Tuberculosis infection control measures in healthcare facilities in Moyen-Ogooué Province, Gabon

Abstract Background Healthcare workers (HCW) are at higher risk of tuberculosis (TB) than the general population. We assessed healthcare facilities for their TB infection control standards and priorities. Methods A standardised tool was applied. The assessment was conducted by direct observation, do...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Anja Vigenschow, Bayodé Romeo Adegbite, Jean-Ronald Edoa, Abraham Alabi, Akim A. Adegnika, Martin P. Grobusch, Marguerite Massinga-Loembe
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Tuberculosis Infection control Healthcare facility Healthcare workers Gabon Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/4813bbf4b40247f1836c02f949b3468c
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:4813bbf4b40247f1836c02f949b3468c
record_format	dspace
spelling	oai:doaj.org-article:4813bbf4b40247f1836c02f949b3468c2021-11-07T12:11:15ZTuberculosis infection control measures in healthcare facilities in Moyen-Ogooué Province, Gabon10.1186/s12913-021-07236-z1472-6963https://doaj.org/article/4813bbf4b40247f1836c02f949b3468c2021-11-01T00:00:00Zhttps://doi.org/10.1186/s12913-021-07236-zhttps://doaj.org/toc/1472-6963Abstract Background Healthcare workers (HCW) are at higher risk of tuberculosis (TB) than the general population. We assessed healthcare facilities for their TB infection control standards and priorities. Methods A standardised tool was applied. The assessment was conducted by direct observation, documents review and interviews with the facility heads. Results Twenty healthcare facilities were assessed; 17 dispensaries, an HIV-clinic, a private not-for-profit hospital and a public regional hospital. In both hospitals, outpatient departments, internal medicine wards, paediatric wards, emergency departments; and the MDR-TB unit of the public regional hospital were assessed. In Gabon, there are currently no national guidelines for TB infection control (TBIC) in healthcare settings. Consequently, none of the facilities had an infection control plan or TBIC focal point. In three departments of two facilities (2/20 facilities), TB patients and presumed TB cases were observed to be consistently provided with surgical masks. One structure reported to regularly test some of its personnel for TB. Consultation rooms were adequately ventilated in six primary care level facilities (6/17 dispensaries) and in none of the hospitals, due to the use of air conditioning. Adequate personal protective equipment was not provided regularly by the facilities and was only found to be supplied in the MDR-TB unit and one of the paediatric wards. Conclusions In Moyen-Ogooué province, implementation of TBIC in healthcare settings is generally low. Consequently, HCW are not sufficiently protected and therefore at risk for M. tuberculosis infection. There is an urgent need for national TBIC guidelines and training of health workers to safeguard implementation.Anja VigenschowBayodé Romeo AdegbiteJean-Ronald EdoaAbraham AlabiAkim A. AdegnikaMartin P. GrobuschMarguerite Massinga-LoembeBMCarticleTuberculosisInfection controlHealthcare facilityHealthcare workersGabonPublic aspects of medicineRA1-1270ENBMC Health Services Research, Vol 21, Iss 1, Pp 1-11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Tuberculosis Infection control Healthcare facility Healthcare workers Gabon Public aspects of medicine RA1-1270
spellingShingle	Tuberculosis Infection control Healthcare facility Healthcare workers Gabon Public aspects of medicine RA1-1270 Anja Vigenschow Bayodé Romeo Adegbite Jean-Ronald Edoa Abraham Alabi Akim A. Adegnika Martin P. Grobusch Marguerite Massinga-Loembe Tuberculosis infection control measures in healthcare facilities in Moyen-Ogooué Province, Gabon
description	Abstract Background Healthcare workers (HCW) are at higher risk of tuberculosis (TB) than the general population. We assessed healthcare facilities for their TB infection control standards and priorities. Methods A standardised tool was applied. The assessment was conducted by direct observation, documents review and interviews with the facility heads. Results Twenty healthcare facilities were assessed; 17 dispensaries, an HIV-clinic, a private not-for-profit hospital and a public regional hospital. In both hospitals, outpatient departments, internal medicine wards, paediatric wards, emergency departments; and the MDR-TB unit of the public regional hospital were assessed. In Gabon, there are currently no national guidelines for TB infection control (TBIC) in healthcare settings. Consequently, none of the facilities had an infection control plan or TBIC focal point. In three departments of two facilities (2/20 facilities), TB patients and presumed TB cases were observed to be consistently provided with surgical masks. One structure reported to regularly test some of its personnel for TB. Consultation rooms were adequately ventilated in six primary care level facilities (6/17 dispensaries) and in none of the hospitals, due to the use of air conditioning. Adequate personal protective equipment was not provided regularly by the facilities and was only found to be supplied in the MDR-TB unit and one of the paediatric wards. Conclusions In Moyen-Ogooué province, implementation of TBIC in healthcare settings is generally low. Consequently, HCW are not sufficiently protected and therefore at risk for M. tuberculosis infection. There is an urgent need for national TBIC guidelines and training of health workers to safeguard implementation.
format	article
author	Anja Vigenschow Bayodé Romeo Adegbite Jean-Ronald Edoa Abraham Alabi Akim A. Adegnika Martin P. Grobusch Marguerite Massinga-Loembe
author_facet	Anja Vigenschow Bayodé Romeo Adegbite Jean-Ronald Edoa Abraham Alabi Akim A. Adegnika Martin P. Grobusch Marguerite Massinga-Loembe
author_sort	Anja Vigenschow
title	Tuberculosis infection control measures in healthcare facilities in Moyen-Ogooué Province, Gabon
title_short	Tuberculosis infection control measures in healthcare facilities in Moyen-Ogooué Province, Gabon
title_full	Tuberculosis infection control measures in healthcare facilities in Moyen-Ogooué Province, Gabon
title_fullStr	Tuberculosis infection control measures in healthcare facilities in Moyen-Ogooué Province, Gabon
title_full_unstemmed	Tuberculosis infection control measures in healthcare facilities in Moyen-Ogooué Province, Gabon
title_sort	tuberculosis infection control measures in healthcare facilities in moyen-ogooué province, gabon
publisher	BMC
publishDate	2021
url	https://doaj.org/article/4813bbf4b40247f1836c02f949b3468c
work_keys_str_mv	AT anjavigenschow tuberculosisinfectioncontrolmeasuresinhealthcarefacilitiesinmoyenogooueprovincegabon AT bayoderomeoadegbite tuberculosisinfectioncontrolmeasuresinhealthcarefacilitiesinmoyenogooueprovincegabon AT jeanronaldedoa tuberculosisinfectioncontrolmeasuresinhealthcarefacilitiesinmoyenogooueprovincegabon AT abrahamalabi tuberculosisinfectioncontrolmeasuresinhealthcarefacilitiesinmoyenogooueprovincegabon AT akimaadegnika tuberculosisinfectioncontrolmeasuresinhealthcarefacilitiesinmoyenogooueprovincegabon AT martinpgrobusch tuberculosisinfectioncontrolmeasuresinhealthcarefacilitiesinmoyenogooueprovincegabon AT margueritemassingaloembe tuberculosisinfectioncontrolmeasuresinhealthcarefacilitiesinmoyenogooueprovincegabon
_version_	1718443483918761984

Tuberculosis infection control measures in healthcare facilities in Moyen-Ogooué Province, Gabon

Ejemplares similares