Status of hospital infection prevention practices in Thailand in the era of COVID-19: Results from a national survey - 23/08/22
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Highlights |
• | Resurvey of infection prevention practices in Thai hospitals during COVID-19. |
• | Only 31% of Thai hospitals report excellent leadership support for infection control. |
• | Half (48%) of surveyed practices significantly increased for catheter-associated urinary tract infection, central line-associated bloodstream infection and ventilator-associated pneumonia. |
• | Use of many other practices remains suboptimal. |
• | Infection prevention practices in Thai hospitals need more national strategic support. |
Abstract |
Background |
A 2014 study assessed infection prevention (IP) practices in Thai hospitals for catheter-associated urinary tract infection (CAUTI), central line-associated bloodstream infection (CLABSI), and ventilator-associated pneumonia (VAP). This study compares current IP practices to results obtained in 2014.
Methods |
Between February 1, 2021 and August 31, 2021, we resurveyed Thai hospitals regarding practices to prevent CAUTI, CLABSI, and VAP. We also assessed COVID-19 impact and healthcare worker burnout and coping strategies. We distributed 100 surveys to a convenience sample of infection preventionists.
Results |
Response rate: 100%. One-third (31%) of hospitals reported excellent leadership support for infection control (ie, responses of “good” or “excellent” to one survey question). Some prevention practices increased between 2014 vs 2021 (CAUTI: catheter reminder/stop-order/nurse-initiated discontinuation [50.0% vs 70.0%, P < .001]; condom catheters [36.3% vs 51.0%, P = .01]; ultrasound bladder scanner [4.7% vs 12.0%, P = .03]; CLABSI: chlorhexidine gluconate insertion site antisepsis [73.6% vs 85.0%, P = .03]; maximum sterile barrier precautions [63.2% vs 80.0%, P = .003]; VAP: selective digestive tract decontamination [26.9% vs 40.0%, P = .02]). Antimicrobial catheter use decreased since 2014 (10.4% vs 3.0%, P < .001). Many other practices remain suboptimal. COVID-19 challenges: staff shortages (71%), financial hardships (67%). Only 46% of infection preventionists felt safe working during COVID-19.
Conclusions |
More national strategic support is needed for IP programs to prevent CAUTI, CLABSI, VAP and healthcare worker well-being in Thailand during the COVID-19 pandemic.
Le texte complet de cet article est disponible en PDF.Key Words : Catheter-associated urinary tract infection, Central line-associated bloodstream infection, Ventilator-associated pneumonia, Hospital-acquired infection, Thailand, Prevalence survey
Plan
| Financial support: None reported. |
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| Conflict of interest: The authors report no conflicts of interest in relation to this work. |
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| Ethical approval: The Institutional Review Board of the corresponding author's institution approved this study. |
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| Data availability: Data available upon reasonable request. |
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| Patient consent statement: This study does not include factors necessitating patient consent. Survey respondents were anonymous hospital staff working as infection preventionists, hospital epidemiologists, or similar positions. |
Vol 50 - N° 9
P. 975-980 - septembre 2022 Retour au numéro
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