Infection prevention and control in tertiary care hospitals of Bangladesh: results from WHO infection prevention and control assessment framework (IPCAF).

Autor: Harun MGD; Programme for Emerging Infections, Infectious Diseases Division, icddr,b, Dhaka, Bangladesh. dostogirharun@icddrb.org., Anwar MMU; Centers for Disease Control and Prevention (CDC), Bangladesh Country Office, Dhaka, Bangladesh., Sumon SA; Programme for Emerging Infections, Infectious Diseases Division, icddr,b, Dhaka, Bangladesh., Hassan MZ; Programme for Emerging Infections, Infectious Diseases Division, icddr,b, Dhaka, Bangladesh., Haque T; Programme for Emerging Infections, Infectious Diseases Division, icddr,b, Dhaka, Bangladesh., Mah-E-Muneer S; Programme for Emerging Infections, Infectious Diseases Division, icddr,b, Dhaka, Bangladesh., Rahman A; Communicable Disease Control, Directorate General of Health Services, Dhaka, Bangladesh., Abdullah SAHM; SafetyNet, Dhaka, Bangladesh., Islam MS; Programme for Emerging Infections, Infectious Diseases Division, icddr,b, Dhaka, Bangladesh.; University of New South Wales, Sydney, Australia., Styczynski AR; Division of Infectious Diseases and Geographic Medicine, Stanford University, Stanford, CA, 94305, USA., Kaydos-Daniels SC; Centers for Disease Control and Prevention (CDC), Bangladesh Country Office, Dhaka, Bangladesh.
Jazyk: angličtina
Zdroj: Antimicrobial resistance and infection control [Antimicrob Resist Infect Control] 2022 Oct 06; Vol. 11 (1), pp. 125. Date of Electronic Publication: 2022 Oct 06.
DOI: 10.1186/s13756-022-01161-4
Abstrakt: Introduction: Infection prevention and control (IPC) in healthcare settings is imperative for the safety of patients as well as healthcare providers. To measure current IPC activities, resources, and gaps at the facility level, WHO has developed the Infection Prevention and Control Assessment Framework (IPCAF). This study aimed to assess the existing IPC level of selected tertiary care hospitals in Bangladesh during the COVID-19 pandemic using IPCAF to explore their strengths and deficits.
Methods: Between September and December 2020, we assessed 11 tertiary-care hospitals across Bangladesh. We collected the information from IPC focal person and/or hospital administrator from each hospital using the IPCAF assessment tool.. The score was calculated based on eight core components and was used to categorize the hospitals into four distinct IPC levels- Inadequate, Basic, Intermediate, and Advanced. Key performance metrics were summarized within and between hospitals.
Results: The overall median IPCAF score was 355.0 (IQR: 252.5-397.5) out of 800. The majority (73%) of hospitals scored as 'Basic' IPC level, while only 18% of hospitals were categorized as 'Intermediate'. Most hospitals had IPC guidelines as well as environments, materials and equipments. Although 64% of hospitals had IPC orientation and training program for new employees, only 30% of hospitals had regular IPC training program for the staff. None of the hospitals had an IPC surveillance system with standard surveillance case definitions to track HAIs. Around 90% of hospitals did not have an active IPC monitoring and audit system. Half of the hospitals had inadequate staffing considering the workload. Bed occupancy of one patient per bed in all units was found in 55% of hospitals. About 73% of hospitals had functional hand hygiene stations, but sufficient toilets were available in only 37% of hospitals.
Conclusion: The majority of sampled tertiary care hospitals demonstrate inadequate IPC level to ensure the safety of healthcare workers, patients, and visitors. Quality improvement programs and feedback mechanisms should be implemented to strengthen all IPC core components, particularly IPC surveillance, monitoring, education, and training, to improve healthcare safety and resilience.
(© 2022. The Author(s).)
Databáze: MEDLINE
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