Infection prevention and control and related practices in African neonatal units : The Pan-African neonatal care assessment study (PANCAS)
Copyright © 2024 The Authors. Published by Elsevier GmbH.. All rights reserved..
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.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2024 |
|---|---|
| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:259 |
|---|---|
| Enthalten in: |
International journal of hygiene and environmental health - 259(2024) vom: 01. Apr., Seite 114357 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Frantzis, Irene [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
Africa |
|---|
| Anmerkungen: |
Date Revised 02.04.2024 published: Print-Electronic Citation Status Publisher |
|---|
| doi: |
10.1016/j.ijheh.2024.114357 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM370543181 |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM370543181 | ||
| 003 | DE-627 | ||
| 005 | 20240404000500.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 240404s2024 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1016/j.ijheh.2024.114357 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1363.xml |
| 035 | |a (DE-627)NLM370543181 | ||
| 035 | |a (NLM)38564877 | ||
| 035 | |a (PII)S1438-4639(24)00038-5 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Frantzis, Irene |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Infection prevention and control and related practices in African neonatal units |b The Pan-African neonatal care assessment study (PANCAS) |
| 264 | 1 | |c 2024 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Revised 02.04.2024 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status Publisher | ||
| 520 | |a Copyright © 2024 The Authors. Published by Elsevier GmbH.. All rights reserved. | ||
| 520 | |a 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 | ||
| 520 | |a 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 | ||
| 520 | |a 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 | ||
| 520 | |a 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 | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Africa | |
| 650 | 4 | |a Global health | |
| 650 | 4 | |a Infection prevention | |
| 650 | 4 | |a Neonates | |
| 650 | 4 | |a Newborns | |
| 700 | 1 | |a Levasseur, Stéphanie |e verfasserin |4 aut | |
| 700 | 1 | |a Huebner, Jack |e verfasserin |4 aut | |
| 700 | 1 | |a Mahida, Maitry |e verfasserin |4 aut | |
| 700 | 1 | |a Larussa, Philip |e verfasserin |4 aut | |
| 700 | 1 | |a James, Wilmot |e verfasserin |4 aut | |
| 700 | 1 | |a Abebe, Workeabeba |e verfasserin |4 aut | |
| 700 | 1 | |a Ngwenya, Crispen |e verfasserin |4 aut | |
| 700 | 1 | |a Mupere, Ezekiel |e verfasserin |4 aut | |
| 700 | 1 | |a Rosenthal, Susan L |e verfasserin |4 aut | |
| 700 | 1 | |a Patterson, Janna |e verfasserin |4 aut | |
| 700 | 1 | |a Johnson, Julia |e verfasserin |4 aut | |
| 700 | 1 | |a Strehlau, Renate |e verfasserin |4 aut | |
| 700 | 1 | |a Lulseged, Sileshi |e verfasserin |4 aut | |
| 700 | 1 | |a Stanberry, Lawrence R |e verfasserin |4 aut | |
| 700 | 1 | |a Saiman, Lisa |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t International journal of hygiene and environmental health |d 2000 |g 259(2024) vom: 01. Apr., Seite 114357 |w (DE-627)NLM108789403 |x 1618-131X |7 nnns |
| 773 | 1 | 8 | |g volume:259 |g year:2024 |g day:01 |g month:04 |g pages:114357 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1016/j.ijheh.2024.114357 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 259 |j 2024 |b 01 |c 04 |h 114357 | ||