Opollo Marc Sam, Otim Tom Charles, Kizito Walter, Thekkur Pruthu, Kumar Ajay M V, Kitutu Freddy Eric, Kisame Rogers, Zolfo Maria
Department of Public Health, Faculty of Health Sciences, Lira University, 1035 Lira, Uganda.
Médecins Sans Frontières, MSF-B, 1050 Brussels, Belgium.
Trop Med Infect Dis. 2021 May 1;6(2):69. doi: 10.3390/tropicalmed6020069.
Globally, 5-15% of hospitalized patients acquire infections (often caused by antimicrobial-resistant microbes) due to inadequate infection prevention and control (IPC) measures. We used the World Health Organization's (WHO) 'Infection Prevention and Control Assessment Framework' (IPCAF) tool to assess the IPC compliance at Lira University hospital (LUH), a teaching hospital in Uganda. We also characterized challenges in completing the tool. This was a hospital-based, cross-sectional study conducted in November 2020. The IPC focal person at LUH completed the WHO IPCAF tool. Responses were validated, scored, and interpreted per WHO guidelines. The overall IPC compliance score at LUH was 225/800 (28.5%), implying a basic IPC compliance level. There was no IPC committee, no IPC team, and no budgets. Training was rarely or never conducted. There was no surveillance system and no monitoring/audit of IPC activities. Bed capacity, water, electricity, and disposal of hospital waste were adequate. Disposables and personal protective equipment were not available in appropriate quantities. Major challenges in completing the IPCAF tool were related to the detailed questions requiring repeated consultation with other hospital stakeholders and the long time it took to complete the tool. IPC compliance at LUH was not optimal. The gaps identified need to be addressed urgently.
在全球范围内，由于感染预防与控制（IPC）措施不力，5%-15%的住院患者会发生感染（通常由耐抗菌药物微生物引起）。我们使用世界卫生组织（WHO）的“感染预防与控制评估框架”（IPCAF）工具，对乌干达一家教学医院——利拉大学医院（LUH）的IPC合规情况进行评估。我们还梳理了在填写该工具过程中遇到的挑战。这是一项于2020年11月开展的基于医院的横断面研究。LUH的IPC负责人填写了WHO的IPCAF工具。根据WHO指南对回答进行验证、评分和解读。LUH的IPC总体合规得分为225/800（28.5%），这意味着其IPC处于基本合规水平。该医院没有IPC委员会、没有IPC团队，也没有预算。培训很少开展或从未开展过。没有监测系统，也没有对IPC活动进行监督/审计。床位容量、水、电以及医院废物处理均充足。一次性用品和个人防护装备数量不足。填写IPCAF工具时遇到的主要挑战与需要反复咨询医院其他利益相关者的详细问题以及完成该工具所需的较长时间有关。LUH的IPC合规情况并不理想。所发现的差距需要紧急解决。
