Department of Clinical Research, ICMR-National Institute for Research in Tuberculosis, 1, Mayor Satyamoorthy Road, Chetpet, Chennai, 600031, Tamil Nadu, India.
Department of Clinical Research, ICMR-National Institute for Research in Tuberculosis, 1, Mayor Satyamoorthy Road, Chetpet, Chennai, 600031, Tamil Nadu, India.
Indian J Tuberc. 2023 Oct;70(4):460-467. doi: 10.1016/j.ijtb.2023.03.016. Epub 2023 Apr 3.
Airborne pathogens not only lead to epidemics and pandemics, but are associated with morbidity and mortality. Administrative or managerial control, environmental control and use of personal protective equipments are the three components in airborne infection control. National and international guidelines for ideal airborne infection control (AIC) practices are available for more than a decade; however the implementation of these need to be looked into, challenges identified and addressed for effective prevention of airborne disease transmission. Commitment of multiple stakeholders from policy makers to patients, budget allocation and adequate fund flow, functioning AIC committees at multiple levels with an inbuilt reporting and monitoring mechanism, adaptation of the AIC practices at various health care levels, supportive supervision, training and ongoing education for health care providers, behaviour change communication to patients to adapt the practices at health care facility level, by health care personnel and patients will facilitate health system preparedness for handling any emergencies, but will also help in reducing the burden of persisting airborne diseases such as tuberculosis. Operational research in this least focused area will also help to identify and address the challenges.
空气中的病原体不仅会引发流行病和大流行病,还与发病率和死亡率有关。空气传播感染控制的三个组成部分是行政或管理控制、环境控制和使用个人防护设备。十多年来,一直都有关于理想的空气传播感染控制(AIC)实践的国家和国际指南;然而,需要研究这些指南的实施情况,确定并解决挑战,以有效预防空气传播疾病的传播。从政策制定者到患者的多个利益相关者的承诺、预算分配和充足的资金流动、在多个层面上运作的具有内置报告和监测机制的 AIC 委员会、在各个医疗保健水平上采用 AIC 实践、支持性监督、为医疗保健提供者提供培训和持续教育、针对患者的行为改变沟通,以适应医疗机构层面的实践,这些都将有助于医疗保健系统为应对任何紧急情况做好准备,但也有助于减轻持续存在的空气传播疾病(如结核病)的负担。在这个关注最少的领域进行运营研究也将有助于发现和解决挑战。