拉丁美洲医护人员对感染预防与控制的看法。
Health care workers' perceptions about infection prevention and control in Latin America.
作者信息
Fabre Valeria, Herzig Carolyn, Galarza Lucy Anchiraico, Aquiles Bowen, Arauz Ana Belen, Bangher Maria Del Carmen, Bernan Marisa L, Burokas Sol, Cazali Iris L, Colque Angel, Comas Marisabel, Contreras Rosa Verónica, Cordoba Maria Gabriela, Correa Silvia Mabel, Campero Gustavo Costilla, Chiroy Aura, De Ascencao Gabriela, García Carlos Cruz, Ezcurra Cecilia, Falleroni Leandro, Fernandez Johana, Ferrari Sandra, Freire Veronica, Garzón Maria Isabel, Gonzales José Anel, Guaymas Lucrecia, Guerrero-Toapanta Fausto, Lambert Sandra, Laplume Diego, Lazarte Paola Romina, Maldonado Herberth, Maurizi Diego M, Manami Sandra Miriam, Mesplet Florencia, Izquierdo Cristina Moreno, Nuccetelli Yanina, Olmedo Argelis, Palacio Belén, Pellice Florencia, Raffo Carla Lorena, Ramos Carolina, Reino Fanny, Rodriguez Viviana, Romero Federico, Romero Juan José, Sadino Graciela, Sandoval Nancy, Staneloni Ines, Suarez Mariana, Suayter Maria Victoria, Urueña Maria Alejandra, Valle Marisol, Perez Silvia Vera Amate, Videla Hugo, Villamandos Silvina, Villarreal Olmedo, Viteri Maria Alejandra, Warley Eduardo, Rock Clare, Bancroft Elizabeth, Quiros Rodolfo E
机构信息
Department of Medicine, Division of Infectious Diseases, Johns Hopkins University School of Medicine, Baltimore, MD, United States.
International Infection Control Branch, Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, GA, United States.
出版信息
Am J Infect Control. 2025 Feb;53(2):222-227. doi: 10.1016/j.ajic.2024.10.004. Epub 2024 Oct 10.
BACKGROUND
Limited information exists regarding health care workers' (HCWs) perceptions about infection prevention and control (IPC) in Latin America.
METHODS
We conducted an electronic voluntary anonymous survey to assess HCWs' perceptions toward IPC in 30 hospitals in Latin America during August to September 2022. Nurses, physicians, and environmental cleaning (EVC) staff were prioritized for recruitment.
RESULTS
Overall, 1,340 HCWs completed the survey. Of these, 28% were physicians, 49% nurses, 8% EVC staff, and 15% had "other" roles. Self-compliance with hand hygiene and prevention bundles was perceived to be high by 95% and 89% of respondents, respectively; however, ratings were lower when asked about compliance by their peers (reported as high by 81% and 75%, respectively). Regular training on IPC and access to health care-associated infections (HAI) rates were more limited among physicians than other HCWs (eg, 87% of EVC staff and 45% of physicians reported training upon hiring and thereafter, 60% of nurses and 51% of physicians reported regular access to HAI rate reports).
CONCLUSIONS
We identified several opportunities to strengthen IPC practices in Latin American hospitals, including improving HCW education and training on IPC and their awareness of HAI rates and compliance with prevention measures.
背景
关于拉丁美洲医护人员对感染预防与控制（IPC）的看法，现有信息有限。
方法
2022年8月至9月期间，我们在拉丁美洲的30家医院开展了一项电子自愿匿名调查，以评估医护人员对IPC的看法。优先招募护士、医生和环境清洁（EVC）人员。
结果
总体而言，1340名医护人员完成了调查。其中，28%为医生，49%为护士，8%为EVC人员，15%担任“其他”角色。分别有95%和89%的受访者认为自己对手卫生和预防措施包的依从性较高；然而，当被问及同行的依从性时，评分较低（分别有81%和75%的受访者认为较高）。与其他医护人员相比，医生接受IPC定期培训以及获取医疗保健相关感染（HAI）发生率的机会更为有限（例如，87%的EVC人员和45%的医生报告入职时及之后接受过培训，60%的护士和51%的医生报告能定期获取HAI发生率报告）。
结论
我们发现了拉丁美洲医院加强IPC措施的若干机会，包括改善医护人员对IPC的教育和培训，提高他们对HAI发生率的认识以及对预防措施的依从性。
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