Disinfection of Neonatal Resuscitation Equipment in Low-Resource Settings: The Importance, the Reality, and Considerations for the Future
| Autor: | Amy R.L. Rule, Dominic Mutai, Joshua K. Schaffzin, Joel E. Mortensen, Anne M. White, Beena D. Kamath-Rayne, David Cheruiyot |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Resuscitation
Malawi neonatal mortality global child health Health Toxicology and Mutagenesis Review 03 medical and health sciences 0302 clinical medicine Pregnancy 030225 pediatrics Pandemic medicine Global health Humans neonatal infection 030212 general & internal medicine Pandemics reprocessing disinfection business.industry SARS-CoV-2 Public Health Environmental and Occupational Health Infant Newborn COVID-19 Guideline medicine.disease Kenya Neonatal infection Sustainability Equipment Contamination Medicine Female Medical emergency business Neonatal resuscitation |
| Zdroj: | International Journal of Environmental Research and Public Health, Vol 18, Iss 7065, p 7065 (2021) International Journal of Environmental Research and Public Health |
| ISSN: | 1661-7827 1660-4601 |
| Popis: | Preventable neonatal deaths due to prematurity, perinatal events, and infections are the leading causes of under-five mortality. The vast majority of these deaths are in resource-limited areas. Deaths due to infection have been associated with lack of access to clean water, overcrowded nurseries, and improper disinfection (reprocessing) of equipment, including vital resuscitation equipment. Reprocessing has recently come to heightened attention, with the COVID-19 pandemic bringing this issue to the forefront across all economic levels; however, it is particularly challenging in low-resource settings. In 2015, Eslami et al. published a letter to the editor in Resuscitation, highlighting concerns about the disinfection of equipment being used to resuscitate newborns in Kenya. To address the issue of improper disinfection, the global health nongovernment organization PATH gathered a group of experts and, due to lack of best-practice evidence, published guidelines with recommendations for reprocessing of neonatal resuscitation equipment in low-resource areas. The guidelines follow the gold-standard principle of high-level disinfection; however, there is ongoing concern that the complexity of the guideline would make feasibility and sustainability difficult in the settings for which it was designed. Observations from hospitals in Kenya and Malawi reinforce this concern. The purpose of this review is to discuss why proper disinfection of equipment is important, why this is challenging in low-resource settings, and suggestions for solutions to move forward. |
| Databáze: | OpenAIRE |
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