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Evaluation of tuberculosis infection control measures implemented at primary health care facilities in Kwazulu-Natal province of South Africa

机译:评估南非夸祖鲁-纳塔尔省初级卫生保健机构实施的结核病感染控制措施

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Background Tuberculosis (TB) is a global public health concern. It is even more so as its incidence seems to be increasing in South Africa. The aim of this study was to describe and compare the tuberculosis infection control measures implemented by facilities in Ugu and Uthungulu health districts of Kwazulu-Natal province. Methods This was a cross-sectional survey based on a self-administered questionnaire and site visit observations. Data were collected from healthcare workers at 52 health facilities from the beginning of February to mid-March 2012. The facilities that completed the questionnaires were visited for site observations. Results The mean age of participants was 44.7?±?11.7?years of age, ranging from 22 to 66?years old; 89.1% of them were females and nurses. Overall, some 48.6% (18 out of 37) of aspects of tuberculosis infection control encompassing administrative, environmental, clinical and occupational health measures were complied with by at least 80% of facilities surveyed. The unfortunate outcome of this inadequate compliance was that 23 and 12 cases of nosocomial tuberculosis had been diagnosed among staff members respectively in Ugu and Uthungulu districts. Conclusions Overall, it appears that at the facilities surveyed, less than 50% of tuberculosis infection control measures were complied with. This finding calls for appropriate interventions to be designed and implemented. These include the purchase and installation of environmental control systems; the implementation of administrative tuberculosis infection control measures at each facility together with the training of staff members on the strict adherence to preventive measures including the use of personal protective equipment.
机译:背景结核病(TB)是全球性的公共卫生问题。甚至更多,因为它的发病率在南非似乎正在增加。这项研究的目的是描述和比较夸祖鲁-纳塔尔省的Ugu和Uthungulu卫生区的设施实施的结核病感染控制措施。方法这是一项基于自我调查问卷和实地考察观察的横断面调查。从2012年2月初至3月中旬,从52个医疗机构的医护人员那里收集了数据。对完成问卷调查的机构进行了现场观察。结果受试者的平均年龄为44.7±11.7岁,年龄在22至66岁之间。其中89.1%是女性和护士。总体而言,至少80%的被调查机构遵守了结核病感染控制方面约48.6%(37个中的18个)的行政,环境,临床和职业健康措施。这种依从性不足的不幸结果是,分别在Ugu和Uthungulu地区的工作人员中诊断出23例和12例医院内结核病例。结论总体上看,在接受调查的机构中,少于50%的结核病感染控制措施得到了遵守。这一发现要求设计和实施适当的干预措施。其中包括购买和安装环境控制系统;在每个机构中实施行政性结核感染控制措施,并对工作人员进行严格遵守预防措施(包括使用个人防护设备)的培训。

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