非洲新生儿病房的感染预防和控制及相关实践:泛非新生儿护理评估研究(PANCAS)

IF 4.5 2区 医学 Q1 INFECTIOUS DISEASES International journal of hygiene and environmental health Pub Date : 2024-04-01 DOI:10.1016/j.ijheh.2024.114357
Irene Frantzis , Stéphanie Levasseur , Jack Huebner , Maitry Mahida , Philip Larussa , Wilmot James , Workeabeba Abebe , Crispen Ngwenya , Ezekiel Mupere , Susan L. Rosenthal , Janna Patterson , Julia Johnson , Renate Strehlau , Sileshi Lulseged , Lawrence R. Stanberry , Lisa Saiman
{"title":"非洲新生儿病房的感染预防和控制及相关实践:泛非新生儿护理评估研究(PANCAS)","authors":"Irene Frantzis ,&nbsp;Stéphanie Levasseur ,&nbsp;Jack Huebner ,&nbsp;Maitry Mahida ,&nbsp;Philip Larussa ,&nbsp;Wilmot James ,&nbsp;Workeabeba Abebe ,&nbsp;Crispen Ngwenya ,&nbsp;Ezekiel Mupere ,&nbsp;Susan L. Rosenthal ,&nbsp;Janna Patterson ,&nbsp;Julia Johnson ,&nbsp;Renate Strehlau ,&nbsp;Sileshi Lulseged ,&nbsp;Lawrence R. Stanberry ,&nbsp;Lisa Saiman","doi":"10.1016/j.ijheh.2024.114357","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>The burden of neonatal mortality is primarily borne by low- and middle-income countries (LMICs), including deaths due to healthcare-associated infections (HAIs). Few studies have assessed infection prevention and control (IP&amp;C) practices in African units caring for small and/or sick newborns aimed to reduce HAIs.</p></div><div><h3>Methods</h3><p>We performed a mixed-methods study composed of a survey and virtual tour to assess IP&amp;C and related practices. We created a survey composed of multiple-choice and open-ended questions delivered to site respondents via Zoom or video equivalent. Respondents provided a virtual tour of their unit via video and the study team used a checklist to evaluate specific practices.</p></div><div><h3>Results</h3><p>We recruited 45 units caring for small and sick newborns in 20 African countries. Opportunities to optimize hand hygiene, Water, Sanitation and Hygiene (WASH) practices, Kangaroo Mother Care, and IP&amp;C training were noted. The virtual tour offered further understanding of IP&amp;C challenges unique to individual sites. All respondents expressed the need for additional space, equipment, supplies, education, and IP&amp;C staff and emphasized that attention to maternal comfort was important to IP&amp;C success.</p></div><div><h3>Discussion</h3><p>This study identified opportunities to improve IP&amp;C practices using low-cost measures including further education and peer support through learning collaboratives. Virtual tours can be used to provide site-specific assessment and feedback from peers, IP&amp;C specialists and environmental engineering experts.</p></div>","PeriodicalId":13994,"journal":{"name":"International journal of hygiene and environmental health","volume":"259 ","pages":"Article 114357"},"PeriodicalIF":4.5000,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1438463924000385/pdfft?md5=3c923e5d8b746129147f3f96fbd6d647&pid=1-s2.0-S1438463924000385-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Infection prevention and control and related practices in African neonatal units: The Pan-African neonatal care assessment study (PANCAS)\",\"authors\":\"Irene Frantzis ,&nbsp;Stéphanie Levasseur ,&nbsp;Jack Huebner ,&nbsp;Maitry Mahida ,&nbsp;Philip Larussa ,&nbsp;Wilmot James ,&nbsp;Workeabeba Abebe ,&nbsp;Crispen Ngwenya ,&nbsp;Ezekiel Mupere ,&nbsp;Susan L. Rosenthal ,&nbsp;Janna Patterson ,&nbsp;Julia Johnson ,&nbsp;Renate Strehlau ,&nbsp;Sileshi Lulseged ,&nbsp;Lawrence R. Stanberry ,&nbsp;Lisa Saiman\",\"doi\":\"10.1016/j.ijheh.2024.114357\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>The burden of neonatal mortality is primarily borne by low- and middle-income countries (LMICs), including deaths due to healthcare-associated infections (HAIs). Few studies have assessed infection prevention and control (IP&amp;C) practices in African units caring for small and/or sick newborns aimed to reduce HAIs.</p></div><div><h3>Methods</h3><p>We performed a mixed-methods study composed of a survey and virtual tour to assess IP&amp;C and related practices. We created a survey composed of multiple-choice and open-ended questions delivered to site respondents via Zoom or video equivalent. Respondents provided a virtual tour of their unit via video and the study team used a checklist to evaluate specific practices.</p></div><div><h3>Results</h3><p>We recruited 45 units caring for small and sick newborns in 20 African countries. Opportunities to optimize hand hygiene, Water, Sanitation and Hygiene (WASH) practices, Kangaroo Mother Care, and IP&amp;C training were noted. The virtual tour offered further understanding of IP&amp;C challenges unique to individual sites. All respondents expressed the need for additional space, equipment, supplies, education, and IP&amp;C staff and emphasized that attention to maternal comfort was important to IP&amp;C success.</p></div><div><h3>Discussion</h3><p>This study identified opportunities to improve IP&amp;C practices using low-cost measures including further education and peer support through learning collaboratives. Virtual tours can be used to provide site-specific assessment and feedback from peers, IP&amp;C specialists and environmental engineering experts.</p></div>\",\"PeriodicalId\":13994,\"journal\":{\"name\":\"International journal of hygiene and environmental health\",\"volume\":\"259 \",\"pages\":\"Article 114357\"},\"PeriodicalIF\":4.5000,\"publicationDate\":\"2024-04-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S1438463924000385/pdfft?md5=3c923e5d8b746129147f3f96fbd6d647&pid=1-s2.0-S1438463924000385-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International journal of hygiene and environmental health\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1438463924000385\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"INFECTIOUS DISEASES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International journal of hygiene and environmental health","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1438463924000385","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"INFECTIOUS DISEASES","Score":null,"Total":0}
引用次数: 0

摘要

背景新生儿死亡负担主要由中低收入国家(LMICs)承担,其中包括因医疗相关感染(HAIs)导致的死亡。我们开展了一项由调查和虚拟参观组成的混合方法研究,以评估 IP&C 和相关实践。我们制作了一份由多项选择题和开放式问题组成的调查问卷,通过 Zoom 或同等视频方式发送给现场受访者。受访者通过视频对其所在单位进行了虚拟参观,研究小组使用核对表对具体做法进行了评估。我们注意到了优化手部卫生、水、环境卫生和个人卫生(WASH)实践、袋鼠妈妈护理以及 IP&C 培训的机会。通过虚拟参观,进一步了解了各个地点所面临的 IP&C 挑战。所有受访者都表示需要更多的空间、设备、用品、教育和 IP&C 人员,并强调关注产妇的舒适度对 IP&C 的成功非常重要。讨论这项研究发现了利用低成本措施改善 IP&C 实践的机会,包括通过学习合作开展进一步的教育和同伴支持。虚拟参观可用于提供针对具体地点的评估以及来自同行、IP&C 专家和环境工程专家的反馈。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
Infection prevention and control and related practices in African neonatal units: The Pan-African neonatal care assessment study (PANCAS)

Background

The burden of neonatal mortality is primarily borne by low- and middle-income countries (LMICs), including deaths due to healthcare-associated infections (HAIs). Few studies have assessed infection prevention and control (IP&C) practices in African units caring for small and/or sick newborns aimed to reduce HAIs.

Methods

We performed a mixed-methods study composed of a survey and virtual tour to assess IP&C and related practices. We created a survey composed of multiple-choice and open-ended questions delivered to site respondents via Zoom or video equivalent. Respondents provided a virtual tour of their unit via video and the study team used a checklist to evaluate specific practices.

Results

We recruited 45 units caring for small and sick newborns in 20 African countries. Opportunities to optimize hand hygiene, Water, Sanitation and Hygiene (WASH) practices, Kangaroo Mother Care, and IP&C training were noted. The virtual tour offered further understanding of IP&C challenges unique to individual sites. All respondents expressed the need for additional space, equipment, supplies, education, and IP&C staff and emphasized that attention to maternal comfort was important to IP&C success.

Discussion

This study identified opportunities to improve IP&C practices using low-cost measures including further education and peer support through learning collaboratives. Virtual tours can be used to provide site-specific assessment and feedback from peers, IP&C specialists and environmental engineering experts.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
CiteScore
11.50
自引率
5.00%
发文量
151
审稿时长
22 days
期刊介绍: The International Journal of Hygiene and Environmental Health serves as a multidisciplinary forum for original reports on exposure assessment and the reactions to and consequences of human exposure to the biological, chemical, and physical environment. Research reports, short communications, reviews, scientific comments, technical notes, and editorials will be peer-reviewed before acceptance for publication. Priority will be given to articles on epidemiological aspects of environmental toxicology, health risk assessments, susceptible (sub) populations, sanitation and clean water, human biomonitoring, environmental medicine, and public health aspects of exposure-related outcomes.
期刊最新文献
Human biomonitoring health-based guidance values: A case study of the HB2GV Dashboard and DEHP Association between chronic long-term exposure to airborne dioxins and breast cancer Environmental exposures and fecundability: The Norwegian Mother, Father, and Child Cohort study Wastewater surveillance of Candida auris in Baltimore Influence of exposure to endocrine disruptors and other environmental chemicals on breast development in girls: A systematic review of human studies
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1