Ndegwa Linus K, Kimani Daniel, Njeru Mercy, Chen Tai-Ho, Macharia Catherine, Ouma Annalice, Mboya Frankline O, Oliech Julius, Kwambai Titus K, Liban Ahmed, Mutisya Immaculate, Wangusi Rebecca, Bulterys Marc, Samandari Taraz
US Centers for Disease Control and Prevention, Nairobi, Kenya.
Nairobi County Department of Health, Nairobi, Kenya.
Int J Infect Control. 2024 Oct 28;20:1-7.
The first COVID-19 case in a healthcare worker in Kenya was reported on March 30, 2020, in Nairobi, leading to a 41-day closure of the health facility where he had worked. We assessed infection prevention and control (IPC) activities and implemented recommendations to re-open and operate the facility. We conducted a risk assessment of the facility in April 2020 using a modified World Health Organization, six-element IPC facility risk assessment tool. IPC recommendations were made, and a follow-up assessment of their implementation was conducted in July 2020. Breaches in IPC measures included poor ventilation in most service delivery areas; lack of physical distancing between patients; inadequate COVID-19 information, education, and communication materials; lack of standard operating procedures on cleaning and disinfecting high-touch areas; insufficient IPC training; inadequate hand hygiene facilities; insufficient personal protective equipment supplies; and an inactive IPC committee. Strengthening IPC measures is critical to prevent healthcare facility closures.
2020年3月30日，肯尼亚内罗毕报告了首例医护人员感染新冠病毒病例，导致该医护人员工作的医疗机构关闭了41天。我们评估了感染预防与控制（IPC）活动，并实施了重新开放和运营该机构的建议。2020年4月，我们使用经修改的世界卫生组织六要素IPC机构风险评估工具对该机构进行了风险评估。提出了IPC建议，并于2020年7月对其实施情况进行了后续评估。IPC措施存在的漏洞包括：大多数服务提供区域通风不良；患者之间缺乏物理距离；新冠病毒信息、教育和宣传材料不足；缺乏高接触区域清洁和消毒的标准操作程序；IPC培训不足；手卫生设施不足；个人防护装备供应不足；以及IPC委员会不活跃。加强IPC措施对于防止医疗机构关闭至关重要。
