PDF(Pubmed)
Abstract：
BACKGROUND: In response to the COVID-19 pandemic, WHO launched a strategic preparedness and response plan, outlining public health measures to support countries worldwide. Healthcare workers have an increased risk of becoming infected and their behaviour regarding infection prevention and control (IPC) influences infection dynamics. IPC strategies are important across the globe, but even more in low-resource settings where capacities for testing and treatment are limited. Our study aimed to assess and implement COVID-19 pandemic preparedness and response measures in Faranah, Guinea, primarily focusing on healthcare workers\' IPC knowledge, attitude and practice (KAP).
METHODS: The study was conducted between April 2020 and April 2021 assessing IPC pandemic preparedness and response measures such as healthcare workers\' KAP, alcohol-based handrub (ABHR) consumption and COVID-19 triaging in the Faranah Regional Hospital and two associated healthcare centres. The assessment was accompanied by IPC training and visual workplace reminders and done in pre- and post- phases to evaluate possible impact of these IPC activities.
RESULTS: The overall knowledge score in the Faranah Regional Hospital was 32.0 out of 44 at baseline, and did not change in the first, but increased significantly by 3.0 points in the second follow-up. The healthcare workers felt closer proximity to SARS-CoV-2 overtime in addition to higher stress levels in all study sites. There was significant improvement across the observed triaging practices. Hand hygiene compliance showed a significant increase across study sites leading to 80% in Faranah Regional Hospital and 63% in healthcare centers. The average consumption of ABHR per consultation was 3.29 mL with a peak in February 2020 of 23 mL.
CONCLUSIONS: Despite increased stress levels among HCWs, the ongoing IPC partnership well prepared the FRH in terms of triaging processes with a stronger impact on IPC practice than on theoretical knowledge. Throughout the pandemic, global shortages and surges in consumption did not affect the continuous ABHR provision of the FRH. This highlights local ABHR production as a key pandemic preparedness strategy.
METHODS: The study was conducted between April 2020 and April 2021 assessing IPC pandemic preparedness and response measures such as healthcare workers\' KAP, alcohol-based handrub (ABHR) consumption and COVID-19 triaging in the Faranah Regional Hospital and two associated healthcare centres. The assessment was accompanied by IPC training and visual workplace reminders and done in pre- and post- phases to evaluate possible impact of these IPC activities.
RESULTS: The overall knowledge score in the Faranah Regional Hospital was 32.0 out of 44 at baseline, and did not change in the first, but increased significantly by 3.0 points in the second follow-up. The healthcare workers felt closer proximity to SARS-CoV-2 overtime in addition to higher stress levels in all study sites. There was significant improvement across the observed triaging practices. Hand hygiene compliance showed a significant increase across study sites leading to 80% in Faranah Regional Hospital and 63% in healthcare centers. The average consumption of ABHR per consultation was 3.29 mL with a peak in February 2020 of 23 mL.
CONCLUSIONS: Despite increased stress levels among HCWs, the ongoing IPC partnership well prepared the FRH in terms of triaging processes with a stronger impact on IPC practice than on theoretical knowledge. Throughout the pandemic, global shortages and surges in consumption did not affect the continuous ABHR provision of the FRH. This highlights local ABHR production as a key pandemic preparedness strategy.
摘要：
背景：为了应对COVID-19大流行，世卫组织启动了战略准备和应对计划，概述支持世界各国的公共卫生措施。医护人员感染的风险增加，他们在感染预防和控制（IPC）方面的行为会影响感染动态。IPC策略在全球范围内都很重要，但在低资源环境中，测试和治疗能力有限，情况更是如此。我们的研究旨在评估和实施法拉纳的COVID-19大流行准备和应对措施，几内亚,主要关注医护人员的IPC知识，态度与实践（KAP）。
方法：该研究于2020年4月至2021年4月期间进行，评估IPC大流行准备和应对措施，如医护人员在法拉纳地区医院和两个相关的医疗中心，酒精为基础的手擦(ABHR)消费和COVID-19分类。评估伴随着IPC培训和视觉工作场所提醒，并在前和后阶段进行，以评估这些IPC活动的可能影响。
结果：Faranah地区医院的总体知识评分为基线44分中的32.0分，第一次没有改变，但在第二次随访中显著增加了3.0个百分点。除了所有研究地点的较高压力水平外，医护人员还感到更接近SARS-CoV-2加班。在观察到的分类实践中，有了显着改善。手部卫生依从性在研究地点显着增加，导致Faranah地区医院达到80％，医疗保健中心达到63％。每次咨询的平均ABHR消耗量为3.29mL，2020年2月的峰值为23mL。
结论：尽管医护人员的压力水平增加，正在进行的IPC伙伴关系在分类过程方面为FRH做好了充分准备，对IPC实践的影响比对理论知识的影响更大。在整个大流行期间，全球短缺和消费激增并不影响FRH的持续ABHR供应。这突出了当地ABHR生产作为一个关键的大流行准备战略。
方法：该研究于2020年4月至2021年4月期间进行，评估IPC大流行准备和应对措施，如医护人员在法拉纳地区医院和两个相关的医疗中心，酒精为基础的手擦(ABHR)消费和COVID-19分类。评估伴随着IPC培训和视觉工作场所提醒，并在前和后阶段进行，以评估这些IPC活动的可能影响。
结果：Faranah地区医院的总体知识评分为基线44分中的32.0分，第一次没有改变，但在第二次随访中显著增加了3.0个百分点。除了所有研究地点的较高压力水平外，医护人员还感到更接近SARS-CoV-2加班。在观察到的分类实践中，有了显着改善。手部卫生依从性在研究地点显着增加，导致Faranah地区医院达到80％，医疗保健中心达到63％。每次咨询的平均ABHR消耗量为3.29mL，2020年2月的峰值为23mL。
结论：尽管医护人员的压力水平增加，正在进行的IPC伙伴关系在分类过程方面为FRH做好了充分准备，对IPC实践的影响比对理论知识的影响更大。在整个大流行期间，全球短缺和消费激增并不影响FRH的持续ABHR供应。这突出了当地ABHR生产作为一个关键的大流行准备战略。
