Healthcare workers' perceptions about infection prevention and control in Latin America.

Latin America healthcare workers infection prevention perceptions

Journal

American journal of infection control
ISSN: 1527-3296
Titre abrégé: Am J Infect Control
Pays: United States
ID NLM: 8004854

Informations de publication

Date de publication:
10 Oct 2024
Historique:
received: 27 08 2024
revised: 04 10 2024
accepted: 05 10 2024
medline: 13 10 2024
pubmed: 13 10 2024
entrez: 12 10 2024
Statut: aheadofprint

Résumé

Limited information exists regarding healthcare workers' (HCWs) perceptions about infection prevention and control (IPC) in Latin America. We conducted an electronic voluntary anonymous survey to assess HCWs' perceptions towards IPC in 30 hospitals in Latin America during August-September 2022. Nurses, physicians, and environmental cleaning (EVC) staff were prioritized for recruitment. Overall, 1,340 HCWs completed the survey. Of these, 28% were physicians, 49% nurses, 8% EVC staff, and 15% had "other" roles. Self-compliance with hand hygiene (HH) and prevention bundles was perceived to be high by 95% and 89% of respondents, respectively; however, ratings were lower when asked about compliance by their peers (reported as high by 81% and 75%, respectively). Regular training on IPC and access to healthcare-associated infections (HAI) rates were more limited among physicians than other HCWs (e.g., 87% of EVC staff and 45% of physicians reported training upon hiring and thereafter, 60% of nurses and 51% of physicians reported regular access to HAI rate reports). We identified several opportunities to strengthen IPC practices in Latin American hospitals, including improving HCW education and training on IPC and their awareness of HAI rates and compliance with prevention measures.

Sections du résumé

BACKGROUND BACKGROUND
Limited information exists regarding healthcare workers' (HCWs) perceptions about infection prevention and control (IPC) in Latin America.
METHODS METHODS
We conducted an electronic voluntary anonymous survey to assess HCWs' perceptions towards IPC in 30 hospitals in Latin America during August-September 2022. Nurses, physicians, and environmental cleaning (EVC) staff were prioritized for recruitment.
RESULTS RESULTS
Overall, 1,340 HCWs completed the survey. Of these, 28% were physicians, 49% nurses, 8% EVC staff, and 15% had "other" roles. Self-compliance with hand hygiene (HH) and prevention bundles was perceived to be high by 95% and 89% of respondents, respectively; however, ratings were lower when asked about compliance by their peers (reported as high by 81% and 75%, respectively). Regular training on IPC and access to healthcare-associated infections (HAI) rates were more limited among physicians than other HCWs (e.g., 87% of EVC staff and 45% of physicians reported training upon hiring and thereafter, 60% of nurses and 51% of physicians reported regular access to HAI rate reports).
CONCLUSIONS CONCLUSIONS
We identified several opportunities to strengthen IPC practices in Latin American hospitals, including improving HCW education and training on IPC and their awareness of HAI rates and compliance with prevention measures.

Identifiants

pubmed: 39395639
pii: S0196-6553(24)00757-0
doi: 10.1016/j.ajic.2024.10.004
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

Copyright © 2024. Published by Elsevier Inc.

Auteurs

Valeria Fabre (V)

Department of Medicine, Division of Infectious Diseases, Johns Hopkins University School of Medicine, Baltimore, MD. Electronic address: mfabre1@jhmi.edu.

Carolyn Herzig (C)

International Infection Control Branch, Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, GA.

Lucy Anchiraico Galarza (LA)

Clínica Universitaria Privada Reina Fabiola, Córdoba, Argentina.

Bowen Aquiles (B)

Hospital Sociedad de Lucha Contra el Cáncer, Guayaquil, Ecuador.

Ana Belen Arauz (AB)

Departamento de Medicina, Universidad de Panamá, Panama; Hospital Santo Tomas, Panama, Panama.

Maria Del Carmen Bangher (MDC)

Instituto de Cardiología de Corrientes "Juana Francisca Cabral", Corrientes.

Marisa L Bernan (ML)

Hospital Interzonal General de Agudos San Roque, Buenos Aires, Argentina.

Sol Burokas (S)

Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.

Iris L Cazali (IL)

Hospital Roosevelt, Guatemala, Guatemala.

Angel Colque (A)

Hospital Medico Policial Churruca Visca, Buenos Aires, Argentina.

Marisabel Comas (M)

Hospital El Cruce, Buenos Aires, Argentina.

Rosa Verónica Contreras (RV)

Hospital Dr. Marcial V. Quiroga, San Juan, Argentina.

Maria Gabriela Cordoba (MG)

Hospital Medico Policial Churruca Visca, Buenos Aires, Argentina.

Silvia Mabel Correa (SM)

Hospital Municipal de Trauma Dr. Federico Abete, Malvinas Argentinas, Argentina.

Gustavo Costilla Campero (GC)

Hospital Angel C. Padilla, Tucumán, Argentina.

Aura Chiroy (A)

Unidad De Cirugía Cardiovascular De Guatemala, Guatemala, Guatemala.

Gabriela De Ascencao (G)

Hospital Provincial de Rosario, Rosario, Argentina.

Carlos Cruz García (CC)

Hospital Sociedad de Lucha Contra el Cáncer, Guayaquil, Ecuador.

Cecilia Ezcurra (C)

Hospital Alemán, Buenos Aires, Argentina.

Leandro Falleroni (L)

Hospital Provincial de Rosario, Rosario, Argentina.

Johana Fernandez (J)

Hospital Dr. Guillermo Rawson, San Juan, Argentina.

Sandra Ferrari (S)

Hospital Dr. Guillermo Rawson, San Juan, Argentina.

Veronica Freire (V)

Hospital Nacional Profesor Alejandro Posadas, El Palomar, Argentina.

Maria Isabel Garzón (MI)

Hospital Universitario Privado de Cordoba, Cordoba, Argentina.

José Anel Gonzales (JA)

Hospital Irma de Lourdes Tzanetatos, Panama, Panama.

Lucrecia Guaymas (L)

Clinical Privada Provincial, Buenos Aires, Argentina.

Fausto Guerrero Topanta (FG)

Hospital Carlos Andrade Marín, Ecuador.

Sandra Lambert (S)

Hospital Dr. Marcial V. Quiroga, San Juan, Argentina.

Diego Laplume (D)

Hospital Nacional Profesor Alejandro Posadas, El Palomar, Argentina.

Paola Romina Lazarte (PR)

Maternidad Nuestra Señora De Las Mercedes De Tucumán, Tucumán, Argentina.

Herberth Maldonado (H)

Unidad De Cirugía Cardiovascular De Guatemala, Guatemala, Guatemala; Universidad del Valle, Guatemala, Guatemala.

Diego M Maurizi (DM)

Hospital Municipal de Agudos Dr. Leonidas Lucero, Bahía Blanca, Argentina.

Sandra Miriam Manami (SM)

Hospital Zonal General de Agudos Dr. Alberto Eurnekian, Buenos Aires, Argentina.

Florencia Mesplet (F)

Hospital Cesar Milstein, Buenos Aires, Argentina.

Cristina Moreno Izquierdo (CM)

Hospital Metropolitano, Quito, Ecuador.

Yanina Nuccetelli (Y)

Instituto de Diagnostico, La Plata, Argentina.

Argelis Olmedo (A)

Pacifica Salud, Hospital Punta Pacifica, Panamá, Panama.

Belén Palacio (B)

Sanatorio Allende Nueva Córdoba, Córdoba, Argentina.

Florencia Pellice (F)

Hospital Dr. Marcial V. Quiroga, San Juan, Argentina.

Carla Lorena Raffo (CL)

Hospital Municipal de Trauma Dr. Federico Abete, Malvinas Argentinas, Argentina.

Carolina Ramos (C)

Hospital Santo Tomas, Panama, Panama.

Fanny Reino (F)

Hospital Carlos Andrade Marín, Ecuador.

Viviana Rodriguez (V)

Hospital Alemán, Buenos Aires, Argentina.

Federico Romero (F)

Sanatorio Allende Nueva Córdoba, Córdoba, Argentina.

Juan José Romero (JJ)

Hospital Vozandes, Quito, Ecuador.

Graciela Sadino (G)

Clínica Universitaria Privada Reina Fabiola, Córdoba, Argentina.

Nancy Sandoval (N)

Hospital Roosevelt, Guatemala, Guatemala.

Ines Staneloni (I)

Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.

Mariana Suarez (M)

Hospital Interzonal General de Agudos San Roque, Buenos Aires, Argentina.

Maria Victoria Suayter (MV)

Hospital Universitario Privado de Cordoba, Cordoba, Argentina.

Maria Alejandra Ureña (MA)

Maternidad Nuestra Señora De Las Mercedes De Tucumán, Tucumán, Argentina.

Marisol Valle (M)

Hospital Municipal de Agudos Dr. Leonidas Lucero, Bahía Blanca, Argentina.

Silvia Vera Amate Perez (SVA)

Hospital Angel C. Padilla, Tucumán, Argentina.

Hugo Videla (H)

Pacifica Salud, Hospital Punta Pacifica, Panamá, Panama.

Silvina Villamandos (S)

Instituto de Cardiología de Corrientes "Juana Francisca Cabral", Corrientes.

Olmedo Villarreal (O)

Hospital Irma de Lourdes Tzanetatos, Panama, Panama.

Maria Alejandra Viteri (MA)

Hospital Cesar Milstein, Buenos Aires, Argentina.

Eduardo Warley (E)

Clinical Privada Provincial, Buenos Aires, Argentina.

Clare Rock (C)

Department of Medicine, Division of Infectious Diseases, Johns Hopkins University School of Medicine, Baltimore, MD.

Elizabeth Bancroft (E)

International Infection Control Branch, Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, GA.

Rodolfo E Quiros (RE)

Sanatorio Las Lomas, Buenos Aires, Argentina. Electronic address: quiros.re@gmail.com.

Classifications MeSH