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Parental involvement in infection prevention and control in low- and middle-income country neonatal units: a scoping
Lydia Davidson1,2, Chikomborero Kitikiti3, Hannah Blencowe4
1MARCH Centre, London School of Hygiene & Tropical Medicine, London, UK Lydia.Davidson@LSHTM.ac.uk.
Insights
This review explores parental involvement in infection prevention and control (IPC) in low-resource neonatal units. Engaging families is crucial for reducing neonatal sepsis and improving infant survival rates in these settings.
Area of Science:
- Public Health
- Infectious Disease Epidemiology
- Neonatal Care
Background:
- Neonatal sepsis is a major cause of infant mortality, particularly in low- and middle-income countries (LMIC).
- Antimicrobial resistance necessitates innovative strategies to combat neonatal sepsis.
- Family collaboration in infection prevention and control (IPC) is a promising but underexplored area in LMIC neonatal units.
Purpose of the Study:
- To conduct a scoping review of parental involvement in IPC within neonatal units in LMIC.
- To identify existing interventions and understand their feasibility and acceptability.
- To inform the development of effective family-centered IPC strategies.
Main Methods:
- Protocol developed following Joanna Briggs Institute recommendations.
- Comprehensive literature search across six major databases (Medline, CINAHL, Global Health, EMBASE, Web of Science, Global Index Medicus) from 2000 to February 2024.
- Screening and data extraction by two independent reviewers, with a third for conflict resolution; narrative synthesis of findings.
Main Results:
- This section is to be filled once the review is completed.
- The review will synthesize data on parental roles in IPC, barriers, and facilitators.
- Findings will be reported according to PRISMA extension for Scoping Reviews guidelines.
Conclusions:
- This scoping review will provide a comprehensive overview of parental involvement in IPC in LMIC neonatal units.
- The findings will highlight strategies to enhance family engagement for improved IPC outcomes.
- This research aims to contribute to reducing neonatal mortality through effective, family-integrated infection control.
Introduction:
Neonatal sepsis is a key contributor to neonatal mortality worldwide, and low- and middle-income countries (LMIC) are disproportionately affected. With antimicrobial resistance challenging effective treatment of neonatal sepsis, it is increasingly urgent to improve infection prevention and control (IPC) in LMIC neonatal units (NNU) and reduce transmission of infections. One pathway to improvement which merits further exploration is the collaboration with families to build an IPC intervention.Families are constantly present on neonatal units, and much of the hands-on care for their newborns is given by them. For IPC to be effective, families must adhere to IPC standards within the NNU, but furthermore, any IPC intervention implemented must be feasible and acceptable for families as well as the hospital staff as this will increase uptake and effectiveness of the intervention. This scoping review aims to provide an overview of parental involvement in infection prevention and control in low- and middle-income setting neonatal units.
Methods And Analysis:
This protocol was developed in line with the Joanna Briggs Institute recommendations. Searches will be carried out on six databases (Medline, CINAHL, Global Health, EMBASE, Web of Science and Global Index Medicus), and reference searching will be carried out on included studies. The search will be carried out from 2000 to present (end date 28/02/2024), and included languages will be English, French, Spanish and Portuguese. Screening and data extraction will be performed independently by two reviewers, with a third reviewer to resolve conflicts. Results will be reported by narrative synthesis of each sub-question in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews guidelines.
Ethics And Dissemination:
This study will be carried out using already published data exclusively and therefore does not require further ethical approval. Results will be disseminated through peer-reviewed publications and conference presentations and through engagement with peers and relevant stakeholders.
Trial Registration Number:
Registered with Open Science Framework - https://osf.io/snc7a/?view_only=8ffc39d837594b4388c7394a838c3a9e.
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