Barriers to investigating and reporting nosocomial outbreaks to health authorities in São Paulo, Brazil: a mixed methods approach

Maciel, Amanda Luiz Pires; Carvalho, B. A. de; Timmons, Stephen; Padoveze, Maria Clara

doi:10.1016/j.jhin.2016.06.022

Cited by 6 publications

(4 citation statements)

References 15 publications

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“…The handful of studies from the region that have investigated reporting barriers and enablers at the local and subnational levels have largely corroborated the above findings; however, they have focused on specific countries or disease contexts [21][22][23]. Furthermore, none of these studies have examined in-depth whether reporting officials, including both public health officials and health care providers, have experienced pressures to not report for either political, security, or economic reasons, despite such pressures likely having played a role during previous outbreaks, including SARS and COVID-19 [24][25].…”

Section: Evidence Gapmentioning

confidence: 99%

Investigating the barriers and enablers to outbreak reporting in the Asia-Pacific region: a mixed-methods study protocol

Talwar,

Katz,

Kirk

et al. 2024

Preprint

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IntroductionThe COVID-19 pandemic has raised concerns about the global capacity for timely outbreak reporting. However, gaps remain in our understanding of barriers and enablers to outbreak reporting, particularly at the local level. Field epidemiology training program (FETP) fellows often participate in the outbreak reporting process as part of both their training and the public health roles they assume after graduating; they therefore represent a potentially valuable source of information for better understanding these barriers and enablers. This study will investigate the barriers and enablers to outbreak reporting through a mixed methods approach that will encompass a review of the existing literature as well as surveying and interviewing FETP trainees and graduates from the Asia-Pacific region.MethodsThis study will begin with a scoping review of the literature to identify existing evidence of barriers and enablers to outbreak reporting. Based on our findings from the scoping review, we will administer a survey to FETP trainees and graduates from the World Health Organization Western Pacific and South-East Asian Regions and conduct interviews with a subset of survey respondents to investigate the survey findings in more detail. We will summarise and compare the survey results according to various country-level economic and political indicators, and we will employ thematic analysis to evaluate the interview responses. Based on the findings from the scoping review, survey, and interviews, we will construct a model to comprehensively describe the various barriers and enablers to outbreak reporting.DiscussionThis study will contribute to our understanding of the determinants of outbreak reporting across several geographic, political, and economic contexts by eliciting the viewpoints and experiences of persons involved with outbreak reporting, particularly at the local level. This information will help improve the outbreak reporting process, allowing for more timely reporting and helping prevent future outbreaks from becoming pandemics.

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Section: Evidence Gapmentioning

confidence: 99%

Investigating the barriers and enablers to outbreak reporting in the Asia-Pacific region: a mixed-methods study protocol

Talwar,

Katz,

Kirk

et al. 2024

Preprint

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show abstract

“…Media coverage is a powerful tool, both for good and evil. For instance, media coverage is one of the reasons hospitals do not report outbreaks to health authorities [13]. Media can be used politically by opposition groups to demonstrate poor management of public hospitals and by lobby groups in defence of or against public or private services [14].…”

mentioning

confidence: 99%

What are the main drivers for public policies to prevent healthcare-associated infections?

Padoveze

Nogueira-Jr

Tanner

et al. 2019

Journal of Hospital Infection

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“…Yet, there is no ongoing education for healthcare workers related to the investigation or notification of outbreaks of multidrug-resistant bacteria. 8 This important subject is covered in this issue by Maciel et al 9 The authors describe barriers to investigating and reporting nosocomial outbreaks to health authorities in São Paulo, Brazil. In the area studied, the obstacles include difficulty in translating the knowledge gained from investigating the outbreak into practice, weaknesses in planning in the outbreak investigation process, and the organizational culture.…”

mentioning

confidence: 99%

“…In the reporting context, the barriers included lack of both awareness and autonomy in reporting outbreaks to public health authorities. 9 A multi-centre antimicrobial resistance surveillance study investigated colistin resistance between 2000 and 2016 in Brazil. A total of 4620 Enterobacteriaceae isolates were collected, and it was determined that the mcr-1 gene-harbouring strain of Escherichia coli has been occurring in food-producing animals since 2012, including colistin-susceptible isolates.…”

mentioning

confidence: 99%

Nosocomial outbreaks in Brazil: can they be controlled?

Tognim

Cardoso

2016

Journal of Hospital Infection

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Barriers to investigating and reporting nosocomial outbreaks to health authorities in São Paulo, Brazil: a mixed methods approach

Cited by 6 publications

References 15 publications

Investigating the barriers and enablers to outbreak reporting in the Asia-Pacific region: a mixed-methods study protocol

Investigating the barriers and enablers to outbreak reporting in the Asia-Pacific region: a mixed-methods study protocol

What are the main drivers for public policies to prevent healthcare-associated infections?

Nosocomial outbreaks in Brazil: can they be controlled?

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