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Evaluation of infection prevention and control in a Moroccan university hospital using the IPCAF tool
Lamia Melalka1, Fouad Assi1, Mimoun Zouhdi2
1Center for Doctoral Studies in Life and Health Sciences, Faculty of Medicine and Pharmacy of Rabat, Mohamed V University of Rabat, Rabat, Morocco.
Introduction:
Healthcare-associated infections (HAIs) are a significant global health challenge. In Morocco, while the prevalence of HAIs has been studied in university hospitals, limited research has focused on the effectiveness of infection prevention and control (IPC) programs. This study evaluates the adherence of 8 Moroccan hospitals to IPC standards using the Infection Prevention and Control Assessment Framework (IPCAF).
Methodology:
Eight Moroccan hospitals participated in this study. The IPC compliance of each hospital was assessed using the IPCAF tool, which evaluates IPC committees, staff training, infrastructure, and surveillance systems.
Results:
The study showed significant variation in IPCAF scores. Hospitals such as Maternity and Reproductive Health Hospital - Orangers, Ibn Sina Hospital, and National Institute of Oncology achieved high compliance, with scores of 657.5 and 652.5, reflecting 82.19% and 81.56% compliance. These hospitals demonstrated strong IPC committees, effective training, and consistent surveillance. In contrast, Arrazi Hospital and Souissi Maternity had lower scores, with HAI scoring 352.5, indicating gaps in IPC practices. The lower-scoring hospitals struggled with infrastructure, staff involvement, and adherence to IPC guidelines.
Conclusions:
The study highlights the importance of leadership commitment, regular training, and surveillance to improve IPC outcomes. It emphasizes the need for targeted interventions in underperforming hospitals to address gaps in infrastructure and staff involvement, thereby enhancing patient safety and infection control standards in Morocco.
Insights
Moroccan hospitals show varied adherence to infection prevention and control (IPC) standards. High-scoring facilities excel in committees and training, while others need improvements in infrastructure and staff engagement for better patient safety.
Area of Science:
- Healthcare quality and safety
- Infectious disease epidemiology
- Public health policy
Background:
- Healthcare-associated infections (HAIs) pose a significant global health threat.
- Limited research exists on the effectiveness of infection prevention and control (IPC) programs in Moroccan hospitals.
- This study assesses IPC adherence in 8 Moroccan hospitals using the Infection Prevention and Control Assessment Framework (IPCAF).
Purpose of the Study:
- To evaluate the adherence of Moroccan hospitals to established IPC standards.
- To identify strengths and weaknesses in current IPC programs across different healthcare facilities.
- To provide data for targeted interventions to improve patient safety and reduce HAIs.
Main Methods:
- Eight Moroccan hospitals were included in the assessment.
- The Infection Prevention and Control Assessment Framework (IPCAF) was utilized to evaluate IPC compliance.
- Key areas assessed included IPC committees, staff training, infrastructure, and surveillance systems.
Main Results:
- Significant variation in IPCAF scores was observed among the hospitals.
- Hospitals like Maternity and Reproductive Health Hospital - Orangers and Ibn Sina Hospital demonstrated high compliance (over 81%).
- Lower-scoring hospitals, such as Arrazi Hospital, exhibited gaps in infrastructure, staff involvement, and adherence to IPC guidelines.
Conclusions:
- Leadership commitment, regular training, and robust surveillance are crucial for effective IPC.
- Underperforming hospitals require targeted interventions to address infrastructure and staff engagement issues.
- Improving IPC practices is essential for enhancing patient safety and infection control standards in Morocco.
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