Nosocomial Infections in Tbilisi, Georgia: A Retrospective Study of Microbiological Data from 4 Major Tertiary Care Hospitals

Kandelaki, George; Butsashvili, Maia; Geleishvili, Mariam; Avaliani, Nato; Macharashvili, Nino; Topuridze, Marina; Rı́o, Carlos del; Blumberg, Henry M.; Tsertsvadze, Tengiz

doi:10.1086/661788

Cited by 3 publications

(2 citation statements)

References 8 publications

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“…While HAI data in Georgia are limited, studies suggest transmission of HAIs is an important problem [ 7 , 14 , 16 ]. Georgia has a high prevalence of hepatitis C virus (HCV) infection associated with healthcare exposures due to inadequate infection control [ 11 , 23 ].…”

Section: Introductionmentioning

confidence: 99%

Core components of infection prevention and control programs at the facility level in Georgia: key challenges and opportunities

Deryabina¹,

Lyman

Yee

et al. 2021

Antimicrob Resist Infect Control

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Background The Georgia Ministry of Labor, Health, and Social Affairs is working to strengthen its Infection Prevention and Control (IPC) Program, but until recently has lacked an assessment of performance gaps and implementation challenges faced by hospital staff. Methods In 2018, health care hospitals were assessed using a World Health Organization (WHO) adapted tool aimed at implementing the WHO’s IPC Core Components. The study included site assessments at 41 of Georgia’s 273 hospitals, followed by structured interviews with 109 hospital staff, validation observations of IPC practices, and follow up document reviews. Results IPC programs for all hospitals were not comprehensive, with many lacking defined objectives, workplans, targets, and budget. All hospitals had at least one dedicated IPC staff member, 66% of hospitals had IPC staff with some formal IPC training; 78% of hospitals had IPC guidelines; and 55% had facility-specific standard operating procedures. None of the hospitals conducted structured monitoring of IPC compliance and only 44% of hospitals used IPC monitoring results to make unit/facility-specific IPC improvement plans. 54% of hospitals had clearly defined priority healthcare-associated infections (HAIs), standard case definitions and data collection methods in their HAI surveillance systems. 85% hospitals had access to a microbiology laboratory. All reported having posters or other tools to promote hand hygiene, 29% had them for injection safety. 68% of hospitals had functioning hand-hygiene stations available at all points of care. 88% had single patient isolation rooms; 15% also had rooms for cohorting patients. 71% reported having appropriate waste management system. Conclusions Among the recommended WHO IPC core components, existing programs, infrastructure, IPC staffing, workload and supplies present within Georgian healthcare hospitals should allow for implementation of effective IPC. Development and dissemination of IPC Guidelines, implementation of an effective IPC training system and systematic monitoring of IPC practices will be an important first step towards implementing targeted IPC improvement plans in hospitals.

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Section: Introductionmentioning

confidence: 99%

Core components of infection prevention and control programs at the facility level in Georgia: key challenges and opportunities

Deryabina¹,

Lyman

Yee

et al. 2021

Antimicrob Resist Infect Control

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“…IC programs and nosocomial infection surveillances are implemented at a small scale in healthcare facilities [35]. Compliance is monitored and regulations are enforced by the Agency for State Regulation of Medical Activities.…”

Section: Georgiamentioning

confidence: 99%

Large-scale hepatitis C combating campaigns in Egypt and Georgia; past, current and future challenges

Amer

2018

J Infect Dev Ctries

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Hepatitis C virus (HCV) infection is a major worldwide problem which should be adequately combated. This review summarizes two successful model programs to eradicate Hepatitis C in two countries; Egypt and Georgia. Egypt tops the list of nations affected by HCV, and Georgia is ranked among other countries with huge HCV burden. Currently, both countries are on their ambitious way to making history and completely eliminate Hepatitis C virus infections. The first comprehensive approach to reduce the burden of hepatitis C and associated diseases in Egypt was achievable with the formulation of the National Committee for Control of Viral Hepatitis (NCCVH) in 2006. Assisted by international and national stalk holders, Georgia started its nation- wide HCV fighting program in 2015. Elements of programs mostly addressed in both countries included simplifying and improving access to the package of diagnosis and care- providing effective, affordable or free of charge treatment- issuing, applying and regularly updating practice guidelines- improving surveillance, monitoring, and research focusing specifically on the risky groups- emphasizing infection control (IC) - encouraging patient and community engagement and increasing public and political commitment. Interventions are still going on to eradicate HCV infection in Egypt by 2030 and in Georgia by 2020. Lessons gained from this program can educate comparable activities in different nations and help control the worldwide epidemic of viral hepatitis.

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Knowledge of healthcare-associated infection management among emergency care nurses

ვერულავა

Jorbenadze²,

Ghonghadze

2022

British Journal of Healthcare Management

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Background/Aims In developing countries, healthcare-associated infections are a major problem. Nurses play a pivotal role in preventing these infections. The aim of this study was to assess emergency care nurses' knowledge regarding the management of healthcare-associated infections in Georgia. Methods A descriptive, cross-sectional study was conducted. A self-administered questionnaire was sent to 150 nurses, who were chosen through randomised selection. Participants rated their agreement to statements regarding infection prevention and management using a 5-point Likert scale. Associations between variables were assessed using a Chi-square test. Results Most of the nurses had adequate knowledge regarding the management of healthcare-associated infections, but their practice to reduce the spread of infection was not at a satisfactory level. There was a significant relationship between work experience and knowledge about healthcare-associated infection management, including attendance at training courses (P<0.05). However, only 53.7% of participants reported taking recommendations to reduce the incidence of healthcare-associated infections into account, and only 54.5% practiced hand hygiene after touching the patient. Conclusions Adequate education in healthcare-associated infection management and prevention is essential for healthcare workers. The majority of participants had sufficient knowledge of healthcare-associated infection management measures, but needed further improvement through regular educational programmes and implementation of infection management practices to maximise quality of care.

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Nosocomial Infections in Tbilisi, Georgia: A Retrospective Study of Microbiological Data from 4 Major Tertiary Care Hospitals

Cited by 3 publications

References 8 publications

Core components of infection prevention and control programs at the facility level in Georgia: key challenges and opportunities

Core components of infection prevention and control programs at the facility level in Georgia: key challenges and opportunities

Large-scale hepatitis C combating campaigns in Egypt and Georgia; past, current and future challenges

Knowledge of healthcare-associated infection management among emergency care nurses

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