Airborne Infection Control Practices in Homes for the Aged in the Context of Tuberculosis Elimination.
Journal
Indian journal of public health
ISSN: 0019-557X
Titre abrégé: Indian J Public Health
Pays: India
ID NLM: 0400673
Informations de publication
Date de publication:
01 Oct 2023
01 Oct 2023
Historique:
received:
09
07
2022
accepted:
13
10
2023
medline:
27
6
2024
pubmed:
27
6
2024
entrez:
27
6
2024
Statut:
ppublish
Résumé
National Strategic Plan to End tuberculosis (TB) in India 2020-2025 aims to prevent the emergence of TB in susceptible populations. Airborne infection control (AIC) practices in high-risk settings like homes for the aged (HFA) will be essential to achieve this. The objective is to assess the AIC practices (AICPs) in HFA in the Kollam district in Kerala, India. A mixed method approach was used. the study was done in five HFA s in a southern district of Kerala to find AICPs. Using purposive sampling, in-depth interviews was conducted among inmates with recent respiratory infection and administrators. Environmental measures were assessed using an observation checklist. Ventilation was inadequate in 25%-40% of HFA. Air change per hour and distance between beds were less. Very few inmates were aware of the need for proper ventilation and personal hygiene. Wearing masks and hand hygiene was not practiced. Administrators faced shortages of space, funds, and human resources for caring for hospitalized inmates, and psychiatric and terminally ill patients. There is a need to train the staff and inmates on AIC. Infrastructural improvements, like the use of partition screens in the short term and the creation of model airborne infection control HFA in the long run, with a collaborative effort from health professionals and architects, are needed for TB elimination efforts to succeed.
Sections du résumé
BACKGROUND
BACKGROUND
National Strategic Plan to End tuberculosis (TB) in India 2020-2025 aims to prevent the emergence of TB in susceptible populations. Airborne infection control (AIC) practices in high-risk settings like homes for the aged (HFA) will be essential to achieve this.
OBJECTIVE
OBJECTIVE
The objective is to assess the AIC practices (AICPs) in HFA in the Kollam district in Kerala, India.
MATERIALS AND METHODS
METHODS
A mixed method approach was used. the study was done in five HFA s in a southern district of Kerala to find AICPs. Using purposive sampling, in-depth interviews was conducted among inmates with recent respiratory infection and administrators. Environmental measures were assessed using an observation checklist.
RESULTS
RESULTS
Ventilation was inadequate in 25%-40% of HFA. Air change per hour and distance between beds were less. Very few inmates were aware of the need for proper ventilation and personal hygiene. Wearing masks and hand hygiene was not practiced. Administrators faced shortages of space, funds, and human resources for caring for hospitalized inmates, and psychiatric and terminally ill patients.
CONCLUSIONS
CONCLUSIONS
There is a need to train the staff and inmates on AIC. Infrastructural improvements, like the use of partition screens in the short term and the creation of model airborne infection control HFA in the long run, with a collaborative effort from health professionals and architects, are needed for TB elimination efforts to succeed.
Identifiants
pubmed: 38934828
doi: 10.4103/ijph.ijph_912_22
pii: 01586002-202367040-00024
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
606-611Informations de copyright
Copyright © 2023 Copyright: © 2023 Indian Journal of Public Health.
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