanegra-Ibarias","doi":"10.1016/j.infpip.2024.100426","DOIUrl":"10.1016/j.infpip.2024.100426","url":null,"abstract":"<div><h3>Background</h3><div>Antimicrobial resistance and difficult-to-treat resistance (DTR) in ESKAPE pathogens (<em>Enterococcus faecium, Staphylococcus aureus, Klebsiella pneumoniae, Acinetobacter baumannii, Pseudomonas aeruginosa,</em> and <em>Enterobacter</em> species) is a threat to human health. The aim of this study was to determine the prevalence of antimicrobial resistance and DTR rates in ESKAPE pathogens over six years in a third-level hospital from Monterrey, Mexico.</div></div><div><h3>Methods</h3><div>Antimicrobial susceptibility testing was determined by either disk diffusion or broth microdilution in strains from 2018 to 2023. Isolates were screened for carbapenemase genes. Multidrug resistance (MDR), extensively drug resistance (XDR), carbapenem resistance (CR), extended-spectrum cephalosporin-resistance (ESCR), fluoroquinolone resistance (FQR), and DTR were determined.</div></div><div><h3>Results</h3><div>From 3,239 strains, 48.5% were from respiratory infections, resistance was 87.5% to meticillin in <em>Staphylococcus</em> spp. and 39.8% in <em>S. aureus,</em> and 13.9% to vancomycin in <em>Enterococcus</em> spp. MDR, FQR and ESCR rates were between 54−90% in <em>A. baumannii</em>, 20–60% in Enterobacterales and 17−25% in <em>P. aeruginosa</em>. CR was 85.7% in <em>A. baumannii,</em> 33.3% in <em>P. aeruginosa</em> and &lt;5% in Enterobacterales. Most frequent CR genes were OXA-24/40-like in <em>A. baumannii</em> and NDM and OXA-48 in carbapenem-resistant Enterobacterales. DTR rates were 59.7% in <em>A. baumannii</em> (49.2% in 2018 vs 62.9% in 2023), 8.9% in <em>P. aeruginosa</em> and &lt;3% in Enterobacterales. XDR in <em>A. baumannii</em> was 14.4%.</div></div><div><h3>Conclusions</h3><div>Antimicrobial resistance rates were high in Gram-negative pathogens. CR and DTR rates were higher in <em>A. baumannii</em> than <em>P. aeruginosa</em> and Enterobacterales. DTR surveillance in healthcare providers should be continuous updating local and regional DTR trends among Gram-negative bacteria.</div></div>","PeriodicalId":33492,"journal":{"name":"Infection Prevention in Practice","volume":"7 1","pages":"Article 100426"},"PeriodicalIF":1.8,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11699456/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142932825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementation of the Hand hygiene self-assessment framework in a primary healthcare Centre in Saudi Arabia: A follow-up study","authors":"Olaa M. Alharbi ,&nbsp;Mohammed A. Imam ,&nbsp;Ahmad M. Alharbi","doi":"10.1016/j.infpip.2024.100428","DOIUrl":"10.1016/j.infpip.2024.100428","url":null,"abstract":"<div><div>Although HH (HH) practices can prevent healthcare related infections, low compliance is a major concern. We evaluated HH using a WHO observational tool and HH self-assessment framework (HHSAF) in 30 individuals in a mix of healthcare professions, before and after the implementation of the framework. In 182 opportunities to demonstrate HH practices, pre-implementation scores were assessed across five different domains including system change, training, and evaluation and feedback. Post-implementation scores obtained after 12 months showed HH compliance of 53%, with highest improvements seen across evaluation and feedback domain. The compliance rates after exposure to body fluids was 100%.</div></div>","PeriodicalId":33492,"journal":{"name":"Infection Prevention in Practice","volume":"7 1","pages":"Article 100428"},"PeriodicalIF":1.8,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11780078/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An outbreak of carbapenemase producing Enterobacterales – importance of thorough decontamination of beds","authors":"Richard Puleston ,&nbsp;Kirsty Morgan ,&nbsp;Iresha Asanthi ,&nbsp;Helen Bucior ,&nbsp;Kerry Rawlin ,&nbsp;Jeorge Orendi ,&nbsp;Jonathan Snape ,&nbsp;Steven Bourne ,&nbsp;Ann-Marie Riley ,&nbsp;Lorraine Whitehead ,&nbsp;Tom O'Leary ,&nbsp;Emyr Phillips ,&nbsp;Catherine Alves ,&nbsp;Matthew Knock","doi":"10.1016/j.infpip.2024.100422","DOIUrl":"10.1016/j.infpip.2024.100422","url":null,"abstract":"","PeriodicalId":33492,"journal":{"name":"Infection Prevention in Practice","volume":"7 1","pages":"Article 100422"},"PeriodicalIF":1.8,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143091937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A 4-year outbreak of MRSA ST72-MRSA-IV spa type t1597 in a surgical high dependency unit in Ireland linked to repeated healthcare worker recolonisation","authors":"Deirdre Brady ,&nbsp;Grainne Brennan ,&nbsp;Brian O'Connell ,&nbsp;Ruth Buckley ,&nbsp;Marie Brennan ,&nbsp;Maria Lenehan ,&nbsp;Jincy Jerry ,&nbsp;Lars Nolke ,&nbsp;Seyed Hossein Javadpour ,&nbsp;Margaret M. Hannan ,&nbsp;Breda Lynch ,&nbsp;Maureen Lynch","doi":"10.1016/j.infpip.2024.100421","DOIUrl":"10.1016/j.infpip.2024.100421","url":null,"abstract":"<div><h3>Background</h3><div>Patients undergoing cardiac surgery are identified as high risk for <em>Staphylococcus aureus</em> infection, including MRSA. An outbreak of MRSA was identified when two patients experienced MRSA infection concurrently in a cardiothoracic high dependency unit with uncommon detection of MRSA previously and an established screening programme.</div></div><div><h3>Methods</h3><div>An outbreak control team was convened and interventions applied including refresher training in hand and environmental hygiene, review of practice with regard to aseptic access of medical devices and consideration of antibiotic use in the unit. MRSA isolates were referred to the Irish National MRSA Reference Laboratory where <em>spa</em> typing assigned all isolates to t1597 and whole genome sequencing assigned them to multilocus sequence type ST72-MRSA-IV. Recovery of this strain from only this unit in Ireland and infrequent reporting in Europe prompted staff MRSA screening with two staff members found to harbour the outbreak strain. Despite successful decolonisation, recolonisation and further transmission to patients occurred.</div></div><div><h3>Conclusions</h3><div>In the clinical unit in which this outbreak occurred, the usual control measures to prevent spread of MRSA were in place. Recent Joint Healthcare Infection Society and Infection Prevention Society Guidance does not recommend routine staff screening for MRSA but does support its consideration in an outbreak of an unusual strain. In total, 9 patients and 2 staff were affected by this outbreak. There were 4 infections and 3 deaths. Sustained outbreak closure was necessary to protect certain national clinical programmes and was achievable only when colonised staff were no longer working in the unit.</div></div>","PeriodicalId":33492,"journal":{"name":"Infection Prevention in Practice","volume":"7 1","pages":"Article 100421"},"PeriodicalIF":1.8,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142743991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pharmacist-led antimicrobial stewardship program in the treatment of Staphylococcus aureus bacteraemia in paediatric patients: a multivariate analysis","authors":"Stella Caroline Schenidt Bispo da Silva ,&nbsp;Mariana Millan Fachi ,&nbsp;Marinei Campos Ricieri ,&nbsp;Fábio de Araújo Motta","doi":"10.1016/j.infpip.2024.100419","DOIUrl":"10.1016/j.infpip.2024.100419","url":null,"abstract":"<div><h3>Background</h3><div>Care bundles are a recognised strategy to improve treatment. When managed through an Antimicrobial Stewardship Program (ASP) based on the pharmacist-led program model, care bundles can be an effective tool to guide decision making in clinical practice and to improve patient outcomes. This study aimed to evaluate the results of a pharmacist-led ASP which included a care bundle based on clinical outcomes of <em>Staphylococcus aureus</em> bacteraemia (SAB) in a paediatric hospital.</div></div><div><h3>Methods</h3><div>A retrospective cohort study with multivariate analysis was conducted in a paediatric hospital in Brazil. The study comprised 120 paediatric patients with a positive blood culture for <em>S. aureus</em> with occurred between 2014 and 2021 and clinical and laboratory results consistent with infection. The study was classified into two periods: pre-intervention (n=44) and intervention (n=76). A pharmacist-led ASP program with a care bundle was established during the intervention period 2017–2021. The primary outcome assessed was the impact on clinical outcomes, including infection-related mortality and 90-day reinfection rate, both being considered therapeutic failure.</div></div><div><h3>Results</h3><div>The multivariate analysis demonstrated that the following variables had an impact on primary outcome: infant patients [Odds ratio (OR) 12.998, <em>P</em>=0.044]; use of more than three antimicrobial treatment regimens [OR 0.006, <em>P</em>=0.017]; intervention period [OR 0.060, <em>P</em>=0.034]; bundle item 1 – follow-up blood culture [OR 18.953, <em>P</em>=0.049]; bundle item 2 – early source control [OR 0.002, <em>P</em>=0.018]; bundle item 4 – de-escalation to oxacillin for methicillin-sensitive <em>S. aureus</em> [OR 0.041, <em>P</em>=0.046].</div></div><div><h3>Conclusions</h3><div>The pharmacist-led ASP model showed an increase in adherence to the care bundle between the two study periods, with reduced probability of a negative outcome. Furthermore, risk factors for <em>S. aureus</em> bacteraemia were identified that may inform management and contribute to better patient outcomes in the paediatric population.</div></div>","PeriodicalId":33492,"journal":{"name":"Infection Prevention in Practice","volume":"6 4","pages":"Article 100419"},"PeriodicalIF":1.8,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142707064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feasibility of hand disinfection in paediatric advanced life support (PALS): A simulation study","authors":"Michael Bentele ,&nbsp;Stefanie Bentele ,&nbsp;Nicolas Reinoso-Schiller ,&nbsp;Simone Scheithauer ,&nbsp;Stefan Bushuven","doi":"10.1016/j.infpip.2024.100418","DOIUrl":"10.1016/j.infpip.2024.100418","url":null,"abstract":"<div><h3>Background</h3><div>Hand disinfection is often omitted during emergencies because it may delay life-saving treatments. As healthcare-associated infections significantly worsen patient outcomes, the categorical omission of hand disinfection in emergencies should be re-evaluated. Real-world observations on this subject tentatively indicate compliance rates of &lt;10%. In an adult simulation study, we have previously shown that proper hand disinfection without delaying patient care is feasible in &gt;50% of scenarios. However, no comparable data have been published regarding emergencies in infants or children.</div></div><div><h3>Aim</h3><div>This observational study aimed to assess the feasibility of hand disinfection in simulated paediatric patients requiring advanced life support (PALS).</div></div><div><h3>Methods</h3><div>We observed 32 simulations of life-threatening conditions. Two observers counted all possible moments for administering hand hygiene, according to the World Health Organization protocol, and assessed them for time-neutral feasibility.</div></div><div><h3>Results</h3><div>In the 32 scenarios, the feasibility of hand disinfection for all WHO moments ranged from 78.3 to 100%. Of all 573 hand disinfection moments, 552 (96.3%) were deemed feasible.</div><div>Altogether 208 (36.3%) occurred before aseptic tasks. Of these, 187 (89.9%) were considered feasible. Hand disinfection for WHO-2 moments feasibility showed to be at least 50% in the cases. A total of 189 (90.9%) of all WHO-2 hand disinfections were applied by the role of the “iv-manager”. Scenarios with shockable rhythms and peri-arrest showed higher feasibility ratios than those without.</div></div><div><h3>Conclusions</h3><div>The categorical omission of hand disinfection in PALS seems to be no longer acceptable or appropriate. The feasibility of hand hygiene should be re-evaluated in real-world scenarios.</div></div>","PeriodicalId":33492,"journal":{"name":"Infection Prevention in Practice","volume":"7 1","pages":"Article 100418"},"PeriodicalIF":1.8,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142703912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reassessing the need for scheduled replacement of short term central venous catheters: A narrative comprehensive review","authors":"Regev Cohen","doi":"10.1016/j.infpip.2024.100420","DOIUrl":"10.1016/j.infpip.2024.100420","url":null,"abstract":"<div><div>Central venous catheters (CVCs) are essential in modern healthcare but are associated with significant risks, particularly catheter-related bloodstream infections (CRBSIs). Current guidelines do not recommend routine replacement of CVCs based on time alone. However, recent evidence challenges this recommendation. A comprehensive literature review was conducted, focusing on studies exploring the risk-factors of short-term, non-hemodialysis CVCs, that were published in the last two decades while including seminal older works for context. The guidelines regarding scheduled CVC-replacement are not based on sufficiently convincing data. Current literature establishes the significance of CVC-duration as a major risk-factor for CRBSI occurrence, especially after 9–14 days of catheter-dwelling. The daily CRBSI risk is probably not constant, and the cumulative risk may reach high rates after 9–14 days, especially for femoral and jugular insertions compared to the subclavian site, suggesting potential benefits of scheduled CVC replacement, especially for non-subclavian catheters.</div></div>","PeriodicalId":33492,"journal":{"name":"Infection Prevention in Practice","volume":"6 4","pages":"Article 100420"},"PeriodicalIF":1.8,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142707114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rapid implementation of a clinical decision-support workflow during the national blood culture bottle shortage","authors":"Saira Butt ,&nbsp;Amy B. Kressel ,&nbsp;Brian L. Haines ,&nbsp;Katherine Merrill ,&nbsp;Amber M. Ryan ,&nbsp;Kenneth C. Gavina ,&nbsp;Bree Weaver ,&nbsp;Michael Kays ,&nbsp;Molly Tieman ,&nbsp;Margaret Muciarelli ,&nbsp;Phillip Clapham","doi":"10.1016/j.infpip.2024.100417","DOIUrl":"10.1016/j.infpip.2024.100417","url":null,"abstract":"<div><h3>Background</h3><div>The United States Food and Drug Administration recently announced a national blood culture (BC) bottle shortage; the exact date of restoration is still being determined.</div></div><div><h3>Aim</h3><div>Implement a workflow to mitigate the BC bottle shortage at our hospital.</div></div><div><h3>Methods</h3><div>We created the following clinical decision support workflow in electronic medical record to help mitigate BC bottle use: (a) limit to two BC in 24 hours, (b) only repeat BC if 72 hours have passed from the prior sets, (c) do not repeat BC for coagulase-negative <em>Staphylococcus</em> bacteremia when considered a contaminant (i.e., no implanted vascular device), (d) do not repeat BC for <em>Streptococcus</em> bacteremia, (e) do not repeat cultures for Gram-negative rod bacteremia unless an unknown source, immunosuppression, or clinical worsening.</div></div><div><h3>Findings</h3><div>Post implementation, our weekly average BC bottle use decreased to 29.5%.</div></div><div><h3>Conclusion</h3><div>Within three weeks of the BC bottle shortage announcement, we successfully deployed evidence-based BC restrictions in the electronic medical record (EMR), reducing our BC orders by 29.5%. We encourage others to consider and potentially replicate our workflow to contribute to diagnostic stewardship.</div></div>","PeriodicalId":33492,"journal":{"name":"Infection Prevention in Practice","volume":"6 4","pages":"Article 100417"},"PeriodicalIF":1.8,"publicationDate":"2024-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142653380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Status of infection prevention and control in Cameroon healthcare facilities: lessons learned from the WHO COVID-19 scorecard tool under the hierarchy of control model","authors":"Boris Arnaud Kouomogne Nteungue ,&nbsp;Erick Tandi ,&nbsp;Chanceline Bilounga Ndongo ,&nbsp;Tania Bissouma-Ledjou ,&nbsp;Alphonse Acho ,&nbsp;Jeffrey Campbell ,&nbsp;Dieudonnée Reine Ndougou ,&nbsp;Reverien Habimana ,&nbsp;Ambomo Sylvie Myriam ,&nbsp;Bertolt Brecht Kouam Nteungue ,&nbsp;Oyono Yannick ,&nbsp;Louis Joss Bitang ,&nbsp;Georges Alain Etoundi Mballa ,&nbsp;Yap Boum","doi":"10.1016/j.infpip.2024.100407","DOIUrl":"10.1016/j.infpip.2024.100407","url":null,"abstract":"<div><h3>Background</h3><div>Infection prevention and control (IPC) helps prevent disease transmission in healthcare facilities. There is a dearth of information on the implementation of IPC during the COVID-19 outbreak in Cameroon using the recommended WHO COVID-19 IPC scorecard tool. The present study assessed healthcare facilities' compliance to IPC by continuous assessments, with an evaluation of the tool using the hierarchy of control theory.</div></div><div><h3>Methods</h3><div>This cross-sectional study was conducted in the 10 administrative regions of Cameroon by evaluating healthcare facilities prioritized by the Ministry of Public Health as high-risk facilities between March 2020 and November 2023. Comparisons were made regarding the facilities' ownership, level and status.</div></div><div><h3>Results</h3><div>2,188 assessments from 1,358 healthcare facilities were collected. The median IPC scores at each evaluation were between the intermediate and advanced level, with a bias linked with decreasing selection of facilities. However, only 172 (13%) healthcare facilities achieved advanced IPC score (≥75%). Higher IPC scores were found in hospitals (p&lt;0.001) and in private facilities (p=0.02). Predictors of good IPC compliance were hospital (OR=3.7, CI: 1.4–9.8) and private facility (OR=2.3, CI: 1.6–3.3). The tool met the five domains of the hierarchy of control model.</div></div><div><h3>Conclusion</h3><div>Repeated IPC assessments using recommended tools contribute to a better compliance of IPC by healthcare facilities in resources constrained settings.</div></div>","PeriodicalId":33492,"journal":{"name":"Infection Prevention in Practice","volume":"6 4","pages":"Article 100407"},"PeriodicalIF":1.8,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142653377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}