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Achieving Minimum Standards for Infection Prevention and Control in Sierra Leone: Urgent Need for a Quantum Leap in Progress in the COVID-19 Era!
Introduction: Good Infection prevention and control (IPC) is vital for tackling antimicrobial resistance and limiting health care-associated infections. We compared IPC performance before (2019) and during the COVID-19 (2021) era at the national IPC unit and all regional (4) and district hospitals (...
Autores principales: | , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9102022/ https://www.ncbi.nlm.nih.gov/pubmed/35565037 http://dx.doi.org/10.3390/ijerph19095642 |
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author | Fofanah, Bobson Derrick Abrahamyan, Arpine Maruta, Anna Kallon, Christiana Thekkur, Pruthu Kamara, Ibrahim Franklyn Njuguna, Charles Kuria Squire, James Sylvester Kanu, Joseph Sam Bah, Abdulai Jawo Lakoh, Sulaiman Kamara, Dauda Hermans, Veerle Zachariah, Rony |
author_facet | Fofanah, Bobson Derrick Abrahamyan, Arpine Maruta, Anna Kallon, Christiana Thekkur, Pruthu Kamara, Ibrahim Franklyn Njuguna, Charles Kuria Squire, James Sylvester Kanu, Joseph Sam Bah, Abdulai Jawo Lakoh, Sulaiman Kamara, Dauda Hermans, Veerle Zachariah, Rony |
author_sort | Fofanah, Bobson Derrick |
collection | PubMed |
description | Introduction: Good Infection prevention and control (IPC) is vital for tackling antimicrobial resistance and limiting health care-associated infections. We compared IPC performance before (2019) and during the COVID-19 (2021) era at the national IPC unit and all regional (4) and district hospitals (8) in Sierra Leone. Methods: Cross-sectional assessments using standardized World Health Organizations IPC checklists. IPC performance scores were graded as inadequate = 0–25%, basic = 25.1–50%, intermediate = 50.1–75%, and advanced = 75.1–100%. Results: Overall performance improved from ‘basic’ to ‘intermediate’ at the national IPC unit (41% in 2019 to 58% in 2021) and at regional hospitals (37% in 2019 to 54% in 2021) but remained ‘basic’ at district hospitals (37% in 2019 to 50% in 2021). Priority gaps at the national IPC unit included lack of: a dedicated IPC budget, monitoring the effectiveness of IPC trainings and health care-associated infection surveillance. Gaps at hospitals included no assessment of hospital staffing needs, inadequate infrastructure for IPC and lack of a well-defined monitoring plan with clear goals, targets and activities. Conclusion: Although there is encouraging progress in IPC performance, it is slower than desired in light of the COVID-19 pandemic. There is urgent need to mobilize political will, leadership and resources and make a quantum leap forward. |
format | Online Article Text |
id | pubmed-9102022 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-91020222022-05-14 Achieving Minimum Standards for Infection Prevention and Control in Sierra Leone: Urgent Need for a Quantum Leap in Progress in the COVID-19 Era! Fofanah, Bobson Derrick Abrahamyan, Arpine Maruta, Anna Kallon, Christiana Thekkur, Pruthu Kamara, Ibrahim Franklyn Njuguna, Charles Kuria Squire, James Sylvester Kanu, Joseph Sam Bah, Abdulai Jawo Lakoh, Sulaiman Kamara, Dauda Hermans, Veerle Zachariah, Rony Int J Environ Res Public Health Article Introduction: Good Infection prevention and control (IPC) is vital for tackling antimicrobial resistance and limiting health care-associated infections. We compared IPC performance before (2019) and during the COVID-19 (2021) era at the national IPC unit and all regional (4) and district hospitals (8) in Sierra Leone. Methods: Cross-sectional assessments using standardized World Health Organizations IPC checklists. IPC performance scores were graded as inadequate = 0–25%, basic = 25.1–50%, intermediate = 50.1–75%, and advanced = 75.1–100%. Results: Overall performance improved from ‘basic’ to ‘intermediate’ at the national IPC unit (41% in 2019 to 58% in 2021) and at regional hospitals (37% in 2019 to 54% in 2021) but remained ‘basic’ at district hospitals (37% in 2019 to 50% in 2021). Priority gaps at the national IPC unit included lack of: a dedicated IPC budget, monitoring the effectiveness of IPC trainings and health care-associated infection surveillance. Gaps at hospitals included no assessment of hospital staffing needs, inadequate infrastructure for IPC and lack of a well-defined monitoring plan with clear goals, targets and activities. Conclusion: Although there is encouraging progress in IPC performance, it is slower than desired in light of the COVID-19 pandemic. There is urgent need to mobilize political will, leadership and resources and make a quantum leap forward. MDPI 2022-05-06 /pmc/articles/PMC9102022/ /pubmed/35565037 http://dx.doi.org/10.3390/ijerph19095642 Text en © 2022 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 Fofanah, Bobson Derrick Abrahamyan, Arpine Maruta, Anna Kallon, Christiana Thekkur, Pruthu Kamara, Ibrahim Franklyn Njuguna, Charles Kuria Squire, James Sylvester Kanu, Joseph Sam Bah, Abdulai Jawo Lakoh, Sulaiman Kamara, Dauda Hermans, Veerle Zachariah, Rony Achieving Minimum Standards for Infection Prevention and Control in Sierra Leone: Urgent Need for a Quantum Leap in Progress in the COVID-19 Era! |
title | Achieving Minimum Standards for Infection Prevention and Control in Sierra Leone: Urgent Need for a Quantum Leap in Progress in the COVID-19 Era! |
title_full | Achieving Minimum Standards for Infection Prevention and Control in Sierra Leone: Urgent Need for a Quantum Leap in Progress in the COVID-19 Era! |
title_fullStr | Achieving Minimum Standards for Infection Prevention and Control in Sierra Leone: Urgent Need for a Quantum Leap in Progress in the COVID-19 Era! |
title_full_unstemmed | Achieving Minimum Standards for Infection Prevention and Control in Sierra Leone: Urgent Need for a Quantum Leap in Progress in the COVID-19 Era! |
title_short | Achieving Minimum Standards for Infection Prevention and Control in Sierra Leone: Urgent Need for a Quantum Leap in Progress in the COVID-19 Era! |
title_sort | achieving minimum standards for infection prevention and control in sierra leone: urgent need for a quantum leap in progress in the covid-19 era! |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9102022/ https://www.ncbi.nlm.nih.gov/pubmed/35565037 http://dx.doi.org/10.3390/ijerph19095642 |
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