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Development of a deployment infection control course
Helen K Crouch1, Clinton K Murray, Duane R Hospenthal
1Brooke Army Medical Center, 3851 Roger Brooke Drive, (MCHE-MDI) Fort Sam Houston, TX 78234-6200, USA.
Abstract:
Since the beginning of military operations in Iraq and Afghanistan, multidrug-resistant bacteria have been noted to be infecting and colonizing combat casualties. Studies suggest the primary source of these bacteria is nosocomial transmission. A focus area for improvement has been to enhance infection control (IC) at hospitals in the combat theater. A 5-day IC course was developed and implemented to provide just-in-time training to those personnel who have been identified to lead IC efforts while deployed. Twenty-nine students have attended the first 6 offerings of this course. A pre- and post-course test showed an average 21% improvement in knowledge. A follow-up questionnaire provided to those students who deployed found the course had enhanced performance of their IC duties. We describe the deployment-unique training developed to provide basic IC, emphasizing the unique challenges found in the combat setting.
Insights
A new infection control (IC) training course improved knowledge by 21% in military personnel. The course enhanced performance of IC duties in combat settings, addressing challenges of multidrug-resistant bacteria.
Area of Science:
- Infectious Diseases
- Military Medicine
- Public Health
Background:
- Multidrug-resistant bacteria are a significant concern in combat casualties from Iraq and Afghanistan.
- Nosocomial transmission is identified as a primary source of these infections in deployed settings.
- Enhancing infection control (IC) in combat theater hospitals is a critical area for improvement.
Purpose of the Study:
- To describe the development and implementation of a specialized 5-day infection control (IC) training course.
- To provide just-in-time training for personnel leading IC efforts in deployed environments.
- To address the unique challenges of infection control in a combat setting.
Main Methods:
- A 5-day IC course was designed and delivered to personnel responsible for IC leadership during deployment.
- Pre- and post-course tests were administered to assess knowledge improvement.
- A follow-up questionnaire was used to evaluate the course's impact on deployed personnel's IC performance.
Main Results:
- Twenty-nine students attended the initial six offerings of the IC course.
- An average improvement of 21% in knowledge was observed between pre- and post-course tests.
- Follow-up data indicated that the course enhanced the performance of IC duties for deployed students.
Conclusions:
- The developed 5-day IC course effectively improved knowledge and performance among military personnel.
- The training successfully addressed the specific challenges of infection control in combat environments.
- This initiative offers a model for deployment-specific training to combat multidrug-resistant bacteria in deployed settings.
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