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Infection Prevention and Control at Lira University Hospital, Uganda: More Needs to Be Done
Globally, 5–15% of hospitalized patients acquire infections (often caused by antimicrobial-resistant microbes) due to inadequate infection prevention and control (IPC) measures. We used the World Health Organization’s (WHO) ‘Infection Prevention and Control Assessment Framework’ (IPCAF) tool to asse...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8167580/ https://www.ncbi.nlm.nih.gov/pubmed/34062871 http://dx.doi.org/10.3390/tropicalmed6020069 |
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author | Opollo, Marc Sam Otim, Tom Charles Kizito, Walter Thekkur, Pruthu Kumar, Ajay M. V. Kitutu, Freddy Eric Kisame, Rogers Zolfo, Maria |
author_facet | Opollo, Marc Sam Otim, Tom Charles Kizito, Walter Thekkur, Pruthu Kumar, Ajay M. V. Kitutu, Freddy Eric Kisame, Rogers Zolfo, Maria |
author_sort | Opollo, Marc Sam |
collection | PubMed |
description | Globally, 5–15% of hospitalized patients acquire infections (often caused by antimicrobial-resistant microbes) due to inadequate infection prevention and control (IPC) measures. We used the World Health Organization’s (WHO) ‘Infection Prevention and Control Assessment Framework’ (IPCAF) tool to assess the IPC compliance at Lira University hospital (LUH), a teaching hospital in Uganda. We also characterized challenges in completing the tool. This was a hospital-based, cross-sectional study conducted in November 2020. The IPC focal person at LUH completed the WHO IPCAF tool. Responses were validated, scored, and interpreted per WHO guidelines. The overall IPC compliance score at LUH was 225/800 (28.5%), implying a basic IPC compliance level. There was no IPC committee, no IPC team, and no budgets. Training was rarely or never conducted. There was no surveillance system and no monitoring/audit of IPC activities. Bed capacity, water, electricity, and disposal of hospital waste were adequate. Disposables and personal protective equipment were not available in appropriate quantities. Major challenges in completing the IPCAF tool were related to the detailed questions requiring repeated consultation with other hospital stakeholders and the long time it took to complete the tool. IPC compliance at LUH was not optimal. The gaps identified need to be addressed urgently. |
format | Online Article Text |
id | pubmed-8167580 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-81675802021-06-02 Infection Prevention and Control at Lira University Hospital, Uganda: More Needs to Be Done Opollo, Marc Sam Otim, Tom Charles Kizito, Walter Thekkur, Pruthu Kumar, Ajay M. V. Kitutu, Freddy Eric Kisame, Rogers Zolfo, Maria Trop Med Infect Dis Article Globally, 5–15% of hospitalized patients acquire infections (often caused by antimicrobial-resistant microbes) due to inadequate infection prevention and control (IPC) measures. We used the World Health Organization’s (WHO) ‘Infection Prevention and Control Assessment Framework’ (IPCAF) tool to assess the IPC compliance at Lira University hospital (LUH), a teaching hospital in Uganda. We also characterized challenges in completing the tool. This was a hospital-based, cross-sectional study conducted in November 2020. The IPC focal person at LUH completed the WHO IPCAF tool. Responses were validated, scored, and interpreted per WHO guidelines. The overall IPC compliance score at LUH was 225/800 (28.5%), implying a basic IPC compliance level. There was no IPC committee, no IPC team, and no budgets. Training was rarely or never conducted. There was no surveillance system and no monitoring/audit of IPC activities. Bed capacity, water, electricity, and disposal of hospital waste were adequate. Disposables and personal protective equipment were not available in appropriate quantities. Major challenges in completing the IPCAF tool were related to the detailed questions requiring repeated consultation with other hospital stakeholders and the long time it took to complete the tool. IPC compliance at LUH was not optimal. The gaps identified need to be addressed urgently. MDPI 2021-05-01 /pmc/articles/PMC8167580/ /pubmed/34062871 http://dx.doi.org/10.3390/tropicalmed6020069 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Opollo, Marc Sam Otim, Tom Charles Kizito, Walter Thekkur, Pruthu Kumar, Ajay M. V. Kitutu, Freddy Eric Kisame, Rogers Zolfo, Maria Infection Prevention and Control at Lira University Hospital, Uganda: More Needs to Be Done |
title | Infection Prevention and Control at Lira University Hospital, Uganda: More Needs to Be Done |
title_full | Infection Prevention and Control at Lira University Hospital, Uganda: More Needs to Be Done |
title_fullStr | Infection Prevention and Control at Lira University Hospital, Uganda: More Needs to Be Done |
title_full_unstemmed | Infection Prevention and Control at Lira University Hospital, Uganda: More Needs to Be Done |
title_short | Infection Prevention and Control at Lira University Hospital, Uganda: More Needs to Be Done |
title_sort | infection prevention and control at lira university hospital, uganda: more needs to be done |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8167580/ https://www.ncbi.nlm.nih.gov/pubmed/34062871 http://dx.doi.org/10.3390/tropicalmed6020069 |
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