拉丁美洲医院感染预防和控制计划实施的背景障碍:混合方法评估
Valeria Fabre1, Clara Secaira2, Carolyn Herzig3
1Department of Medicine, Division of Infectious Diseases, Johns Hopkins University School of Medicine, 600 N Wolfe St, Halstead 840, Baltimore, MD, 21287, USA. mfabre1@jhmi.edu.
Antimicrobial resistance and infection control
|November 4, 2024
概括
拉丁美洲医疗机构的感染预防和控制 (IPC) 计划通常是先进的,但在人员和培训方面面临挑战. 加强领导力和公共卫生支持对于更好的资源配置和安全文化至关重要.
科学领域:
- 医疗保健管理的管理
- 传染病控制和控制传染病
- 公共卫生 公共卫生
背景情况:
- 感染预防和控制 (IPC) 计划对于管理医疗保健设施 (HCF) 中的多药耐药生物至关重要.
- 拉丁美洲的IPC计划的实施状态在很大程度上是未经记录的.
- 这项研究解决了关于该地区IPC计划有效性的知识差距.
研究的目的:
- 评估拉丁美洲HCF中IPC计划的实施水平.
- 识别影响IPC计划有效性的障碍和促进因素.
- 为加强该地区IPC倡议提供建议.
主要方法:
- 采用混合方法方法,利用世界卫生组织的IPC评估框架 (IPCAF) 调查.
- IPCAF调查评估了八个核心IPC组件,产生分类为实施级别 (不足,基本,中级,高级) 的分数.
- 进行了半结构面试,以探索障碍和促进者,随后进行了指导内容分析.
主要成果:
- 三十七个HCF参与,总体IPCAF中位数为614分,表明"高级"的实施水平.
- 与非营利性基金 (32%) 相比,营利性基金 (93%) 实现的先进程度更高.
- 确定的主要挑战包括人员不足,领导力支持有限,培训不足,而外部认证和公共卫生支持是促进者.
结论:
- 拉丁美洲的HCF显示IPC实施进展,但需要有针对性的改进.
- 加强医院领导层和公共卫生当局的支持对于资源分配和安全文化至关重要.
- 建议投资于质量改进培训,以加强IPC计划的有效性.
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