Bureau de Pays de l'Organisation Mondiale de la Santé pour la Guinée, Immeuble BAH, Quartier Cameroun, BP: 817, Conakry, Guinea.
Public Health Agency of Canada, 130 Colonnade Road, A.L. 6501H, Ottawa, K1A 0K9, Ontario, Canada.
BMC Public Health. 2018 Apr 24;18(1):547. doi: 10.1186/s12889-018-5444-3.
In 2014-2016, West Africa faced the most deadly Ebola Virus Disease (EVD) outbreak in history. A key strategy to overcome this outbreak was continual staff training in Infection Prevention and Control (IPC), with a focus on Ebola. This research aimed to evaluate the impact of IPC training and the quality of IPC performance in health care facilities of one municipality of Conakry, Guinea.
This study was conducted in February 2016. All health facilities within Ratoma municipality, Conakry, Guinea, were evaluated based on IPC performance standards developed by the Guinean Ministry of Health. The IPC performance of healthcare facilities was categorised into high or low IPC scores based on the median IPC score of the sample. The Mantel-Haenzsel method and logistic regression were used for statistical analysis.
Twenty-five percent of health centres had one IPC-trained worker, 53% had at least two IPC-trained workers, and 22% of health centres had no IPC-trained workers. An IPC score above median was positively associated with the number of trained staff; health centres with two or more IPC-trained workers were eight times as likely to have an IPC score above median, while those with one IPC-trained worker were four times as likely, compared to centres with no trained workers. Health centres that implemented IPC cascade training to untrained medical staff were five times as likely to have an IPC score above median.
This research highlights the importance of training healthcare staff in IPC and organising regular cascade trainings. IPC strategies implemented during the outbreak should continue to be reinforced for the better health of patients and medical staff, and be considered a key factor in any outbreak response.
2014 年至 2016 年，西非爆发了历史上最致命的埃博拉病毒病（EVD）疫情。克服这一疫情的关键策略是持续对感染预防和控制（IPC）进行员工培训，重点是埃博拉病毒。本研究旨在评估IPC 培训的效果以及IPC 在几内亚科纳克里 Ratoma 市一个市立医疗设施中的实施质量。
本研究于 2016 年 2 月进行。根据几内亚卫生部制定的 IPC 绩效标准，对 Ratoma 市所有卫生设施进行了评估。根据样本的 IPC 中位数，将医疗机构的 IPC 绩效分为高或低 IPC 评分。采用 Mantel-Haenzsel 法和逻辑回归进行统计分析。
25%的卫生中心有一名接受过 IPC 培训的工作人员，53%的卫生中心有至少两名接受过 IPC 培训的工作人员，22%的卫生中心没有接受过 IPC 培训的工作人员。IPC 得分高于中位数与受过培训的员工人数呈正相关；IPC 得分高于中位数的可能性是拥有两名或更多 IPC 培训员工的卫生中心的八倍，是拥有一名 IPC 培训员工的卫生中心的四倍，而没有培训员工的卫生中心的可能性则更低。对未接受过 IPC 培训的医务人员实施 IPC 级联培训的卫生中心，IPC 得分高于中位数的可能性是未实施的五倍。
本研究强调了培训医疗保健人员进行 IPC 和组织定期级联培训的重要性。在疫情期间实施的 IPC 策略应继续加强，以保障患者和医务人员的健康，并将其视为任何疫情应对的关键因素。
