Assessment of Infection Prevention and Control Measures at Points of Entry in Sierra Leone in 2021: A Cross-Sectional Study
| Autor: | Kadijatu Nabie Kamara, James Sylvester Squire, Joseph Sam Kanu, Ronald Carshon-Marsh, Zikan Koroma, Aminata Tigiedankay Koroma, Anna Maruta, Christiana Kallon, Marcel Manzi, Bienvenu Salim Camara, Aelita Sargsyan, Alexandre Delamou, Jamie Ann Guth, Anthony Reid, Mohamed Ahmed Khogali, Mohamed Alex Vandi |
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| Rok vydání: | 2022 |
| Předmět: |
Cross-Sectional Studies
Health Toxicology and Mutagenesis infection prevention and control points of entry SORT IT (Structured Operational Research Training Initiative) Infection Prevention Control Assessment Framework (IPCAF) antimicrobial resistance IPC at PoEs Sierra Leone IPC Sierra Leone PoEs Public Health Environmental and Occupational Health Humans Hemorrhagic Fever Ebola World Health Organization Disease Outbreaks Sierra Leone |
| Zdroj: | International Journal of Environmental Research and Public Health; Volume 19; Issue 10; Pages: 5936 |
| ISSN: | 1660-4601 |
| DOI: | 10.3390/ijerph19105936 |
| Popis: | Implementing and monitoring infection prevention and control (IPC) measures at immigration points of entry (PoEs) is key to preventing infections, reducing excessive use of antimicrobials, and tackling antimicrobial resistance (AMR). Sierra Leone has been implementing IPC measures at four PoEs (Queen Elizabeth II Quay port, Lungi International Airport, and the Jendema and Gbalamuya ground crossings) since the last Ebola outbreak in 2014–2015. We adapted the World Health Organization IPC Assessment Framework tool to assess these measures and identify any gaps in their components at each PoE through a cross-sectional study in May 2021. IPC measures were Inadequate (0–25%) at Queen Elizabeth II Quay port (21%; 11/53) and Jendema (25%; 13/53) and Basic (26–50%) at Lungi International Airport (40%; 21/53) and Gbalamuya (49%; 26/53). IPC components with the highest scores were: having a referral system (85%; 17/20), cleaning and sanitation (63%; 15/24), and having a screening station (59%; 19/32). The lowest scores (0% each) were reported for the availability of IPC guidelines and monitoring of IPC practices. This was the first study in Sierra Leone highlighting significant gaps in the implementation of IPC measures at PoEs. We call on the AMR multisectoral coordinating committee to enhance IPC measures at all PoEs. |
| Databáze: | OpenAIRE |
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