利用世卫组织感染预防和控制评估框架评估索马里卫生保健设施的感染预防和控制。

IF 4.4 2区 医学 Q1 INFECTIOUS DISEASES
Abdikarim Abdi Adam, Hassan Dahir Mohamed, Felix Emeka Anyiam
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引用次数: 0

摘要

背景:感染预防和控制是一个重要的全球公共卫生问题,特别是在非洲,改善卫生保健相关感染、对抗抗生素耐药性和控制疫情都是可能的。为了确定需要改进的领域,本研究旨在利用世卫组织感染预防和控制评估框架评估索马里卫生保健设施的感染预防和控制。方法:2022年10月和11月,通过横断面研究对索马里307家卫生保健机构(即联邦卫生部列出的1023家卫生保健机构中的30%)的IPC做法进行了评估。研究中使用描述性统计来检查按设施类型、所有权和位置分类的数据。根据世界卫生组织的感染预防和控制评估框架(IPCAF),这些设施被分为四个IPC级别——不足、基本、中级和高级。结果:IPCAF平均总分为136/800,表明IPC实践不足。85%的机构是公立医院,而大多数(68.83%)是初级保健中心。CC1 (IPC程序)和cc5(多模式策略)在8个IPC核心组件中得分最低,表明有重大改善。而CC 7(工作量、人员配备和床位占用)和CC 8(环境、材料和设备)的效果最好。所有国家都发现政府间评价指标不足。研究结果突出表明,迫切需要制定国家和区域政策,将IPC规划和基础设施资金置于最高优先地位,主要是在低绩效地区和初级卫生保健机构。区域差异突出表明需要采取专门方法来提高每个州的IPC能力。结论:IPCAF对索马里医疗设施的初步评估显示,IPC水平不足,强调需要采取紧急干预措施,以改进做法,确保患者安全,并支持索马里制定国家IPC政策。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Assessment of Infection Prevention and Control in Somali Healthcare Facilities using the WHO Infection Prevention and Control Assessment Framework.

Assessment of Infection Prevention and Control in Somali Healthcare Facilities using the WHO Infection Prevention and Control Assessment Framework.

Background: Improving healthcare-associated infections, fighting antibiotic resistance, and controlling outbreaks are all made possible by infection prevention and control, a significant global public health concern, particularly in Africa. To pinpoint areas that needed improvement, this study aimed to assess Infection Prevention and Control in Somali Healthcare Facilities using the WHO Infection Prevention and Control Assessment Framework.

Methods: 307 healthcare facilities in Somalia, or 30% of the 1,023 facilities listed by the Federal Ministry of Health, had their IPC practices evaluated by cross-sectional research in October and November 2022. Descriptive statistics were used in the study to examine data categorized by facility type, ownership, and location. The facilities were divided into four IPC levels-inadequate, basic, intermediate, and advanced using the World Health Organization's Infection Prevention and Control Assessment Framework (IPCAF).

Results: The mean overall IPCAF score was 136/800, which indicates inadequate IPC practices. 85% of the institutions were public hospitals, while the majority (68.83%) were primary healthcare centers. CC1 (IPC Program) and CC 5 (Multi-modal Strategies) got the lowest values out of the eight IPC core components, suggesting major improvement. while CC 7 (Workload, Staffing, and Bed Occupancy) and CC 8 (Environments, Materials, and Equipment) had the greatest results. Inadequate IPCAFs were found in all States. The results highlight the urgent need for national and regional policies to give IPC programs and infrastructure funding the Highest priority, mainly in low-performing areas and primary healthcare settings. Regional differences highlight the need for specialized approaches to increase IPC capacity in every state.

Conclusions: The initial IPCAF assessment of Somali healthcare facilities reveals inadequate IPC levels, highlighting the need for urgent intervention to improve practices, ensure patient safety, and support the development of a national IPC policy in Somalia.

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来源期刊
Antimicrobial Resistance and Infection Control
Antimicrobial Resistance and Infection Control PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH -INFECTIOUS DISEASES
CiteScore
9.70
自引率
3.60%
发文量
140
审稿时长
13 weeks
期刊介绍: Antimicrobial Resistance and Infection Control is a global forum for all those working on the prevention, diagnostic and treatment of health-care associated infections and antimicrobial resistance development in all health-care settings. The journal covers a broad spectrum of preeminent practices and best available data to the top interventional and translational research, and innovative developments in the field of infection control.
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