Self-reported survey on infection prevention and control structures in healthcare facilities part of a national level healthcare associated infection surveillance network in India, 2019

Am J Infect Control. 2022 Apr;50(4):390-395. doi: 10.1016/j.ajic.2021.09.019. Epub 2021 Sep 30.

Abstract

Background: Healthcare associated infections (HAIs) are prevalent and difficult to treat worldwide. Most HAIs can be prevented by effective implementation of Infection Prevention and Control (IPC) measures. A survey was conducted to assess the existing IPC practices across a network of Indian Hospitals using the World Health Organization designed self-assessment IPC Assessment Framework (IPCAF) tool.

Methods: This was a cross sectional observation study. Thirty-two tertiary care public and private facilities, part of the existing Indian HAI surveillance network was included. Data collected was analyzed by a central team at All India Institute of Medical Sciences, New Delhi, a tertiary care hospital of India. The WHO questionnaire tool was used to understand the capacity and efforts to implement IPC practices across the network.

Results: The overall median score of IPCAF across the network was 620. Based on the final IPCAF score of the facilities; 13% hospitals had basic IPC practices, 28% hospitals had intermediate and 59% hospitals had advanced IPC practices. The component multimodal strategies had the broadest range of score while the component IPC guidelines had the narrowest one.

Conclusions: Quality improvement training for IPC nurses and healthcare professionals are needed to be provided to health facilities.

Keywords: Assessment; Core components; IPC guidelines; Implementation; Multimodal strategies; Tertiary care hospitals.

Publication types

  • Observational Study

MeSH terms

  • Cross Infection* / epidemiology
  • Cross Infection* / prevention & control
  • Cross-Sectional Studies
  • Delivery of Health Care
  • Health Facilities
  • Humans
  • Infection Control*
  • Self Report
  • Surveys and Questionnaires