Observations of infection prevention and control practices in primary health care, Kenya.
Bull World Health Organ
; 95(7): 503-516, 2017 Jul 01.
Article
de En
| MEDLINE
| ID: mdl-28670015
ABSTRACT
OBJECTIVE:
To assess compliance with infection prevention and control practices in primary health care in Kenya.METHODS:
We used an observational, patient-tracking tool to assess compliance with infection prevention and control practices by 1680 health-care workers during outpatient interactions with 14 328 patients at 935 health-care facilities in 2015. Compliance was assessed in five domains hand hygiene; protective glove use; injections and blood sampling; disinfection of reusable equipment; and waste segregation. We calculated compliance by dividing the number of correct actions performed by the number of indications and evaluated associations between compliance and the health-care worker's and facility's characteristics.FINDINGS:
Across 106 464 observed indications for an infection prevention and control practice, the mean compliance was 0.318 (95% confidence interval, CI 0.315 to 0.321). The compliance ranged from 0.023 (95% CI 0.021 to 0.024) for hand hygiene to 0.871 (95% CI 0.866 to 0.876) for injection and blood sampling safety. Compliance was weakly associated with the facility's characteristics (e.g. public or private, or level of specialization) and the health-care worker's knowledge of, and training in, infection prevention and control practices.CONCLUSION:
The observational tool was effective for assessing compliance with infection prevention and control practices across multiple domains in primary health care in a low-income country. Compliance varied widely across infection prevention and control domains. The weak associations observed between compliance and the characteristics of health-care workers and facilities, such as knowledge and the availability of supplies, suggest that a broader focus on behavioural change is required.
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Soins de santé primaires
/
Infection croisée
/
Prévention des infections
/
Guides de bonnes pratiques cliniques comme sujet
/
Adhésion aux directives
Type d'étude:
Clinical_trials
/
Guideline
/
Observational_studies
Limites:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Pays/Région comme sujet:
Africa
Langue:
En
Journal:
Bull World Health Organ
Année:
2017
Type de document:
Article