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Training of infection prevention and control to Healthcare Workers of Mining Health Facilities: A Shared Responsibility for Improving Safety of Mining Communities

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Occupational Diseases and Environmental Medicine 2024年第4期12卷 243-264页

作者： Joseph C. Hokororo Laura E. Marandu Ruth R. Ngowi Radenta P. Bahegwa Yohannes S. Msigwa Chrisogone J. German Omary A. Nasoro Erick S. Kinyenje Syabo M. Mwaisengela Mbwana M. Degeh Robert S. Mazengo Irene F. Ndauzi Eliudi S. Eliakimu Health Quality Assurance Unit Ministry of Health Dodoma Tanzania North Mara Medical Centre North Mara Gold Mine Limited Tarime Tanzania

Introduction: Without appropriately trained healthcare workers (HCWs), infection prevention and control (IPC) cannot be implemented according to set standards. Although training is crucial, authorities rarely consider those working in health facilities owned by the mining. We describe the training which was conducted in North Mara in Mara region mining health facilities. Methods: This was descriptive study on the training of IPC to HCWs of mining health facilities. The training was conducted to North Mara Gold Mine Limited on April 2024. We targeted the HCWs and supporting staff working in the health facilities of the mining communities. The duration of the training was five days. The sessions started with pre-training test to evaluate what participants understood before training and followed with training itself. The training was carried out using mixed adult learning methods like: illustrated lectures, demonstrations, brainstorming, small group activities, group discussions, role plays, case studies and simulations. The training was finalized with posttest. Results: A total of ten HCWs were trained out of 13 of the facility. In that training six were males and four were females. Also, out of the ten trained three were clinicians, four nurses, one lab technician, one pharmaceutical technician, one support staff. The average score of the results of the pretest was 70.7% with a range of 16% (minimum 64% and maximum 80%) and that of the posttest was 79.8% with a range of 12% (min 74% and max 88%). Conclusions: If HCWs are well trained to comply with IPC standards and transmission-based precautions, they have the ability to deliver safe health services and protect themselves, patients, environment and the community. Training of HCWs working at the mining, therefore, can be adapted in all mines to improve the quality of mining healthcare and respond to the need to improve the safety of mining communities.

关键词： Healthcare Associated infection infection prevention and control Safety of Mining Community

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Tuberculosis infection prevention and control:why we need a whole systems approach

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Infectious Diseases of Poverty 2020年第3期9卷 97-100页

作者： Karina Kielmann Aaron S.Karat Gimenne Zwama Christopher Colvin Alison Swartz Anna S.Voce Tom A.Yates Hayley MacGregor Nicky McCreesh Idriss Kallon Anna Vassall Indira Govender Janet Seeley Alison D.Grant The Institute for Global Health and Development Queen Margaret UniversityEdinburgh EH216UUUK TB Centre London School of Hygiene&Tropical MedicineLondonUK Division of Social and Behavioural Sciences Faculty of Health SciencesUniversity of Cape TownCape TownSouth Africa Discipline Public Health Medicine School of Nursing and Public HealthUniversity of KwaZulu-NatalDurbanSouth Africa Department of Infectious Disease Faculty of MedicineImperial College LondonLondonUK The Institute of Development Studies University of SussexBrightonUK Department of Global Health and Development Faculty of Public Health and PolicyLondon School of Hygiene&Tropical MedicineLondonUK Africa Health Research Institute School of Nursing and Public HealthUniversity of KwaZulu-NatalDurbanSouth Africa School of Public Health Faculty of Health SciencesUniversity of the WitwatersrandJohannesburgSouth Africa

infection prevention and control(IPC)measures to reduce transmission of drug-resistant and drug-sensitive tuberculosis(TB)in health facilities are well described but poorly *** implementation of TB IPC has been assessed primarily through quantitative and structured approaches that treat administrative,environmental,and personal protective measures as discrete *** present an on-going project entitled Umoya omuhle(“good air”),conducted in two provinces of South Africa,that adopts an interdisciplinary,‘whole systems’approach to problem analysis and intervention development for reducing nosocomial transmission of Mycobacterium tuberculosis(Mtb)through improved *** suggest that TB IPC represents a complex intervention that is delivered within a dynamic context shaped by policy guidelines,health facility space,infrastructure,organisation of care,and management *** drawn from epidemiology,anthropology,and health policy and systems research enable rich contextual analysis of how nosocomial Mtb transmission occurs,as well as opportunities to address the problem holistically.A‘whole systems’approach can identify leverage points within the health facility infrastructure and organisation of care that can inform the design of interventions to reduce the risk of nosocomial Mtb transmission.

关键词： Drug-resistant tuberculosis infection prevention and control Health system South Africa

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Clinical Research of Pre-Hospital Emergency Care, Nursing, infection prevention and control for Senile Osteoporotic Vertebral Compression Fracture during Epidemic Period

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Open Journal of Preventive Medicine 2022年第12期12卷 249-257页

作者： Ying Zhang Xinming Yang Yanlin Yin Peinan Zhang The First Affiliated Hospital of Heibei North University Zhangjiakou China

Background: Novel coronavirus pneumonia (NCP) and osteoporotic vertebral compression fractures (OVCF) are the high incidences of diseases in the elderly. During the epidemic period, if not treated in time, the complications are high and the mortality is high. If we do not pay attention to infection prevention and control in pre-hospital emergency care, it will lead to the first time infection of medical staff and in-hospital cross infection in emergency outpatient receiving area. The correct consideration of both and the establishment of perfect pre-hospital emergency treatment and infection prevention and control synchronous strategy is an important premise to ensure the stable, orderly and safe medical treatment. Objective: To explore the effect of synchronous implementation of pre-hospital emergency care, nursing and infection pre-vention and control for senile OVCF during the epidemic. In order to improve the efficiency of pre-hospital emergency care and prevent the spread of infection. Method: A total of 92 elderly patients with OVCF who received pre-hospital treatment in 18 hospitals in Zhangjiakou City during the epidemic prevention and control period from January 2020 to November 2022 and met the inclusion criteria were selected as research objects, including 24 males and 68 females, aged 65 - 82 (74.2 ± 2.2) years. All patients were associated with concomitant injuries and underlying diseases. All patients in this group underwent predictive pre-hospital rescue and infection prevention and control procedures. Results: All the 92 elderly patients with OVCF received timely pre-hospital treatment during the epidemic period, and no aggravation occurred of the 92 patients, 35 were in the high risk area, 10 were in the medium risk area, and 47 were in the low risk area. Exclude OVCF for NCP Patients were treated according to the conventional diagnosis and treatment principles. Suspected and confirmed cases are transferred to designated surgical hospitals for treat

关键词： Novel Coronavirus Pneumonia Osteoporotic Vertebral Compression Fracture Pre-Hospital First Aid On-Site Treatment Epidemic Risk Assessment Screening Process infection prevention and control Synchronization

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Health Facilities Readiness to Implement Standard Precautions for infection prevention and control in Tanzania: Lesson Learnt from SARA Reports

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Advances in Infectious Diseases 2022年第3期12卷 392-404页

作者： Joseph Christopher Hokororo Omary A. Nassoro Saumu Iddy Nungu Radenta Paul Bahegwa Ruth Raymond Ngowi Yohanes Silipamwambo Msigwa Laura Edward Marandu Mwendwa Mwenesi Chrisogone Justin German Akili Mawazo Michael M. Habtu Grace E. Saguti Tigest K. Mengestu Eliudi Saria Eliakimu Health Quality Assurance Unit Ministry of Health Dodoma Tanzania Health Emergency Preparedness and Response Unit Ministry of Health Dodoma Tanzania Immunization and Vaccine Development (IVD) Program Division of Preventive Services Ministry of Health Dodoma Tanzania School of Laboratory Sciences Muhimbili University Health and Allied Sciences Dar es Salaam Tanzania World Health Organization—Tanzania Country Office Dar es Salaam Tanzania

Introduction: Standard Precautions are a set of measures applied in the care of all individuals/patients regardless of their infectious status aiming at preventing healthcare workers and patients from infections, preventing environmental contamination and spread of infections to the community. Many health facilities have not implemented them to an acceptable level. The purpose of the study is to report progress of improvement in health facilities readiness to implement standard precautions for infection prevention and control based on SARA reports. Methods: We generated mean scores of all standard precautions each year and calculated their standard deviations, variances and confidence intervals. One-way ANOVA was used to determine if the mean scores were equal. Finally, the trend of improvement in health facilities readiness to implement the standard precautions was generated. Results: A total of nine standard precautions were reported in SARA reports for 2012, 2017 and 2020. The mean scores of the standard precautions were 52.22% in 2012, 64.55% in 2017 and 69.66% in 2020. The overall trend showed an increase in health facilities readiness to implement standard precautions, although the mean scores were not statistically different (p-value 0.3217). Conclusion: SARA surveys conducted in Tanzania in 2012, 2017 and 2020 have shown an overall increase in health facilities readiness to implement standard precautions. Safe final waste disposal was being done in fewest facilities while single-use or auto-disable syringes were in most facilities that were sampled in all years. SARA surveys may be a useful way to evaluate infection prevention and control adherence in health facilities.

关键词： infection prevention and control Standard Precautions Health Facilities Readiness Safe Waste Disposal Implementation of Standard Precautions

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Practice of infection prevention and control Strategies in Risk Departments during the COVID-19 Epidemic

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Advances in Infectious Diseases 2024年第1期14卷 1-12页

作者： Minfang Wang Wenyi Ye Jiefeng Huang Yuexian Zhu Xuxia Yu Hao Huang Fang Xu Bo Jin Ying Yang Tieer Gan Department of Hospital infection control The First Affiliated Hospital of Zhejiang Chinese Medical University Zhejiang Provincial Hospital of Traditional Chinese Medicine Hangzhou China Medical Department The First Affiliated Hospital of Zhejiang Chinese Medical University Zhejiang Provincial Hospital of Traditional Chinese Medicine Hangzhou China Department of Orthopaedics & Traumatology The First Affiliated Hospital of Zhejiang Chinese Medical University Zhejiang Provincial Hospital of Traditional Chinese Medicine Hangzhou China Department of Stomatology The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Traditional Chinese Medicine) Hangzhou China Nursing Department The First Affiliated Hospital of Zhejiang Chinese Medical University Zhejiang Provincial Hospital of Traditional Chinese Medicine Hangzhou China State Key Laboratory for Diagnosis and Treatment of Infectious Diseases The First Affiliated Hospital Zhejiang University School of Medicine Hangzhou China

Objective: To explore the practice and application of infection prevention and control strategies in risk departments during the COVID-19 epidemic, and to formulate the infection prevention and control measures to provide advice and guidance in risk departments. Methods: According to the latest plan of diagnosis and treatment, prevention and control issued by the National Health Commission, expert advice and consensus, combined with the actual situation in our hospital, a series of infection prevention and control measures of COVID-19 in risk department was formulated. Results: During the epidemic period, the prevention and control measures of nine risk departments including emergency operation, anesthesiology, endoscopy center, blood purification center, otolaryngology, stomatology, medical imaging department, medical cosmetology department and pulmonary function room were established from six aspects, including pre-examination and screening, medical technology control, personnel management, personal protection, environmental disinfection, medical waste disposal, etc. Conclusion: During the epidemic period, the infection prevention and control strategy of risk departments is one of the key links to control the spread of the epidemic, and risk departments must pay attention to and strictly implement various infection prevention and control measures.

关键词： COVID-19 Risk Department infection prevention and control Strategy Practice

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Management strategy of prevention and control of nosocomial infection of COVID-19 in blood purification center

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Journal of Integrative Nursing 2020年第2期2卷 73-77页

作者： Mo SU Wan‑Ning JIA Wen‑Wen HE Zhi‑Min CAI Hai-Yan WANG Liu YANG Blood Purification Center China‑Japan Friendship HospitalBeijingChina

There are many patients in the blood purification center who need maintenance hemodialysis to maintain life. Those patients generally havelow resistance and are easily exposed to coronavirus because they go back and forth the hospital and residence three times a week andclosely contact with family, caregivers, community personnel, people in various means of transportation, medical staff, and other patientsvisiting hospital. Therefore, the blood purification center has become a high‑risk environment for the spread of COVID-19 infection. In viewof this, our center quickly responded to the formulation and implementation of infection prevention and control measures suitable for thecharacteristics of the blood purification center and continuous renal replacement therapy (CRRT) emergency plan for fever and suspectedpatients. According to these measures, we have a positive effect on preventing and controlling nosocomial infection in the blood purificationcenter.

关键词： Blood purification center COVID-19 infection prevention and control management three-level screening

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The Effectiveness of infection control Practices among Health Care Workers Responding to the COVID-19 Pandemic in Nigeria

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Advances in Infectious Diseases 2021年第2期11卷 232-239页

作者： Fehintola A. Ige Aigbe G. Ohihoin Bosede O. Amuda Olufemi S. Amoo Chika K. Onwuamah Azuka P. Okwuraiwe Joseph O. Shaibu Ebenezer O. Odewale Ayorinde B. James Adeleke Kayode Adefunke Adeshina Rosemary A. Audu Centre for Human Virology and Genomics Department of Microbiology Nigerian Institute of Medical Research Lagos Nigeria Clinical Science Department Nigerian Institute of Medical Research Lagos Nigeria Centre for Tuberculosis Research Department of Microbiology Nigerian Institute of Medical Research Lagos Nigeria Biochemistry Department Nigerian Institute of Medical Research Lagos Nigeria Department of Community Health & Primary Health Care Lagos State University Teaching Hospital Lagos Nigeria Lagos State Ministry of Health Ikeja Lagos Nigeria

Background: The world is currently experiencing a healthcare crisis caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). Healthcare workers (HCWs) are at the forefront of controlling the spread of the disease;this response has resulted in a huge number of infections amongst HCWs and unfortunately some casualties. infection prevention and control practices (IPC) are practical, proven methods that prevent avoidable harm to patients and protect health workers from contagious infection. This study was done to evaluate the effectiveness of IPC practices utilized in COVID-19 testing drive through facility in Lagos Nigeria. Method: The facility recruited 42 HCWs who were trained on IPC and use of Personal Protective Equipment (PPEs). Training on donning and doffing of PPEs, preparation of decontaminants and sample handling were done for relevant personnel. A daily log for monitoring COVID-19 symptoms was deployed to all HCWs;to help early detection of COVID-19 infection and prevent transmission amongst staff. Results: Of 42 personnel, 92.8% had a tertiary level of education while 71.4% had at least 5 years work experience. A total of 5 (11.9%) out of 42 HCWs were positive by week six of the study. All infected persons worked at the drive through centre. Most common symptom filled in the daily log tool was headache and fatigue. Conclusion: Despite all the measures introduced, 11.9% of HCWs became positive within 6 weeks, showing the highly infectious nature of the virus and the need to research into more effective measures in preventing the transmission of highly infectious pathogens to HCWs during outbreaks.

关键词： Healthcare Workers infection prevention and control COVID-19 Pandemic

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Construction of competency evaluation system for infection control personnel in traditional Chinese medicine hospitals

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Infectious Diseases Research 2024年第4期5卷 54-65页

作者： Hua-Lei Li Kuan Zhao Yue-li Liu Yu-Lian Miao Jing-Min Liu Wei-Wei Sun Mei Wang Wen-Ming Cao Hospital infection control Department Weifang Hospital of Traditional Chinese MedicineWeifang 262400China Qingdao Public Health Clinical Center Qingdao 266033China Gynecology Department Pingshan District Central Hospital of ShenzhenShenzhen 518122China.

Background:This study uses a literature review and the Delphi expert consultation method to construct a competency evaluation model for infection control personnel in traditional Chinese medicine(TCM)*** aim is to strengthen infection control management in TCM hospitals,assess the competency of infection control personnel in their positions,and assist them in identifying the competencies that need ***:Based on the literature research method and the Delphi expert consultation method,a competency model for the position was constructed through two rounds of expert consultations,analyzing the relationships between various factors and establishing a hierarchical structure *** comparisons were made among the elements at the same level to construct a judgment *** the analytic hierarchy process,the weight coefficients of the indicators at each level in the competency model were ***:This study conducted a comprehensive assessment of various capabilities and practices related to hospital infection *** survey results indicate that participants excelled in multiple areas,with a high overall satisfaction rate.95.28%of participants were able to develop hospital infection monitoring plans based on national infection control policies,demonstrating a good understanding and execution of these policies.94.09%of participants were familiar with high-risk populations and key departments in the hospital.91.73%of participants were able to establish monitoring scopes based on the trends of multidrug-resistant bacteria and conduct information monitoring,reflecting strong response capabilities.92.91%of participants were able to collaborate with relevant departments to conduct bacterial resistance monitoring,showing a good team spirit.94.49%of participants were able to perform targeted monitoring,including surgical site infections,indicating that they have effective monitoring strategies.91.34%of participants were able to col

关键词： traditional Chinese medicine hospital infection prevention and control competency model

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Expert consensus on perioperative management of liver transplantation in adults with acute-on-chronic liver failure

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Liver Research 2021年第2期5卷 37-44页

作者： Transplantation Immunology Committee of Branch of Organ Transplantation Physician of Chinese Medical Doctor Association Enhanced Recovery of Liver Transplantation Group of Enhanced Recovery after Surgery Committee of Chinese Research Hospital Society Guihua Chen Yang Yang Huimin Yi Jianrong Liu Pinglan Lu Lijuan Li Mingming Fan Xiaomeng Yi Haijin Lv Xuxia Wei 不详 The Third Affiliated Hospital of SunYat-sen University Department of Hepatic Surgery Liver Transplantation CenterIntensive Care Unit of Organ TransplantationThe Third Affiliated Hospital of SunYat-sen UniversityGuangzhouChina

Acute-on-chronic liver failure(ACLF)is a syndrome in which acute liver failure with extrahepatic organ failure occurs on chronic liver ***,liver transplantation is the only effective treatment for *** is still room for discussion on the optimal surgery timing for ACLF,perioperative infection prevention and control,and maintenance of nutrition and organ *** Transplantation Immu-nology Committee of Branch of Organ Transplantation Physician of Chinese Medical Doctor Association and Enhanced Recovery of Liver Transplantation Group of Enhanced Recovery after Surgery Committee of Chinese Research Hospital Association invited relevant experts to discuss the perioperative management of ACLF liver transplantation in areas including surgery timing,organ protection,nutritional support,infection prevention and control,rehabilitation exercises,regulation of the internal environment,*** expert consensus was developed as reference for clinicians.

关键词： Acute-on-chronic liver failure Chronic liver disease infection prevention and control Liver transplantation Nutritional support Organ protection Rehabilitation exercise Surgery timing

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Analysis of an improved workflow of endoscope reprocessing for bedside endoscopic diagnosis and treatment on COVID-19 patients

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Journal of Zhejiang University-Science B(Biomedicine & Biotechnology) 2020年第5期21卷 416-422页

作者： Qing GU Hua-fen WANG Ying FANG Ye LU Zhe SHEN Yan WANG Xin WU Li CEN Yi-shu CHEN Center of Endoscopy the First Affiliated HospitalSchool of MedicineZhejiang UniversityHangzhou 310003China Department of Gastroenterology the First Affiliated HospitalSchool of MedicineZhejiang UniversityHangzhou 310003China Zhejiang Provincial Center for Disease control and prevention Hangzhou 310003China

Severe cases infected with the coronavirus disease 2019(COVID-19),named by the World Health Organization(WHO)on Feb.11,2020,tend to present a hypercatabolic state because of severe systemic consumption,and are susceptible to stress ulcers and even life-threatening gastrointestinal *** diagnosis and treatment constitute an irreplaceable part in the handling of severe COVID-19 ***,as reusable precision instruments with complicated structures,require more techniques than other medical devices in cleaning,disinfection,sterilization,and other reprocessing *** 2016 to 2019,health care-acquired infection caused by improper endoscope reprocessing has always been among the top 5 on the list of top 10 health technology hazards issued by the Emergency Care Research *** the highly infective nature of COVID-19 and the potential aerosol contamination therefrom,it is of pivotal significance to ensure that endoscopes are strictly reprocessed between *** accordance with the national standard"Regulation for Cleaning and Disinfection Technique of Flexible Endoscope(WS507-2016),"we improved the workflow of endoscope reprocessing including the selection of chemicals in an effort to ensure quality control throughout the clinical management towards COVID-19 *** on the experience we attained from the 12 severe COVID-19 cases in our hospital who underwent endoscopy 23 times in total,the article provides an improved version of endoscopic reprocessing guidelines for bedside endoscopic diagnosis and treatment on COVID-19 patients for reference.

关键词： Novel coronavirus Coronavirus disease 2019(COVID-19) 2019 novel coronavirus(2019-nCoV) Disinfection Gastrointestinal endoscopy infection prevention and control

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