RESPONSE TO THE COVID-19 OUTBREAK: LESSONS FROM A TERTIARY HEALTHCARE FACILITY IN SOUTHWEST NIGERIA.

Annals of Ibadan postgraduate medicine Pub Date : 2023-12-01 Epub Date: 2024-01-30
K Osungbade, O Ilesanmi, R Oladokun, O Adekanmbi, U Eze, A Afolabi, A Adetunji, K Kuti, K Ojifinni, O Olopha, H Dada-Adegbola, A Fowotade, A Adebiyi, T Oladipo, V Akinmoladun, J Otegbayo
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Abstract

Background: Mitigating the risk of nosocomial infection is one of the core functions of healthcare managers in hospital environments. This study aimed to describe the COVID-19 outbreak response in a tertiary healthcare facility in Nigeria.

Methods: A qualitative cross-sectional study was conducted among representatives of Heads of Infection Control Committees and units, the Accident and Emergency unit, Family Medicine unit, and Private Suites on the COVID-19 outbreak response at the University College Hospital, Ibadan, Nigeria. Data were analyzed using Colaizzi's phenomenological method.

Results: Overall, seven (six physicians and one nurse) HCWs were interviewed; six (71.4%) males and two (28.6%) females. The average age of the key informants was 45 ± 4.73 years. Four themes were identified. Theme one "Essentials of screening protocol and screening area" described the development of screening protocol, and dedication of a triage area. Theme two "Infection prevention and control within consultation premises" detailed adequate spacing; hand hygiene, use of personal protective equipment; environmental sanitation; and waste management. Theme three "Mounting up surveillance in the response activity" specified communication with the Disease Surveillance Unit; and surveillance activities. Theme four "Training and psychosocial support for staff " described staff training, and provision of psychosocial care to infected staff.

Conclusion: The COVID-19 outbreak measures implemented by the management of the University College Hospital, Ibadan were aimed at ensuring that the hospital does not get overwhelmed by the surge in COVID-19 cases. In order to improve outbreak response in hospital settings, it is important to undertake training, modify hospital practices, and evaluate implemented measures.

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应对科维德-19疫情:尼日利亚西南部一家三级医疗机构的经验教训。
背景:降低院内感染风险是医院环境中医疗管理人员的核心职能之一。本研究旨在描述尼日利亚一家三级医疗机构应对 COVID-19 爆发的情况:在尼日利亚伊巴丹大学学院医院的感染控制委员会和科室负责人、急诊科、家庭医学科和私人病房的代表中就 COVID-19 的爆发应对措施进行了定性横断面研究。采用科莱兹现象学方法对数据进行了分析:共有七名(六名医生和一名护士)医护人员接受了访谈,其中六名(71.4%)为男性,两名(28.6%)为女性。主要信息提供者的平均年龄为 45 ± 4.73 岁。共确定了四个主题。主题一 "筛查方案和筛查区的基本要素 "描述了筛查方案的制定和分流区的设置。主题二 "诊疗场所内的感染预防和控制 "详细介绍了适当的间距、手部卫生、个人防护设备的使用、环境卫生和废物管理。主题三 "在应对活动中加强监测 "详细说明了与疾病监测单位的沟通以及监测活动。主题四 "员工培训和社会心理支持 "介绍了员工培训以及为受感染员工提供的社会心理护理:伊巴丹大学学院医院管理层实施的 COVID-19 疫情应对措施旨在确保医院不会因 COVID-19 病例激增而不堪重负。为了改进医院的疫情应对措施,必须开展培训、修改医院做法并对已实施的措施进行评估。
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