Self-reported survey on infection prevention and control structures in healthcare facilities part of a national level healthcare associated infection surveillance network in India, 2019

Katoch, Omika; Katyal, Sonal; Srivastav, Sharad; Rodrigues, Camilla; Rupali, Priscilla; Chakrabarti, Arunaloke; Ray, Pallab; Tak, Vibhor; Biswal, Manisha; Nath, Reema; Mukhopadhyay, Chiranjay; Bhattacharya, Sanjay; Padmaja, Kanne; Deotale, Vijayshri; Venkatesh, Vimala; Wattal, Chand; Thirunarayan, M A; Nag, Vijaya Lakshmi; Raja, R.; Behera, Bijayini; Baveja, Sujata; Karuna, Tadepalli; Singh, Sanjeev; Fomda, Bashir Ahmad; Devi, S.K Sinha and N. Meena; Das, Padma; Khandelwal, Neeta; Verma, Prachi; Gaind, Rajni; Bhattacharyya, Prithwis; Kumar, Puneet; Srivastava, Ashutosh; Iravane, Jyoti; Majumdar, Tapan; Sharma, Rameshwar K.; Sankara, Dhanapaul; Eshwara, Vandana Kalwaje; Varma, Muralidhar; Nazir, Shaista; Tripathy, Swagata; Mishra, Saumya; Dey, Anupam; Thangavelu, Premkumar; Kapoor, Lata; Malhotra, Rajesh; Walia, Kāmini; Guleria, Randeep; Mathur, Purva

doi:10.1016/j.ajic.2021.09.019

Cited by 10 publications

(11 citation statements)

References 17 publications

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“…In contrast, our result lags far behind those of European, American and Asian countries [15,19,23,24]. In neighboring Ghana, a study involving 56 surveyed facilities found that 19 had an IPC program with clearly de ned objectives.…”

Section: Discussioncontrasting

confidence: 68%

“…Developed countries have implemented key aspects of the IPC program and have achieved good levels of implementation through mostly advanced practices [23,24]. These results can be explained by the contribution of existing legislation, the strong involvement of policy makers, and the implementation of the IPC budget [19].…”

Section: Discussionmentioning

confidence: 99%

“…in 56 Ghanaian acute care hospitals [16]. IPC guideline components were low in 32 hospitals in the Indian Healthcare Associated Infection Surveillance Network [24]. The individual score for the component "monitoring/auditing of practices and IPC feedback" was lowest in 11 health facilities in eastern China [15].…”

Section: Discussionmentioning

confidence: 99%

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Evaluation of the implementation of hospital hygiene components in 30 health-care facilities in the Autonomous District of Abidjan (Cote d'Ivoire) with the WHO Infection Prevention and Control Assessment Framework (IPCAF)

Cissé¹,

Essis²,

Koné³

et al. 2022

Preprint

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Introduction As part of the implementation of its mission "to integrate hygiene activities into health-care", the general directorate of health conducted in 2018 with its technical structures, an evaluation of the implementation of Infection Prevention and Control (IPC) using the WHO IPCAF tool in 30 health-care facilities in the autonomous district of Abidjan. Material and methods This was a cross-sectional survey with a conceptualized component considering the issue of injection safety and sanitary waste management, which was conducted in the named health-care facilities from March 20 to 28, 2018. The scores of the essential components of the IPC made it possible to assess the IPC level of each health-care facility evaluated and the overall IPCAF score of all facilities. Results The overall median IPCAF score of the health-care facilities was 242.5/800 and corresponded to an inadequate level overall. No facility reached the "advanced" level of performance, 5 facilities (17%) reached the "intermediate" level, 10 (33%) fell into the "basic" level, and 15 (50%) were at the "inadequate" level. Baseline institutions had much higher scores than first contact institutions. Conclusion IPC component activities were inadequate and fragmented in the under-resourced health facilities at the time of the assessment. It would be appropriate to provide adequate resources and develop expertise in IPC through strong political will and leadership. This will contribute to the achievement of universal health insurance objectives with safe health services for patients.

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Section: Discussioncontrasting

confidence: 68%

Section: Discussionmentioning

confidence: 99%

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Evaluation of the implementation of hospital hygiene components in 30 health-care facilities in the Autonomous District of Abidjan (Cote d'Ivoire) with the WHO Infection Prevention and Control Assessment Framework (IPCAF)

Cissé¹,

Essis²,

Koné³

et al. 2022

Preprint

View full text Add to dashboard Cite

show abstract

“…Developed countries have implemented key aspects of the IPC program and have achieved good levels of implementation through mostly advanced practices [23,24]. These results can be explained by the contribution of existing legislation the strong involvement of policy makers, the implementation of IPC budget [19].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the implementation of hospital hygiene components in 30 health-care facilities in the Autonomous District of Abidjan (Cote d'Ivoire) with the WHO Infection Prevention and Control Assessment Framework (IPCAF)

Cissé¹,

Essis²,

Koné³

et al. 2022

Preprint

View full text Add to dashboard Cite

Introduction: As part of the implementation of its mission "to integrate hygiene activities into health-care", the general directorate of health conducted in 2018 with its technical structures, an evaluation of the implementation of Infection Prevention and Control (IPC) using the WHO IPCAF tool in 30 health-care facilities in the autonomous district of Abidjan. Material and methods: This were a cross-sectional survey with a conceptualized component considering the issue of injection safety and sanitary waste management, which was conducted in the named health-care facilities from March 20 to 28, 2018. The scores of the essential components of the IPC made it possible to assess the IPC level of each health-care facility evaluated and the overall IPCAF score of all facilities. Results: The overall median IPCAF score of the health-care facilities was 242.5 / 800 and corresponded to an inadequate level overall. No facility reached the "advanced" level of performance, 5 facilities (17%) reached the "intermediate" level, 10 (33%) fell into the "basic" level, and 15 (50%) were at the "inadequate" level. Baseline institutions had much higher scores than first contact institutions. Conclusion: IPC component activities were inadequate and fragmented in the under-resourced health facilities at the time of the assessment. It would be appropriate to provide adequate resources and develop expertise in IPC through strong political will and leadership. This will contribute to the achievement of Universal Health Insurance objectives with safe health services for patients.

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“…Apart from hand hygiene, cleaning, disinfection, and sterilization, unique infection control practices (indoor air quality, transmission‐based precautions) in transplant units are crucial components for patient safety and good outcomes. In a survey done by Katoch et al., 11 which included 32 tertiary care public and private facilities, 13% of hospitals had basic infection control and prevention (IPC) practices, 28% hospitals had intermediate, and 59% hospitals had advanced IPC practices. In another survey done by Gupta et al., over 50% of centers had limited coordination of hospital infection control personnel with other support services, 53% of centers had relative infrequency of antibiotic guidelines, and only 33% underwent prescribing audits 12 …”

Section: Challengesmentioning

confidence: 99%

Challenges in implementing antimicrobial stewardship (AMS) in organ transplant centers in India

Ghafur

Bansal

2022

Transplant Infectious Dis

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Introduction We, in India, have unique challenges in implementing antimicrobial stewardship (AMS) in our institutions, especially the transplant settings. Identifying challenges, addressing them, and finding innovative solutions to these are the need of the hour. Challenges Several challenges in India exists, which hamper implementation of effective AMS like lack of adequately trained personnel (infectious diseases [ID] physicians and clinical pharmacists), missing opportunities of AMS during the timeline, and lack of India‐specific outcome measures for AMS programme. Solutions Finding local solutions can make our AMS implementation more effective. Numbers of ID physicians are increasing (24 in 2011 to >300 in 2020), and we expect the specialty to grow more and make rapid progress in AMS. We propose that cost savings and overall improvement in clinical outcome to be included in outcomes measures, rather than rates of C. difficle infection. Effective implementations of National Medical Commission mandatory AMS training regulation are few such steps that can fill the gaps. Conclusion Antimicrobial stewardship programs is one of the several components of tackling the antimicrobial resistance‐related negative consequences in transplant patients. Transplant physicians, surgeons, and institutions should understand the bigger picture and strive hard to convince the policymakers to act for the benefit of the transplant recipients and the transplant programs across the country.

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Self-reported survey on infection prevention and control structures in healthcare facilities part of a national level healthcare associated infection surveillance network in India, 2019

Cited by 10 publications

References 17 publications

Evaluation of the implementation of hospital hygiene components in 30 health-care facilities in the Autonomous District of Abidjan (Cote d'Ivoire) with the WHO Infection Prevention and Control Assessment Framework (IPCAF)

Evaluation of the implementation of hospital hygiene components in 30 health-care facilities in the Autonomous District of Abidjan (Cote d'Ivoire) with the WHO Infection Prevention and Control Assessment Framework (IPCAF)

Evaluation of the implementation of hospital hygiene components in 30 health-care facilities in the Autonomous District of Abidjan (Cote d'Ivoire) with the WHO Infection Prevention and Control Assessment Framework (IPCAF)

Challenges in implementing antimicrobial stewardship (AMS) in organ transplant centers in India

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