The impact of


Journal

BMJ open
ISSN: 2044-6055
Titre abrégé: BMJ Open
Pays: England
ID NLM: 101552874

Informations de publication

Date de publication:
05 09 2019
Historique:
entrez: 8 9 2019
pubmed: 8 9 2019
medline: 10 10 2020
Statut: epublish

Résumé

To assess the impact of refresher training of healthcare workers (HCWs) in infection prevention and control (IPC), ensuring consistent adequate supplies and availability of IPC kits and carrying out weekly monitoring of IPC performance in healthcare facilities (HCFs) DESIGN: This was a before and after comparison study SETTINGS: This study was conducted from June to July 2018 during an Ebola virus disease (EVD) outbreak in Equateur Province in the Democratic Republic of the Congo (DRC). 48 HCFs INTERVENTIONS: HCWs capacity building in basic IPC, IPC kit donation and IPC mentoring. IPC score RESULTS: 48 HCFs were evaluated and 878 HCWs were trained, of whom 437 were women and 441 were men. The mean IPC score at baseline was modestly higher in hospitals (8%) compared with medical centres (4%) and health centres (4%), respectively. The mean IPC score at follow-up significantly increased to 50% in hospitals, 39% in medical centres and 36% in health centres (p value<0.001). The aggregate mean IPC score at baseline for all HCFs, combined was 4.41% and at follow-up it was 39.51% with a mean difference of 35.08% (p-value<0.001). Implementation of HCW capacity building in IPC, IPC kit donation to HCF and mentoring in IPC improved IPC compliance during the ninth EVD outbreak in the DRC.

Identifiants

pubmed: 31492782
pii: bmjopen-2019-029717
doi: 10.1136/bmjopen-2019-029717
pmc: PMC6731777
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e029717

Subventions

Organisme : World Health Organization
ID : 001
Pays : International

Informations de copyright

© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

Déclaration de conflit d'intérêts

Competing interests: None declared.

Références

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pubmed: 24672178
BMC Med. 2016 Jan 05;14:2
pubmed: 26732586
ACS Infect Dis. 2015 May 8;1(5):186-97
pubmed: 27622648
Biomed Res Int. 2016;2016:8054709
pubmed: 28018915
Public Health Action. 2017 Jun 21;7(Suppl 1):S1-S2
pubmed: 28744431
Public Health Action. 2017 Jun 21;7(Suppl 1):S94-S99
pubmed: 28744446
PLoS One. 2018 Feb 28;13(2):e0193291
pubmed: 29489885
F1000Res. 2019 Jun 6;8:792
pubmed: 31231516

Auteurs

Kevin Ousman (K)

World Health Organization Regional Office for Africa, Brazzaville, Congo ousmank@who.int.

Landry Kabego (L)

Infection Control Africa Network, Bukavu, Democratic Republic of the Congo.
Microbiology, Universite Catholique de Bukavu Faculte de Medecine, Bukavu, Democratic Republic of the Congo.

Ambrose Talisuna (A)

World Health Organization Regional Office for Africa, Brazzaville, Congo.

Janet Diaz (J)

World Health Organization, Geneva, Switzerland.

John Mbuyi (J)

Ministry of Health, Kinshasa, Democratic Republic of the Congo.

Bienvenu Houndjo (B)

World Health Organization Regional Office for Africa, Brazzaville, Congo.

Jean-Paul Ngandu (JP)

Ministry of Health, Kinshasa, Democratic Republic of the Congo.

Gaston Omba (G)

Ministry of Health, Kinshasa, Democratic Republic of the Congo.

Aaron Aruna (A)

Ministry of Health, Kinshasa, Democratic Republic of the Congo.

Mathias Mossoko (M)

Ministry of Health, Kinshasa, Democratic Republic of the Congo.

Mamadou Harouna Djingarey (MH)

World Health Organization Regional Office for Africa, Brazzaville, Congo.

Thierno Balde (T)

World Health Organization Regional Office for Africa, Brazzaville, Congo.

Patrick Abok (P)

World Health Organization Regional Office for Africa, Brazzaville, Congo.

Boubacar Diallo (B)

World Health Organization Regional Office for Africa, Brazzaville, Congo.

Delanyo Dovlo (D)

International Health System Services Expert, Accra, Ghana.

Michel Yao (M)

World Health Organization Regional Office for Africa, Brazzaville, Congo.

Anne Fortin (A)

World Health Organization, Geneva, Switzerland.

Pierre Formenty (P)

World Health Organization, Geneva, Switzerland.

Ibrahima Soce Fall (IS)

World Health Organization Regional Office for Africa, Brazzaville, Congo.

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Classifications MeSH