A country-wide evaluation of infection control for tuberculosis in health-care facilities in Armenia
| Autor: | Karapet Davtyan, Maite Guardiola, Chinmay Laxmeshwar, Rony Zachariah, Armen Hayrepetyan, Lilit Khachatryan, Hayk Davatyan, Timothy Grieve, Seda Abgaryan, Anthony Reid, Anush Khachatryan, Veerle Hermans, Joshua Jayaraj |
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| Rok vydání: | 2019 |
| Předmět: |
Tuberculosis
Primary care Microbiology Virology Health care Disease Transmission Infectious Humans Medicine Infection control Infection Control Tb control business.industry General Medicine Armenia medicine.disease Disease control Checklist Cross-Sectional Studies Infectious Diseases Incentive Parasitology Health Facilities Health Services Research Medical emergency business |
| Zdroj: | The Journal of Infection in Developing Countries. 13:035S-041S |
| ISSN: | 1972-2680 |
| DOI: | 10.3855/jidc.11021 |
| Popis: | Introduction: Infection control at health facilities is an important part of TB control programmes. To assess the implementation of tuberculosis infection control (TB IC) measures and barriers hindering their implementation in TB health care facilities (HCFs) in Armenia; to report the feasibility of using the WHO recommended checklist. Methodology: A cross-sectional survey using WHO TB-IC checklist and direct observations was conducted between January and May 2018. Results: The survey included all 62 TB institutions in Armenia. TB HCFs in Armenia had implemented some recommended TB IC measures: offering IC training to staff (48%), shortening time to diagnosing TB to less than one day (29%) and ensuring good ventilation (60%). N95 respirators were available in all HCFs. However, barriers that hindered implementation of TB IC measures were: lack of training, a different incentive model for primary care doctors versus TB doctors and lack of space and poor conditions of the building. Conclusion: The use of the standardized WHO checklist in this first evaluation of TB IC measures in Armenia was found to be useful and feasible in identifying areas of weak IC implementation and barriers to achieving good infection control. Other TB programs may benefit from the use of this model of assessment, based on the WHO checklist. |
| Databáze: | OpenAIRE |
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