医疗保健工作者对拉丁美洲感染预防和控制的看法
Valeria Fabre1, Carolyn Herzig2, Lucy Anchiraico Galarza3
1Department of Medicine, Division of Infectious Diseases, Johns Hopkins University School of Medicine, Baltimore, MD, United States.
拉丁美洲的医疗保健工作者认为,在感染预防和控制 (IPC) 方面,自我遵守率很高,但同行遵守率较低. 提高教育和对感染率的认识是关键的机会.
科学领域:
- 医疗保健流行病学 医疗保健流行病学
- 预防和控制感染.
- 全球卫生健康 全球卫生健康
背景情况:
- 关于医疗保健工作者 (HCWs) 对拉丁美洲感染预防和控制 (IPC) 的看法存在有限的数据.
- 了解这些看法对于改善该地区患者安全至关重要.
研究的目的:
- 评估HCW对拉丁美洲医院IPC实践的看法.
- 确定IPC教育,培训和医疗保健相关感染 (HAI) 意识的改善领域.
主要方法:
- 在30个拉丁美洲医院中,向1340名HCW (护士,医生,环境清洁人员和其他人) 分发了一项匿名,自愿的电子调查.
- 该调查于2022年8月至9月进行,重点关注对IPC措施的遵守感知以及获得相关培训和数据的访问.
主要成果:
- 报告了高自认的遵守手部卫生 (95%) 和预防包 (89%),与较低自认的同行遵守 (81%和75%).
- 与护士和环境清洁人员相比,医生报告IPC培训频率较低,获得医疗相关感染 (HAI) 率有限.
- 在培训准入方面 (例如,45%的医生与87%的EVC工作人员接受了初始培训) 和HAI率意识方面,注意到了显著的差异.
结论:
- 通过加强HCW教育和培训,有机会加强拉丁美洲医院的IPC.
- 提高HCW对HAI率的认识和遵守预防措施是必不可少的.
- 可能需要有针对性的干预措施来解决不同HCW干部,特别是医生的特定需求.
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