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评估喀麦隆的感染预防与控制状况:使用社会生态模型进行的横断面研讨会评估

Assessing the state of infection prevention and control in cameroon: a cross-sectional workshop evaluation using socioecological models.

作者信息

Nteungue Boris Arnaud Kouomogne, Tandi Erick, Campbell Jeffrey, Bilounga Ndongo Chanceline, Tania Bissouma-Ledjou, Acho Alphonse, Ndougou Dieudonnée Reine, Habimana Reverien, Myriam Ambomo Sylvie, Nteungue Bertolt Brecht Kouam, Yannick Oyono, Bitang Louis Joss, Mballa Georges Alain Etoundi, Boum Yap

机构信息

Department of Public Health, Central University of Nicaragua, Managua, Republic of Nicaragua.

School of Public Health, Texila American University, Georgetown, Republic of Guyana.

出版信息

Infect Prev Pract. 2024 Oct 24;6(4):100408. doi: 10.1016/j.infpip.2024.100408. eCollection 2024 Dec.

DOI:10.1016/j.infpip.2024.100408
PMID:39559254
原文链接:
https://pmc.ncbi.nlm.nih.gov/articles/PMC11570838/
Abstract

OBJECTIVES

Infection prevention and control (IPC) contributes to the reduction of healthcare associated infections. Notwithstanding the global attention with available guidelines and tools, low- and middle-income countries (LMICs) still struggle to put into place effective IPC programmes. Here, we use a socioecological approach to summarize the findings of a recent workshop on the implementation of IPC activities in Cameroon.

STUDY DESIGN

We conducted a cross-sectional study on the assessment of the IPC in Cameroon.

METHODS

Experts and key stakeholders involved in IPC in Cameroon evaluated the implementation of infection prevention and control during a 4-day workshop. Detailed summaries of workshop discussions and recommendations were created. Data were clustered into themes guided by the WHO core component of IPC. Results were analyzed using the socioecological model of Bronfenbrenner, McLeroy and the theory of Grol and Wensing on successful implementation of practices in healthcare settings.

RESULTS

Cameroon does not have an effective IPC programme in place but has developed some areas of the World Health Organization (WHO) IPC core components across the guideline level, the individual level, the organizational level, and the political level.

CONCLUSION

Cameroon is still far from the norms and standards laid out by the WHO. The evidence generated from the current analysis should contribute to improve policies and strategies towards an effective IPC programme in Cameroon and other LMICs.

摘要

目标

感染预防与控制(IPC)有助于减少医疗相关感染。尽管全球都在关注现有的指南和工具,但低收入和中等收入国家(LMICs)仍难以实施有效的IPC计划。在此,我们采用社会生态方法来总结最近在喀麦隆举办的一次关于IPC活动实施的研讨会的结果。

研究设计

我们对喀麦隆的IPC评估进行了横断面研究。

方法

喀麦隆参与IPC的专家和关键利益相关者在为期4天的研讨会上评估了感染预防与控制的实施情况。创建了研讨会讨论和建议的详细摘要。数据按照世界卫生组织IPC核心组成部分进行主题分类。使用Bronfenbrenner、McLeroy的社会生态模型以及Grol和Wensing关于在医疗环境中成功实施实践的理论对结果进行分析。

结果

喀麦隆尚未建立有效的IPC计划,但在世界卫生组织(WHO)IPC核心组成部分的一些领域,包括指南层面、个人层面、组织层面和政治层面,已经有所发展。

结论

喀麦隆仍远未达到世界卫生组织制定的规范和标准。当前分析得出的证据应有助于改进喀麦隆和其他低收入和中等收入国家有效实施IPC计划的政策和战略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be3e/11570838/f13cbc0f2fa0/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be3e/11570838/c4091e11b831/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be3e/11570838/f13cbc0f2fa0/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be3e/11570838/c4091e11b831/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be3e/11570838/f13cbc0f2fa0/gr2.jpg

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Trop Med Infect Dis. 2023 Jul 23;8(7):376. doi: 10.3390/tropicalmed8070376.
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Evaluation of the Antimicrobial Resistance Surveillance System in Sentinel Sites in Cameroon.喀麦隆哨点抗菌药物耐药监测系统评估
Cureus. 2023 Jun 22;15(6):e40779. doi: 10.7759/cureus.40779. eCollection 2023 Jun.
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The psychological impact of quarantine due to COVID-19: A systematic review of risk, protective factors and interventions using socio-ecological model framework.
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Estimating the cost of achieving basic water, sanitation, hygiene, and waste management services in public health-care facilities in the 46 UN designated least-developed countries: a modelling study.估算在联合国指定的 46 个最不发达国家的公共卫生保健设施中实现基本水、环境卫生、个人卫生和废物管理服务的成本:一项建模研究。
Lancet Glob Health. 2022 Jun;10(6):e840-e849. doi: 10.1016/S2214-109X(22)00099-7. Epub 2022 Apr 6.
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