Evaluation of Infection Prevention and Control Readiness at Frontline Health Care Facilities in High-Risk Districts Bordering Ebola Virus Disease–Affected Areas in the Democratic Republic of the Congo — Uganda, 2018
| العنوان: | Evaluation of Infection Prevention and Control Readiness at Frontline Health Care Facilities in High-Risk Districts Bordering Ebola Virus Disease–Affected Areas in the Democratic Republic of the Congo — Uganda, 2018 |
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| المؤلفون: | Matthew J. Stuckey, Lisa J. Nelson, Ulzii-Orshikh Luvsansharav, Mohammed Lamorde, Reuben Kiggundu, Danica Gomes, Judith Nanyondo Semanda, Kathryn Wilson, Vance Brown, Solome Okware, Daniel Bulwadda, Ryan Fagan, Caitlin Biedron, Meghan Lyman, Alfred Driwale, Rachel M. Smith, Winifred Omuut, Jaco Homsy, Benjamin J. Park |
| المصدر: | Morbidity and Mortality Weekly Report |
| بيانات النشر: | Centers for Disease Control and Prevention, 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Health (social science), Isolation (health care), Epidemiology, viruses, Health, Toxicology and Mutagenesis, medicine.disease_cause, 01 natural sciences, Risk Assessment, Disease Outbreaks, 03 medical and health sciences, 0302 clinical medicine, Health Information Management, parasitic diseases, Health care, medicine, Infection control, Humans, Uganda, 030212 general & internal medicine, Full Report, 0101 mathematics, Cross Infection, Infection Control, Ebola virus, business.industry, 010102 general mathematics, Health services research, virus diseases, Outbreak, General Medicine, Hemorrhagic Fever, Ebola, medicine.disease, Preparedness, Democratic Republic of the Congo, Medical emergency, Health Services Research, Health Facility Administration, business, Contact tracing |
| الوصف: | Infection prevention and control (IPC) in health care facilities is essential to protecting patients, visitors, and health care personnel from the spread of infectious diseases, including Ebola virus disease (Ebola). Patients with suspected Ebola are typically referred to specialized Ebola treatment units (ETUs), which have strict isolation and IPC protocols, for testing and treatment (1,2). However, in settings where contact tracing is inadequate, Ebola patients might first seek care at general health care facilities, which often have insufficient IPC capacity (3-6). Before 2014-2016, most Ebola outbreaks occurred in rural or nonurban communities, and the role of health care facilities as amplification points, while recognized, was limited (7,8). In contrast to these earlier outbreaks, the 2014-2016 West Africa Ebola outbreak occurred in densely populated urban areas where access to health care facilities was better, but contact tracing was generally inadequate (8). Patients with unrecognized Ebola who sought care at health care facilities with inadequate IPC initiated multiple chains of transmission, which amplified the epidemic to an extent not seen in previous Ebola outbreaks (3-5,7). Implementation of robust IPC practices in general health care facilities was critical to ending health care-associated transmission (8). In August 2018, when an Ebola outbreak was recognized in the Democratic Republic of the Congo (DRC), neighboring countries began preparing for possible introduction of Ebola, with a focus on IPC. Baseline IPC assessments conducted in frontline health care facilities in high-risk districts in Uganda found IPC gaps in screening, isolation, and notification. Based on findings, additional funds were provided for IPC, a training curriculum was developed, and other corrective actions were taken. Ebola preparedness efforts should include activities to ensure that frontline health care facilities have the IPC capacity to rapidly identify suspected Ebola cases and refer such patients for treatment to protect patients, staff members, and visitors. |
| اللغة: | English |
| تدمد: | 1545-861X 0149-2195 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::53977f41222525d1aaa4990eea4b5ac6 http://europepmc.org/articles/PMC6776373 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....53977f41222525d1aaa4990eea4b5ac6 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 1545861X 01492195 |
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