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Implementation of infection prevention and control practices in an upcoming COVID-19 hospital in India: An opportunity not missed

Infection prevention and control (IPC) program is obligatory for delivering quality services in any healthcare setup. Lack of administrative support and resource-constraints (under-staffing, inadequate funds) were primary barriers to successful implementation of IPC practices in majority of the hosp...

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Autores principales: Das, Arghya, Garg, Rahul, Kumar, E. Sampath, Singh, Dharanidhar, Ojha, Bisweswar, Kharchandy, H. Larikyrpang, Pathak, Bhairav Kumar, Srikrishnan, Pushkar, Singh, Ravindra, Joshua, Immanuel, Nandekar, Sanket, J., Vinothini, Reghu, Reenu, Pedapanga, Nikitha, Banerjee, Tuhina, Yadav, Kamal Kumar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9126379/
https://www.ncbi.nlm.nih.gov/pubmed/35604919
http://dx.doi.org/10.1371/journal.pone.0268071
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author Das, Arghya
Garg, Rahul
Kumar, E. Sampath
Singh, Dharanidhar
Ojha, Bisweswar
Kharchandy, H. Larikyrpang
Pathak, Bhairav Kumar
Srikrishnan, Pushkar
Singh, Ravindra
Joshua, Immanuel
Nandekar, Sanket
J., Vinothini
Reghu, Reenu
Pedapanga, Nikitha
Banerjee, Tuhina
Yadav, Kamal Kumar
author_facet Das, Arghya
Garg, Rahul
Kumar, E. Sampath
Singh, Dharanidhar
Ojha, Bisweswar
Kharchandy, H. Larikyrpang
Pathak, Bhairav Kumar
Srikrishnan, Pushkar
Singh, Ravindra
Joshua, Immanuel
Nandekar, Sanket
J., Vinothini
Reghu, Reenu
Pedapanga, Nikitha
Banerjee, Tuhina
Yadav, Kamal Kumar
author_sort Das, Arghya
collection PubMed
description Infection prevention and control (IPC) program is obligatory for delivering quality services in any healthcare setup. Lack of administrative support and resource-constraints (under-staffing, inadequate funds) were primary barriers to successful implementation of IPC practices in majority of the hospitals in the developing countries. The Coronavirus Disease 2019 (COVID-19) brought a unique opportunity to improve the IPC program in these hospitals. A PDSA (Plan—Do—Study- Act) model was adopted for this study in a tertiary care hospital which was converted into a dedicated COVID-19 treatment facility in Varanasi, India. The initial focus was to identify the deficiencies in existing IPC practices and perceive the opportunities for improvement. Repeated IPC training (induction and reinforce) was conducted for the healthcare personnel (HCP) and practices were monitored by direct observation and closed-circuit television. Cleaning audits were performed by visual inspection, review of the checklists and qualitative assessment of the viewpoints of the HCP was carried out by the feedbacks received at the end of the training sessions. A total of 2552 HCP and 548 medical students were trained in IPC through multiple offline/onsite sessions over a period of 15 months during the ongoing pandemic. Although the overall compliance to surface disinfection and cleaning increased from 50% to >80% with repeated training, compliance decreased whenever newly recruited HCP were posted. Fear psychosis in the pandemic was the greatest facilitator for adopting the IPC practices. Continuous wearing of personal protective equipment for long duration, dissatisfaction with the duty rosters as well as continuous posting in high-risk areas were the major obstacles to the implementation of IPC norms. Recognising the role of an infection control team, repeated training, monitoring and improvisation of the existing resources are keys for successful implementation of IPC practices in hospitals during the COVID-19 pandemic.
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spelling pubmed-91263792022-05-24 Implementation of infection prevention and control practices in an upcoming COVID-19 hospital in India: An opportunity not missed Das, Arghya Garg, Rahul Kumar, E. Sampath Singh, Dharanidhar Ojha, Bisweswar Kharchandy, H. Larikyrpang Pathak, Bhairav Kumar Srikrishnan, Pushkar Singh, Ravindra Joshua, Immanuel Nandekar, Sanket J., Vinothini Reghu, Reenu Pedapanga, Nikitha Banerjee, Tuhina Yadav, Kamal Kumar PLoS One Research Article Infection prevention and control (IPC) program is obligatory for delivering quality services in any healthcare setup. Lack of administrative support and resource-constraints (under-staffing, inadequate funds) were primary barriers to successful implementation of IPC practices in majority of the hospitals in the developing countries. The Coronavirus Disease 2019 (COVID-19) brought a unique opportunity to improve the IPC program in these hospitals. A PDSA (Plan—Do—Study- Act) model was adopted for this study in a tertiary care hospital which was converted into a dedicated COVID-19 treatment facility in Varanasi, India. The initial focus was to identify the deficiencies in existing IPC practices and perceive the opportunities for improvement. Repeated IPC training (induction and reinforce) was conducted for the healthcare personnel (HCP) and practices were monitored by direct observation and closed-circuit television. Cleaning audits were performed by visual inspection, review of the checklists and qualitative assessment of the viewpoints of the HCP was carried out by the feedbacks received at the end of the training sessions. A total of 2552 HCP and 548 medical students were trained in IPC through multiple offline/onsite sessions over a period of 15 months during the ongoing pandemic. Although the overall compliance to surface disinfection and cleaning increased from 50% to >80% with repeated training, compliance decreased whenever newly recruited HCP were posted. Fear psychosis in the pandemic was the greatest facilitator for adopting the IPC practices. Continuous wearing of personal protective equipment for long duration, dissatisfaction with the duty rosters as well as continuous posting in high-risk areas were the major obstacles to the implementation of IPC norms. Recognising the role of an infection control team, repeated training, monitoring and improvisation of the existing resources are keys for successful implementation of IPC practices in hospitals during the COVID-19 pandemic. Public Library of Science 2022-05-23 /pmc/articles/PMC9126379/ /pubmed/35604919 http://dx.doi.org/10.1371/journal.pone.0268071 Text en © 2022 Das et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Das, Arghya
Garg, Rahul
Kumar, E. Sampath
Singh, Dharanidhar
Ojha, Bisweswar
Kharchandy, H. Larikyrpang
Pathak, Bhairav Kumar
Srikrishnan, Pushkar
Singh, Ravindra
Joshua, Immanuel
Nandekar, Sanket
J., Vinothini
Reghu, Reenu
Pedapanga, Nikitha
Banerjee, Tuhina
Yadav, Kamal Kumar
Implementation of infection prevention and control practices in an upcoming COVID-19 hospital in India: An opportunity not missed
title Implementation of infection prevention and control practices in an upcoming COVID-19 hospital in India: An opportunity not missed
title_full Implementation of infection prevention and control practices in an upcoming COVID-19 hospital in India: An opportunity not missed
title_fullStr Implementation of infection prevention and control practices in an upcoming COVID-19 hospital in India: An opportunity not missed
title_full_unstemmed Implementation of infection prevention and control practices in an upcoming COVID-19 hospital in India: An opportunity not missed
title_short Implementation of infection prevention and control practices in an upcoming COVID-19 hospital in India: An opportunity not missed
title_sort implementation of infection prevention and control practices in an upcoming covid-19 hospital in india: an opportunity not missed
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9126379/
https://www.ncbi.nlm.nih.gov/pubmed/35604919
http://dx.doi.org/10.1371/journal.pone.0268071
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